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Cervical Spine Fracture

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161. Longer follow-up continues to reveal no increased risk of cancer with the use of recombinant human bone morphogenetic protein in spine fusion. (PubMed)

. We excluded patients receiving spine fusion for vertebral fractures or infection, and those with a diagnosis of cancer before or at the index procedure.The primary outcome was the first diagnosis of any cancer as identified in the records of the state cancer registry or death certificate through the end of 2015.We compared cancer risk between those receiving spine fusion with and without rhBMP using survival analysis. We calculated incidence rates (hazards) by computing the ratio of the number (...) Longer follow-up continues to reveal no increased risk of cancer with the use of recombinant human bone morphogenetic protein in spine fusion. Large observational studies on potential oncogenic effects of recombinant human bone morphogenetic protein (rhBMP) in spine fusion surgery are limited by relatively short follow-up times.To study the possible association between rhBMP and cancer risk in a long-term follow-up study.A retrospective cohort study using a combination of the Washington State

2019 The Spine Journal

162. Cervical Radiculopathy and Myelopathy

. Lied, P. Ronning, and E. Helseth, The epidemiology of traumatic cervical spine fractures: a prospective population study from Norway. Scand J Trauma Resusc Emerg Med, 2012. 20: p. 85. 11. Nelson, D.W., M.J. Martin, N.D. Martin, and A. Beekley, Evaluation of the risk of noncontiguous fractures of the spine in blunt trauma. J Trauma Acute Care Surg, 2013. 75(1): p. 135-9. 12. Schoenfeld, A.J., J.C. Dunn, J.O. Bader, and P.J. Belmont, Jr., The nature and extent of war injuries sustained by combat (...) [3, 4] . Previous neck injuries, cervical strains, and arthritis increase the risk of developing DDD, which may result in the development of abnormal bony spurs (spondylosis). Less commonly, cervical DDD progression and its sequelae may directly compress parts of the spinal cord (myelopathy), affecting gait and balance. Treatment options for DDD include conservative and surgical measures. In the general population, the rate of surgery for degenerative disc disease of the cervical spine increased

2016 Washington State Department of Labor and Industries

163. Prospective Cohort Study of Outcome After Minimally Invasive Posterior Cervical Spine Surgery

Study Population Alpha = 0.05, Beta = 0.2, q1 = 0.5, effect size = 0.6 drop rate 12% 52 patients in each group Criteria Inclusion Criteria: cervical radicular pain no cervical myelopathy Exclusion Criteria: motor weakness less than MMT Gr III cervical myelopathy OPLL and myelopathy previous cervical spine surgery combined fracture or spinal tumor Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study (...) Prospective Cohort Study of Outcome After Minimally Invasive Posterior Cervical Spine Surgery Prospective Cohort Study of Outcome After Minimally Invasive Posterior Cervical Spine Surgery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one

2015 Clinical Trials

164. Fatal Vertebral Artery Injury in Penetrating Cervical Spine Trauma (PubMed)

Fatal Vertebral Artery Injury in Penetrating Cervical Spine Trauma Study Design. This case illustrates complications to a vertebral artery injury (VAI) resulting from penetrating cervical spine trauma. Objectives. To discuss the management of both VAI and cervical spine trauma after penetrating gunshot wound to the neck. Summary of Background Data. Vertebral artery injury following cervical spine trauma is infrequent, and a unilateral VAI often occurs without neurologic sequela. Nevertheless (...) , devastating complications of stroke and death do occur. Methods. A gunshot wound to the neck resulted in a C6 vertebral body fracture and C5-C7 transverse foramina fractures. Neck CT angiogram identified a left vertebral artery occlusion. A cerebral angiography confirmed occlusion of the left extracranial vertebral artery and patency of the remaining cerebrovascular system. Following anterior cervical corpectomy and stabilization, brainstem infarction occurred and resulted in death. Results. A fatal

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2015 Case reports in neurological medicine

165. Pediatric Cervical Spine and Spinal Cord Injury: A National Database Study. (PubMed)

admissions and to identify independent risk factors for mortality among PCSI admissions.Over the past decade, the overall prevalence of traumatic PCSI was 2.07%, and the mortality rate was 4.87%. Most frequent cause of PCSI was transportation accidents, accounting for 57.51%. Upper cervical spine injury (C1-C4), cervical fracture with spinal cord injury, spinal cord injury without radiographic abnormality (SCIWORA), and dislocation showed a decreasing trend with age. Some comorbidities, including (...) Pediatric Cervical Spine and Spinal Cord Injury: A National Database Study. A retrospective administrative database analysis.The aim of this study was to investigate the incidence and characteristics of pediatric cervical spine injury (PCSI) utilizing the Kids' Inpatient Database (KID).PCSI is debilitating, but comprehensive analyses have been difficult due to its rarity. There have been a few database studies on PCSI; however, the studies employed databases that suffer from selection bias.The

2015 Spine

166. Cervical spine injury in dismounted improvised explosive device trauma (PubMed)

considered radiographically unstable. None of these 19 patients had prehospital placement of a collar. Patients with cervical spine fractures were more severely injured than those without (ISS 18.2 v. 13.4; GCS 10.1 v. 12.5). Patients with head injuries had significantly higher risk of cervical spine injury than those with no head injury recorded (13.6% v. 3.9%). No differences in frequency of cervical spine injury were found between patients who had associated traumatic amputations and those who did (...) Cervical spine injury in dismounted improvised explosive device trauma The injury pattern from improvised explosive device (IED) trauma is different if the target is in a vehicle (mounted) or on foot (dismounted). Combat and civilian first response protocols require the placement of a cervical collar on all victims of a blast injury.We searched the Joint Theatre Trauma Registry (JTTR) and the Role 3 Hospital, Kandahar Airfield (KAF) database from Mar. 1, 2008, to May 31, 2011. We collected data

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2015 Canadian Journal of Surgery

167. Agreement Between Resident and Faculty Emergency Physicians in the Application of NEXUS Criteria for Suspected Cervical Spine Injuries. (PubMed)

Agreement Between Resident and Faculty Emergency Physicians in the Application of NEXUS Criteria for Suspected Cervical Spine Injuries. The National Emergency X-Radiography Utilization Study (NEXUS) developed a decision rule for when cervical spine radiographs are required in the setting of trauma. To our knowledge, inter-rater reliability between resident and faculty emergency physicians has not been studied.This study seeks to compare the inter-rater agreement of postgraduate year (PGY) 2-4 (...) emergency medicine (EM) residents vs. EM faculty physicians.A convenience sample of patients presenting to an urban, academic, Level II emergency department (ED) with complaints of cervical spine pain after trauma were enrolled. All subjects received separate examinations by an EM faculty physician and by a PGY 2-4 EM resident in a blinded fashion. Eighty subjects were enrolled in the study.Agreement for each of the NEXUS components were: posterior midline tenderness (PMT) 85.0% and κ = 0.70

2015 Journal of Emergency Medicine

168. Is it safe to use a kinetic therapy bed for care of patients with cervical spine injuries? (PubMed)

Is it safe to use a kinetic therapy bed for care of patients with cervical spine injuries? Bedrest is often used for temporary management, as well as definitive treatment, for many spinal injuries. Under such circumstances patients cannot remain flat for extended periods due to possible skin breakdown, blood clots, or pulmonary complications. Kinetic therapy beds are often used in the critical care setting, although this is felt to be unsafe for turning patients with spine fractures. We sought (...) as opposed to traditional manual log-rolling. It may be preferable to use a kinetic therapy bed rather than manual log-rolling for patients with cervical spine injuries to decrease unwanted spinal motion. In addition, it may be easier and less physically demanding on nursing staff that must regularly turn the patient if manual log-rolling is implemented.Copyright © 2014 Elsevier Ltd. All rights reserved.

2015 Injury

169. Cervical spine overflexion in a halo orthosis contributes to complete upper airway obstruction during awake bronchoscopic intubation: a case report. (PubMed)

Cervical spine overflexion in a halo orthosis contributes to complete upper airway obstruction during awake bronchoscopic intubation: a case report. We present a case of upper airway obstruction in a patient with an unstable cervical spine fracture in a halo orthosis. We also describe the mechanism by which the obstruction occurred and identify features that predispose patients in a halo orthosis to upper airway obstruction.An 81-yr-old female presenting to hospital with an unstable cervical (...) spine fracture was scheduled for spinal fusion. She was fitted with a halo traction device in a flexed position, and an awake tracheal intubation was planned. The patient's airway was topicalized and 1 mg of midazolam was administered. Her oxygen saturation dropped, and mask ventilation was difficult and insufficient. She then became unresponsive and pulseless. Emergency release of the halo orthosis device was carried out and her neck was held in a neutral position. Mask ventilation was successfully

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2015 Canadian Journal Of Anaesthesia

170. An Investigation into Axial Impacts of the Cervical Spine using Digital Image Correlation. (PubMed)

An Investigation into Axial Impacts of the Cervical Spine using Digital Image Correlation. High-energy impacts are commonly encountered during sports such as rugby union. Although catastrophic injuries resulting from such impacts are rare, the consequences can be devastating for all those involved. A greater level of understanding of cervical spine injury mechanisms is required, with the ultimate aim of minimizing such injuries.The present study aimed to provide a greater understanding (...) of cervical spine injury mechanisms, by subjecting porcine spinal specimens to impact conditions based on those measured in vivo. The impacts were investigated using high-speed digital image correlation (DIC), a method not previously adopted for spinal impact research.This was an in vitro biomechanical study.Eight porcine specimens were impacted using a custom-made rig. The cranial and caudal axial loads were measured at 1 MHz. Video data were captured with two cameras at 4 kHz, providing measurements

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2015 The Spine Journal

171. Comparison by Neuromonitoring of Two Techniques of Tracheal Intubation in Patients With Unstable Cervical Spine

Volunteers: No Criteria Inclusion Criteria: unstable cervical spine due to a cervical vertebra fracture American Society of Anesthesia classification 1-3 BMI < 30 kg/m2 patients necessitating a general anesthesia for surgery Exclusion Criteria: patient refusal ASA >3 mouth opening < 15mm patients with known history of previous orotracheal tumor surgery Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study (...) Comparison by Neuromonitoring of Two Techniques of Tracheal Intubation in Patients With Unstable Cervical Spine Comparison by Neuromonitoring of Two Techniques of Tracheal Intubation in Patients With Unstable Cervical Spine - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved

2015 Clinical Trials

172. An independent inter- and intra-observer agreement evaluation of the AOSpine subaxial cervical spine injury classification system. (PubMed)

An independent inter- and intra-observer agreement evaluation of the AOSpine subaxial cervical spine injury classification system. An agreement study.The aim of this study was to perform an independent interobserver and intraobserver agreement assessment of the AOSpine subaxial cervical spine injury classification system.The AOSpine subaxial cervical spine injury classification system was recently described. It showed substantial inter- and intraobserver agreement in the study describing (...) it; however, an independent evaluation has not been performed.Anteroposterior and lateral radiographs, computed tomography scans, and magnetic resonance imaging of 65 patients with acute traumatic subaxial cervical spine injuries were selected and classified using the morphologic grading of the subaxial cervical spine injury classification system by 6 evaluators (3 spine surgeons and 3 orthopedic surgery residents). After a 6-week interval, the 65 cases were presented to the same evaluators in a random

2015 Spine Controlled trial quality: uncertain

173. Posterior temporary C1-2 fixation for 3-part fractures of the axis (odontoid dens and Hangman fractures). (PubMed)

prior to surgery were used to evaluate the cervical spine injury. Grauer classification, fracture angulation, and fracture translation were used to evaluate the fracture of dens. The neck disability index (NDI) and range of neck rotary motion were used to assess the neck function.The preoperative fracture angulation and fracture translation were 4.6 ± 1.3° and 2.4 ± 0.6 mm, respectively. The average operation time and blood loss were 109 ± 27 minutes and 49 ± 15 mL. No infection, vascular injuries (...) Posterior temporary C1-2 fixation for 3-part fractures of the axis (odontoid dens and Hangman fractures). Case series study.To report the clinical outcomes of posterior temporary C1-2 fixation for 3-part fracture of the axis (Type II odontoid fracture according to Grauer classification combined with Hangman fracture).The 3-part fracture of the axis is rare and the treatment is controversy.A total of 8 patients with 3-part fracture of the axis were included in this study. X-rays, CT, and MRI

2018 Medicine

174. Ischemic Stroke after Cervical Spine Injury: Analysis of 11,005 Patients Using the Japanese Diagnosis Procedure Combination Database. (PubMed)

the Diagnosis Procedure Combination database, a nationally representative database in Japan.We included all patients hospitalized for any of the following traumas: fracture of cervical spine (International Classification of Diseases, 10th Revision codes: S120, S121, S122, S127, S129); dislocation of cervical spine (S131, S133); and cervical spinal cord injury (SCI) (S141).Outcome measures included all-cause in-hospital mortality and incidence of ischemic stroke (I63) during hospitalization.We analyzed (...) the effects of age, sex, comorbidities, smoking status, spinal surgery, consciousness level at admission, and type of cervical spine injury on outcomes.We identified 11,005 patients with cervical spine injury (8,031 men, 2,974 women; mean [standard deviation] age, 63.5 [18] years). According to the types of cervical spine injury, we stratified the patients into three groups: cervical fracture and/or dislocation without SCI (2,363 patients); cervical fracture and/or dislocation associated with SCI (1,283

2014 The Spine Journal

175. Does CT Angiography Matter for Patients with Cervical Spine Injuries? (PubMed)

Does CT Angiography Matter for Patients with Cervical Spine Injuries? Cervical injury can be associated with vertebral artery injury. This study was performed to determine the impact of computed tomography (CT) angiography of the head and neck on planning treatment of cervical spine fracture, if these tests were ordered appropriately, and to estimate cost and associated exposure to radiation and contrast medium.This retrospective review included all patients who underwent CT of the cervical (...) spine and CT angiography of the head and neck from January 2010 to August 2011 at one institution. Patients were divided into those with and those without cervical spine fracture seen on CT of the cervical spine. We determined if the CT angiography of the head and neck was positive for vascular injury in the patients with a cervical fracture. Vascular injury treatment and alterations in surgical fracture treatment due to positive CT angiography of the head and neck were recorded. A scan was deemed

2014 The Journal of Bone and Joint Surgery. American Volume

176. Traumatic spondylolisthesis and spondyloptosis of the subaxial cervical spine without neurological deficits: closed re-alignment, surgical options and literature review. (PubMed)

no associated neurological impairment and three were treated by pre-operative traction. Our two cases of cervical subaxial dislocation due to bi-pedicular fractures without neurological deficits were treated by traction and surgical fixation.Subaxial bi-pedicular fracture is a highly unstable condition of the cervical spine. Complete or incomplete dislocation requires instrumented fixation. An intact neurological status is very rare. Pathological canal enlargement seems to be able to protect the spinal cord (...) Traumatic spondylolisthesis and spondyloptosis of the subaxial cervical spine without neurological deficits: closed re-alignment, surgical options and literature review. Cervical subaxial malalignment due to complete or partial post-traumatic dislocation is generally associated to neurological impairment of ranging severity. Literature lacks reporting this entity in patients with no neurological issues. Cervical traction is not widely accepted in treating this kind of injury, due to its

2014 European Spine Journal

177. Cervical spine injuries and flexibilities following axial impact with lateral eccentricity. (PubMed)

of the cervical spine with high lateral eccentricities produced primarily soft tissue injuries resulting in more post-injury spinal flexibility in lateral bending and axial rotation than that associated with the bony fractures resulting from low eccentricity impacts. (...) Cervical spine injuries and flexibilities following axial impact with lateral eccentricity. Determine the effects of dynamic injurious axial compression applied at various lateral eccentricities (lateral distance to the centre of the spine) on mechanical flexibilities and structural injury patterns of the cervical spine.13 three-vertebra human cadaver cervical spine specimens (6 C3-5, 3 C4-6, 2 C5-7, 2 C6-T1) were subjected to pure moment flexibility tests (±1.5 Nm) before and after impact

2014 European Spine Journal

178. Infection Rate After Transoral Approach for the Upper Cervical Spine. (PubMed)

in the upper cervical spine is postoperative surgical wound infection.From April 1994 to December 2012, 139 consecutive transoral surgical procedures were performed at a single referral center. The mean age at presentation was 53.6 years (range: 5-87 yr), and more than half of the patients were males (58.3%). The majority of cases were experiencing rheumatic diseases (43.9%), whereas tumor destruction was the indication for surgery in 23.7% of the cases. A total of 23% had fracture of the upper cervical (...) Infection Rate After Transoral Approach for the Upper Cervical Spine. A retrospective review of prospectively collected databases of 139 consecutive patients who underwent transoral surgery for lesions of the upper cervical spine.To analyze the incidence and risk factors of local infection after transoral surgery for the craniocervical junction in a single institution and to compare the findings with the literature.One of the primary risks associated with transoral approach for lesions

2014 Spine

179. Effects of Cervical Spine Manipulation on Gait

Effects of Cervical Spine Manipulation on Gait Effects of Cervical Spine Manipulation on Gait - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Effects of Cervical Spine Manipulation on Gait The safety (...) Allocation: Randomized Intervention Model: Parallel Assignment Masking: Triple (Participant, Investigator, Outcomes Assessor) Primary Purpose: Basic Science Official Title: Immediate Effects of Cervical Spine Manipulation on Gait Parameters in Individuals With and Without Mechanical Neck Pain Study Start Date : January 2014 Actual Primary Completion Date : August 2014 Actual Study Completion Date : August 2014 Resource links provided by the National Library of Medicine related topics: Arms

2014 Clinical Trials

180. Comparison of Three Prehospital Cervical Spine Protocols for Missed Injuries (PubMed)

spine injuries. Both physicians and EMS were blinded to the objective of the study.Of 498 participants, 58% were male and mean age was 48 years. The following participants would have required cervical spine immobilization based on the respective protocol: PHTLS, 95.4% (95% CI: 93.1-96.9%); Domeier, 68.7% (95% CI: 64.5-72.6%); Hankins, 81.5% (95% CI: 77.9-84.7%). There were 18 cervical spine injuries: 12 vertebral fractures, 2 subluxations/dislocations and 4 spinal cord injuries. Compliance with each (...) Comparison of Three Prehospital Cervical Spine Protocols for Missed Injuries We wanted to compare 3 existing emergency medical services (EMS) immobilization protocols: the Prehospital Trauma Life Support (PHTLS, mechanism-based); the Domeier protocol (parallels the National Emergency X-Radiography Utilization Study [NEXUS] criteria); and the Hankins' criteria (immobilization for patients <12 or >65 years, those with altered consciousness, focal neurologic deficit, distracting injury, or midline

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2014 Western Journal of Emergency Medicine

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