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Journal articles on the topic 'Surgical cervical fracture'

Author: Grafiati

Published: 3 June 2025

Last updated: 31 July 2025

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1

Siedlecki, Zygmunt, Kajetan Hadzik, Jakub Woźniak, Emilia Główczewska-Siedlecka, and Maciej Śniegocki. "Surgically Treated Fracture of the C7 Vertebra with Hangman’s Fracture Morphology in a 59-Year-Old Patient – Case Report." Journal of Neurological and Neurosurgical Nursing 14, no. 1 (2025): 43–46. https://doi.org/10.15225/pnn.2025.14.1.6.

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Introduction. Hangman’s fractures are a rare type of cervical spine injury, usually involving the C2 vertebra. However, in exceptional cases, they can affect other cervical vertebrae, including C7. Aim. In this paper, we present a case of an atypical fracture of the C7 vertebra with hangman’s fracture morphology and describe its surgical treatment. Case Report. We present the case of a 59-year-old male with a fracture of the C7 vertebra with a morphology resembling that of a hangman’s fracture, which typically occurs at the C2 vertebra. Hangman’s fractures most often result from hyperextension

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Salottolo, Kristin, Alejandro Betancourt, Kaysie L. Banton, et al. "Epidemiology of C2 fractures and determinants of surgical management: analysis of a national registry." Trauma Surgery & Acute Care Open 8, no. 1 (2023): e001094. http://dx.doi.org/10.1136/tsaco-2023-001094.

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ObjectiveOperative management of axis fractures (C2) usually depend on the stability and location of the break and individual patient characteristics. We sought to describe the epidemiology of C2 fractures and hypothesized that determinants for surgery would differ by fracture diagnosis.MethodsPatients with C2 fractures were identified from the US National Trauma Data Bank from January 1, 2017, to January 1, 2020. Patients were classified by C2 fracture diagnosis: odontoid type II, odontoid types I and III, and non-odontoid fracture (hangman’s fracture or fractures through base of the axis). T

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Pryputniewicz, David M., and Mark N. Hadley. "Axis Fractures." Neurosurgery 66, suppl_3 (2010): A68—A82. http://dx.doi.org/10.1227/01.neu.0000366118.21964.a8.

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Abstract BACKGROUND Traumatic fractures of the second cervical vertebra are common, representing nearly 20% of all acute cervical spinal fracture-dislocation injuries. They are divided into 3 distinct injury patterns: odontoid fractures, hangman's fracture injuries, and fractures of the axis body, involving all other fracture injuries to the C2 vertebra. OBJECTIVE An evidence-based overview of the medical and surgical treatment strategies for each axis fracture injury sub-type. RESULTS Current medical and surgical management of traumatic fractures of the axis.

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Gulsen, Salih, Cem Yilmaz, Tarkan Calisaneller, Hakan Caner, and Nur Altinors. "PREOPERATIVE FUNCTIONAL ASSESSMENT OF THE RECURRENT LARYNGEAL NERVE IN PATIENTS WITH CERVICAL VERTEBRA FRACTURE." Neurosurgery 64, no. 1 (2009): E191—E192. http://dx.doi.org/10.1227/01.neu.0000336328.59216.08.

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Abstract OBJECTIVE Injury to the recurrent laryngeal nerve may occur during surgical intervention to the anterior part of the neck. However, some disorders can lead to damage to the recurrent laryngeal nerve before surgery. We report 2 cases of lower cervical vertebra fracture, leading to 1-sided injury of the recurrent laryngeal nerve. CLINICAL PRESENTATION One man and 1 woman with neck injuries were admitted to our hospital. The man had a C7–T1 dislocation fracture, and the woman had a C6–C7 dislocation fracture. Both patients had similar fractures and similar clinical presentations. The dis

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Hadley, Mark N., Curtis A. Dickman, Carol M. Browner, and Volker K. H. Sonntag. "Acute Traumatic Atlas Fractures: Management and Long Term Outcome." Neurosurgery 23, no. 1 (1988): 31–35. http://dx.doi.org/10.1227/00006123-198807000-00007.

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ABSTRACT Fractures of the 1st cervical vertebra (C1) represent 7% of all acute cervical spine fractures. Isolated atlas fractures are most commonly bilateral or multiple fractures through the ring of C1. Frequently (44% of cases), the atlas will be fractured in combination with the axis. Treatment of isolated C1 fractures should be governed by the rules of Spence. The treatment of combination C1-C2 fractures is dictated by the type and severity of the C2 fracture. Experience with 57 cases of acute atlas fractures is reviewed. Nonoperative external immobilization was used in 53 patients (with 1

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Shen, Nana, Xiaolin Wu, Zhu Guo, et al. "Classification and Treatment for Cervical Spine Fracture with Ankylosing Spondylitis: A Clinical Nomogram Prediction Study." Pain Research and Management 2022 (March 4, 2022): 1–13. http://dx.doi.org/10.1155/2022/7769775.

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Objective. Through the follow-up analysis of cervical spine fracture cases with ankylosing spondylitis (AS), a treatment-oriented fracture classification method is introduced to evaluate the clinical efficacy guided by this classification method. Method. A retrospective analysis was performed on 128 AS patients who underwent comprehensive treatment in the Spine Surgery Department of Qingdao University Hospital from January 2009 to May 2018. Statistics of patient demographic data, distribution of different fractures corresponding to surgical methods, 3-year follow-up outcomes, and summary of ob

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Guthrie, James, and Noel Fitzpatrick. "Surgical Management of Cervical Vertebral Fractures in Two Dogs with Severe Concurrent Vertebral Venous Plexus Hemorrhage." VCOT Open 01, no. 01 (2018): e1-e7. http://dx.doi.org/10.1055/s-0038-1660828.

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AbstractSurgical repair of fractures and luxations of the cranial cervical vertebrae can be complicated by vertebral venous plexus hemorrhage following fracture fragment manipulation and realignment. Severe hemorrhage is potentially life threatening and may preclude definitive surgical fixation if it cannot be acceptably controlled and interferes with fixation technique. This report describes this scenario and a surgical strategy in two dogs with fractures of the second cervical vertebra. The surgical technique to limit hemorrhage included the insertion of the pins into the vertebrae, placemen

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Bomela, Lusanda. "The management of cervical spine lateral mass fracture injuries treated surgically in kalafong tertiary provincial hospital: A 12-year review." MOJ Orthopedics & Rheumatology 14, no. 2 (2022): 38–42. http://dx.doi.org/10.15406/mojor.2022.14.00575.

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Introduction: This study was undertaken to review the management of the lateral mass fractures of the cervical spine in our institution. Methods: Forty-six cervical spine lateral mass fracture patients presenting to a tertiary provincial hospital in South Africa between December 2006 and July 2018 were analyzed as a retrospective cohort. The average follow up of the patients was 18 months (range 12 – 24). Results: For the 46 patients the male to female ratio was 2:1 and the average age was 36 years. Neurological deficit occurred in 35% of the patients. Nine patients (19.5%) had associated inju

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Protsenko, A. I., A. N. Karanadze, Gennadiy Gavrilovich Gordeev, et al. "Surgical Treatment of Patho- logic Cervical Vertebrae Fractures." N.N. Priorov Journal of Traumatology and Orthopedics 16, no. 2 (2009): 47–50. http://dx.doi.org/10.17816/vto200916247-50.

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Experience in treatment of 32 patients with pathologic fractures of cervical vertebrae is presented. The fracture was preceded with vertebrae destruction caused by tumor metastatic spreading (18 patients), nonspecific spondylitis (12) and fibrocystic dysplasia (2). In all cases the injury resulted from sharp bending of the neck including 2 patients in whom the fracture developed during manual manipulation. Clinically the fracture was manifested by myelopathy of various degrees, pronounced local or radicular pain syndrome. In all patients substitution of the destructed vertebral body by the car

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Heard, Jeremy C., Mark J. Lambrechts, Yunsoo Lee, et al. "Construct length analysis of type B and C cervical and thoracolumbar fractures." Journal of Craniovertebral Junction and Spine 15, no. 2 (2024): 196–204. http://dx.doi.org/10.4103/jcvjs.jcvjs_17_24.

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ABSTRACT Objectives: The purpose of this study is to identify if construct length affects the rate of surgical complications and instrumentation revision following surgical fixation of subaxial and thoracolumbar Type B and C fractures. This study evaluates the effect of ankylosing spondylitis/diffuse idiopathic skeletal hyperostosis (AS/DISH) within this population on outcomes. Methods: Retrospective review of 91 cervical and 89 thoracolumbar Type B and C fractures. Groups were divided by construct length for analysis: short-segment (constructs spanning two or less segments adjacent to the fra

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Gopinat, Shankar. "Acute Traumatic Cervical Facet Fractures." Neurologico Spinale Medico Chirurgico 1, no. 2 (2018): 5. http://dx.doi.org/10.15562/nsmc.v1i2.83.

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Acute cervical facet fractures are increasingly being detected due to the use of cervical spine CT imaging in the initial assessment of trauma patients. For displaced cervical facet fractures with dislocations and subluxations, early surgery can decompress the spinal cord and stabilize the spine. For patients with non-displaced cervical facet fractures, the challenge in managing these patients is the determination of spinal stability. Although many of the patients with non-displaced cervical facet fractures can be managed with a cervical collar, the imaging needs to be analyzed carefully since

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Wiktor, Łukasz, Ryszard Tomaszewski, and Karol Pethe. "Diagnosis and Treatment of Cervical Spine Fractures in Children." Ortopedia Traumatologia Rehabilitacja 26, no. 4 (2024): 143–52. http://dx.doi.org/10.5604/01.3001.0054.8377.

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Background. Cervical spine injuries in children are relatively uncommon and account for approximately 1.5% of trauma admissions. The aim of our study was to determine the incidence and patterns of pediatric cervical spine fractures in a single Trauma Center over the last decade.Material and methods. The hospital’s medical database was queried for data from the period between January 2014 and December 2023. An initial search revealed that 511 patients had been hospitalized with neck injuries in that time frame. Among these records, we identified 24 patients with a fracture of the cervical spine

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Dunn, Conor John, Stuart Changoor, Kimona Issa, et al. "Cervical Computed Tomography Angiography Rarely Leads to Intervention in Patients With Cervical Spine Fractures." Global Spine Journal 10, no. 8 (2019): 992–97. http://dx.doi.org/10.1177/2192568219885897.

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Study Design: Retrospective cohort study. Objectives: To evaluate the impact of computed tomography angiography (CTA) in the management of trauma patients with cervical spine fractures by identifying high-risk patients for vertebral artery injury (VAI), and evaluating how frequently patients undergo subsequent surgical/procedural intervention as a result of these findings. Methods: All trauma patients with cervical spine fractures who underwent CTA of the head and neck at our institution between January 2013 and October 2017 were identified. Patients were indicated for CTA according to our ins

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Schmidli, Fenella, Veronika Stein, Takeshi Aikawa, et al. "Fractures of the Second Cervical Vertebra in 66 Dogs and 3 Cats: A Retrospective Study." Veterinary and Comparative Orthopaedics and Traumatology 32, no. 03 (2019): 200–206. http://dx.doi.org/10.1055/s-0039-1678542.

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Background In human medicine, fractures of the second cervical vertebra have been studied elaborately and categorized in detail. This is not the case in veterinary medicine where clinical decisions are often based on old studies focusing on the cervical spine in general. Objectives The aim of this study was to describe the clinical features, fracture types, therapeutic options and outcome of dogs and cats with a fractured axis. Study Design The present study was a multi-institutional retrospective case series. Results Crossbreeds and Labrador Retrievers were the most represented dog breeds. Me

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Yang, Baohui, Teng Lu, and Haopeng Li. "Single-Session Combined Anterior-Posterior Approach for Treatment of Ankylosing Spondylitis with Obvious Displaced Lower Cervical Spine Fractures and Dislocations." BioMed Research International 2017 (2017): 1–7. http://dx.doi.org/10.1155/2017/9205834.

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For patients with AS and lower cervical spine fractures, surgical methods have mainly included the single anterior approach, single posterior approach, and combined anterior-posterior approach. However, various surgical procedures were utilized because the fractures have not been clearly classified according to presence of displacement in these previous studies. Consequently, controversies have been raised regarding the selection of the surgical procedure. This study retrospective analysis was conducted in 12 patients with AS and lower cervical spine fractures and dislocations and explored sin

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Ilków, Wojciech, Tomasz Krzeszowiec, and Dariusz Łątka. "Therapeutic management in an elderly patient with odontoid fracture." Aktualności Neurologiczne 16, no. 4 (2016): 201–7. http://dx.doi.org/10.15557/an.2016.0026.

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Fracture of the odontoid process is the most common type of cervical spine fracture in elderly patients (i.e. population over the age of 70 years), which can lead to disability or death. The therapeutic management depends on imaging findings and patient’s general condition. The authors present a case of a 71-year-old patient diagnosed with odontoid fracture based on cervical spine computed tomography, who received surgical treatment in the Department of Neurosurgery of the Regional Medical Centre in Opole. The problem of odontoid fractures in the elderly has been a subject of a comprehensive d

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Shin, Jun Jae, Sang Hyun Kim, Yong Eun Cho, Samuel H. Cheshier, and Jon Park. "Primary surgical management by reduction and fixation of unstable hangman's fractures with discoligamentous instability or combined fractures." Journal of Neurosurgery: Spine 19, no. 5 (2013): 569–75. http://dx.doi.org/10.3171/2013.8.spine12948.

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Object Several controversial issues arise in the management of unstable hangman's fractures. Some surgeons perform external reduction and immobilize the patient's neck in a halo vest, while others perform surgical reduction and internal fixation. The nonsurgical treatments with rigid collar or halo vest immobilization present problems, including nonunion, pseudarthrosis, skull fracture, and scalp laceration and may also fail to achieve anatomical realignment of the local C2–3 kyphosis. With recent advances in surgical technique and technology, surgical intervention is increasingly performed as

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Hirsh, Leonard F., Luis E. Duarte, Eric H. Wolfson, and Wilhelm Gerhard. "Isolated symptomatic cervical spinous process fracture requiring surgery." Journal of Neurosurgery 75, no. 1 (1991): 131–33. http://dx.doi.org/10.3171/jns.1991.75.1.0131.

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✓ Isolated cervical spinous process fractures are common, but are usually considered to be inconsequential. Although such fractures may produce pain, complete recovery without residual symptoms is expected after conservative treatment, and neurological injury does not usually occur. The case of a patient with a persistently symptomatic C-2 spinous process fracture that required surgical treatment for pain relief is reported. A review of the pertinent literature illustrates with unusual clarity the interactions of social, political, and economic forces associated with this medical condition.

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Platzer, Patrick, Gerhild Thalhammer, Anna Krumboeck, et al. "PLATE FIXATION OF ODONTOID FRACTURES WITHOUT C1–C2 ARTHRODESIS." Neurosurgery 64, no. 4 (2009): 726–33. http://dx.doi.org/10.1227/01.neu.0000339117.60613.8c.

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Abstract OBJECTIVE Surgical treatment of odontoid fractures that do not allow interfragmentary fracture compression involves either posterior atlantoaxial arthrodesis or additional anterior stabilization using a plate construct. The purpose of this study was to determine the clinical and radiographic outcome after anterior plate fixation of odontoid fractures that were not suitable for anterior screw fixation. METHODS We reviewed the clinical and radiographic records of 9 patients with an average age of 54 years at the time of surgery who had undergone anterior plate fixation of an odontoid fr

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Duff, Thomas A. "Surgical stabilization of traumatic cervical spine dislocation using methyl methacrylate." Journal of Neurosurgery 64, no. 1 (1986): 39–44. http://dx.doi.org/10.3171/jns.1986.64.1.0039.

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✓ Twenty-six patients with traumatic cervical spine fracture-dislocations had spinal stabilization with methyl methacrylate (acrylic) as the primary support. In most cases a ¾-in. stainless steel screw was inserted into the articular pillars of the fractured vertebra and of the two adjacent vertebrae, followed by application of the acrylic in the form of an oblong mold over the heads of the screws. The follow-up period in these 26 patients ranged from 6 months to 7 years. There were no instances of wound infection or increased neurological impairment. Vertebral elements remained aligned in 25

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Pramana Suarjaya, I. Putu, Osmond Purwanto, Aldy Aldy, and Ida Bagus Krisna Jaya Sutawan. "Endotracheal Intubation without Neuromuscular Blocking Agent in Patient with Fracture Cervical Spine C1 and C4 Underwent Fusion C1–2 and C4–6." Jurnal Neuroanestesi Indonesia 13, no. 1 (2024): 39–45. http://dx.doi.org/10.24244/jni.v13i1.584.

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About 30% of cervical spine fractures involve injuries to the C1 and C2 vertebrae, which are considered unstable. Ensuring the stability of the injured cervical spine throughout perioperative period, including preoperative examinations, anesthesia induction, laryngoscopy, and intubation, is crucial for anesthesiologists. A 40-year-old woman suffered neck pain following a motorcycle accident, suffering a Spinal Cord Injury ASIA Impairment Scale (SCI AIS) E, a fracture of the C5 vertebral body (CV) classified as AO Spine Type A2, a Jefferson Type IV fracture, and mild head trauma. She underwent

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Fiedler, Nora, Ulrich J. A. Spiegl, Jan-Sven Jarvers, Christoph Josten, Christoph E. Heyde, and Georg Osterhoff. "Epidemiology and management of atlas fractures." European Spine Journal 29, no. 10 (2020): 2477–83. http://dx.doi.org/10.1007/s00586-020-06317-7.

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Abstract Purpose The purpose of this study was to gain new insights into the epidemiologic characteristics of patients with atlas fractures and to retrospectively evaluate complication rates after surgical and non-surgical treatment. Methods In a retrospective study, consecutive patients diagnosed with a fracture of the atlas between 01/2008 and 07/2018 were analyzed. Data on epidemiology, concomitant injuries, fracture patterns and complications were obtained by chart and imaging review. Results In total, 189 patients (mean age 72 years, SD 19; 57.1% male) were treated. The most frequent trau

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Krishnan, Prasad, Dimble Raju, and Sayan Das. "Two Fractures of the Cervical Spine in Ankylosing Spondylitis 8 Years Apart." Journal of Spinal Surgery 11, no. 4 (2024): 154–57. https://doi.org/10.4103/joss.joss_22_24.

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Abstract The cervical spine is the most common site of spinal fractures in patients with ankylosing spondylitis (AS). These fractures can occur either through the disc space or through the vertebral body itself. Due to the long lever arms of the fused spine acting on the site of fracture, these fractures are unstable and need surgical stabilization. Although the incidence of spinal fractures in these patients is far greater than in the normal population, a second fracture in the ankylosed cervical spine several years after the initial injury has not been reported. We present a case where a pat

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Kayaoğlu, Çetin Refik, Gökşin Şengül, Aykut Sezer, Sencer Duman, and İsmail Hakkı Aydın. "Tuberculosis of the Cervical Spine Presenting as “Compression Fracture”." Sinir Sistemi Cerrahisi Dergisi 1, no. 4 (2008): 243–46. https://doi.org/10.54306/sscd.2008.6.

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An unusual case is reported in a 45-year-old man with tuberculosis of the cervical spine presenting as “compression fracture”. Following a trauma, she had neck pain, restricted neck movements, weakness and hypoesthesia of the left arm. Plain radiograms of the cervical spine revealed marked kyphosis and compression fractures of the fifth cervical vertebra. Magnetic Resonance Imaging demonstrated destruction of C5 vertebral body. Laboratory studies confirmed the diagnosis of Pott’ disease. The patient was operated urgently via the anterior approach and underwent corpectomy and fusion. Surgical t

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Naeem, AH, G. Alrumaihi, and C. Bailey. "P.136 Type III odontoid fracture with C1 and C2 distraction injury manifesting as a variant of occipital-cervical dissociation." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 43, S2 (2016): S51—S52. http://dx.doi.org/10.1017/cjn.2016.235.

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Background: Isolated odontoid type III fractures are usually stable with surgical fixation reserved for significant fracture displacement or inability to maintain alignment with external immobilization. We present a rare but important pattern of injury involving a C2 fracture with C1 and C2 distraction behaving as a variant of occipital-cervical dissociation. Methods: Case Report Results: An 88-year-old female was involved in a motor vehicle accident and was transferred to a trauma centre from a peripheral hospital intubated. She was diagnosed with a significant injury to the C2 vertebral body

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Buchholz, Avery Lee, Steven L. Morgan, Leslie C. Robinson, and Bruce M. Frankel. "Minimally invasive percutaneous screw fixation of traumatic spondylolisthesis of the axis." Journal of Neurosurgery: Spine 22, no. 5 (2015): 459–65. http://dx.doi.org/10.3171/2014.10.spine131168.

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OBJECT Most cases of traumatic spondylolisthesis of the axis (hangman's fracture) can be treated nonoperatively with reduction and subsequent immobilization in a rigid cervical collar or halo. However, in some instances, operative management is necessary and can be accomplished by using either anterior or posterior fusion techniques. Because open posterior procedures can result in significant blood loss, pain, and limited cervical range of motion, other less invasive options for posterior fixation are needed. The authors describe a minimally invasive, navigation-guided technique for surgical t

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Levi, N. "Urinary tract infection and cervical hip fracture." International Journal of Risk & Safety in Medicine 11, no. 1 (1998): 41–44. https://doi.org/10.3233/jrs-1998-113.

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A total of 437 patients with 463 cervical hip fractures were analyzed to determine whether perioperative urinary tract infection was related to postoperative wound and deep infection. Approximately 27% had a urinary tract infection and 6% had a wound or deep infection (following either the primary operation or an eventual reoperation) but only in two cases was the same organisms (E. coli) cultured from the urine and the wound infection. Bacteriuria should not be considered a cause for postponement of surgical treatment of a fracture of the neck of the femur.

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Sasaki, Kunio, Keiichiro Shiba, Takayoshi Ueta, et al. "Surgical treatment for fracture-dislocations and fractures of the cervical spine." Orthopedics & Traumatology 35, no. 1 (1986): 15–18. http://dx.doi.org/10.5035/nishiseisai.35.15.

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Joaquim, Andrei F., and Alpesh A. Patel. "Surgical treatment of Type II odontoid fractures: anterior odontoid screw fixation or posterior cervical instrumented fusion?" Neurosurgical Focus 38, no. 4 (2015): E11. http://dx.doi.org/10.3171/2015.1.focus14781.

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Odontoid fractures comprise as many as 20% of all cervical spine fractures. Fractures at the dens base, classified by the Anderson and D’Alonzo system as Type II injuries, are the most common pattern of all odontoid fractures and are also the most common cervical injuries in patients older than 70 years of age. Surgical treatment is recommended for patients older than 50 years with Type II odontoid fractures, as well as in patients at a high risk for nonunion. Anterior odontoid screw fixation (AOSF) and posterior cervical instrumented fusion (PCIF) are both well-accepted techniques for surgica

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Anissipour, Alireza K., Julie Agel, Matthew Baron, Erik Magnusson, Carlo Bellabarba, and Richard J. Bransford. "Traumatic Cervical Unilateral and Bilateral Facet Dislocations Treated With Anterior Cervical Discectomy and Fusion Has a Low Failure Rate." Global Spine Journal 7, no. 2 (2017): 110–15. http://dx.doi.org/10.1177/2192568217694002.

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Study Design: Retrospective radiographic and chart review. Objective: To define the rate and associated risk factors of treatment failure of anterior cervical fusion for treatment of cervical facet dislocations. Methods: Between 2004 and 2014, a retrospective review at a single level 1 trauma center identified 38 patients with unilateral or bilateral dislocated facet(s) treated with anterior cervical discectomy and fusion (ACDF). Two patients were eliminated due to less than 30-day follow-up. Demographic data, initial neurological exams, surgical data, radiographic findings, and follow-up reco

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Kim, Sung-Kyu, John M. Rhee, Eric T. Park, and Hyoung-Yeon Seo. "Analysis of Nonunion in Conservatively Managed Anterior Tear Drop Fractures of C2 Vertebra." Journal of Clinical Medicine 10, no. 9 (2021): 2037. http://dx.doi.org/10.3390/jcm10092037.

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Many anterior C2 (2nd cervical vertebra) tear drop (TD) fractures can be successfully managed with conservative treatment. However, due to the occurrence of nonunion, large-sized or complex anterior C2 TD fractures undergo surgical treatment. To date, no surgical treatment guidelines are available about anterior C2 TD fractures. Therefore, we performed this study to investigate the factors that may affect nonunion for anterior C2 TD fractures and to suggest surgical treatment guidelines. Thirty-three patients with anterior C2 TD fractures, who underwent conservative treatment and had a minimum

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Wu, Jianxiong, Yongchun Xiao, Hongsheng Lin, Zhisheng Ji, and Guowei Zhang. "Cervical Vertebrae Internal Fixation Revision in a Patient with Ankylosing Spondylitis: A Case Report." Journal of Surgery 12, no. 1 (2024): 5–10. http://dx.doi.org/10.11648/j.js.20241201.12.

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Ankylosing spondylitis (AS) is a chronic progressive inflammatory disease that affects the sacroiliac joints and surrounding joints. It is a seronegative spondyloarthritis that invades connective tissue. Managing cervical spine fractures in patients with AS is particularly challenging due to the severity of the deformity and the instability of the fracture. Cervical spine fracture combined with spinal cord injury is the leading cause of death and is strongly correlated with in-hospital mortality in patients with ankylosing spondylitis. There have been limited reports on the revision of cervica

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Colamaria, Antonio, Francesco Carbone, Augusto Leone, et al. "Cervical Lateral Mass and Pedicle Fracture Reduced with a Herbert Screw: A Technical Note." Medical Sciences 13, no. 3 (2025): 92. https://doi.org/10.3390/medsci13030092.

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Background: Traumatic fractures of the cervical spine pose significant challenges in management, particularly in young patients, where preserving mobility is crucial. Patient Characteristics: A 30-year-old woman presented with a C3 lateral mass and pedicle fracture following a motor vehicle collision. Initial conservative management with a rigid cervical collar for three months failed to reduce the diastasis, and the debilitating neck pain worsened. Preoperative imaging confirmed fracture instability without spinal cord compression. Intervention and Outcome: Preoperative screw trajectory plann

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Liu, Farrah C., Jordan N. Halsey, Nicholas C. Oleck, Edward S. Lee, and Mark S. Granick. "Facial Fractures as a Result of Falls in the Elderly: Concomitant Injuries and Management Strategies." Craniomaxillofacial Trauma & Reconstruction 12, no. 1 (2019): 45–53. http://dx.doi.org/10.1055/s-0038-1642034.

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Mechanical falls are a common cause of facial trauma in the elderly population. It has been shown that the likelihood of sustaining a facial fracture due to a fall or activities of daily life significantly increases with age. Craniomaxillofacial fractures are most common during the first three decades of life; however, elderly patients more frequently require lengthy hospital stays and surgical intervention, and have shown increased complication rates compared with younger patients. The objective of this study was to examine the prevalence of facial fractures secondary to mechanical falls in t

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SILVA, MARTA ALEXANDRA CERQUEIRA, DANIELA VILAS BOAS ROSA LINHARES, JOÃO DUARTE MAGALHÃES COSTA E. SILVA, MANUEL EDUARDO DA CRUZ RIBEIRO DA SILVA, and NUNO SILVA DE MORAIS NEVES. "SURGICAL TREATMENT OF FRACTURES OF THE ANKYLOSED SPINE." Coluna/Columna 19, no. 1 (2020): 74–79. http://dx.doi.org/10.1590/s1808-185120201901224168.

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ABSTRACT Objective We aim to identify retrospectively surgically treated patients with an ankylosed spine who sustained a vertebral fracture. Our goal is to evaluate the main outcomes and complications. Methods We selected patients through the database of surgical interventions in the setting of fractures of an ankylosed spine segment between January 1st 2008 and June 30th 2018. We collected data from digital medical records. The parameters analyzed include hospital length of stay, Intensive Care Unit (ICU) admission, perioperative and postoperative complications as well as neurological evolut

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Spagnolo, R., F. Pace, and D. Porreca. "Intertrochanteric Hip Fracture in a 4-year child: A Case Report." Journal of Orthopedics and Orthopedic Surgery 1, no. 3 (2020): 5–7. http://dx.doi.org/10.29245/2767-5130/2020/3.1115.

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Hip fractures are rare in children and are less than 1% of all pediatric fractures and less than 1% of all cases of hip fracture. The literature agrees that early treatment, whether surgical or conservative, reduces the risk of complications. The clinical case we present concerns a pertrochanteric fracture with displacement of the greater trochanter in a 4-year-old child. The fracture was a type 4 according to Delbet classification. Clinical evaluation was carried out using the Ratliff scheme. Clinical criteria include pain, movement, activity and X-ray evaluation of the fracture both from the

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Pereira, Catarina Silva, António Lemos Lopes, and Ricardo Rodrigues-Pinto. "Sequential traumatic cervical fractures after paragliding accidents – A case report and literature review." Surgical Neurology International 12 (February 10, 2021): 47. http://dx.doi.org/10.25259/sni_761_2020.

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Background: Sports related cervical spine trauma may range from minor injuries to severe life-threatening fractures with spinal cord injuries as following paragliding accidents. Case Description: A 52-year-old male sustained C4-C5 and C6-C7 fracture-dislocations (American Spinal Injury Association-D) attributed to a paragliding accident. He underwent a C5 corpectomy with C4-C6 anterior fusion. Three years later, he again sustained a paragliding accident, now resulting in a C6-C7 fracture-dislocation that required a C6-C7 anterior discectomy fusion. However, when this latter fusion “failed” 1 m

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Bransford, Richard, Alexis Falicov, Quynh Nguyen, and Jens Chapman. "Unilateral C-1 lateral mass sagittal split fracture: an unstable Jefferson fracture variant." Journal of Neurosurgery: Spine 10, no. 5 (2009): 466–73. http://dx.doi.org/10.3171/2009.1.spine08708.

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Object The object of this study was to describe an unusual fracture subtype within C-1 injuries with a propensity to result in late deformity and pain. Most patients with C-1 injuries are nonsurgically treated using external immobilization unless there is an injury of the transverse atlantal ligament. The authors describe an unusual variant involving a unilateral sagittal split with a high tendency to late deformity and pain. They also review the literature and treatment of C-1 fractures. Methods A retrospective review of 12,671 CT scans from a Level I trauma center over a 6-year period yielde

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Nandagopal, Prashanth, Vinoth Arockiasekar, Keerthana Shivaji, Sithardhan Rajendran, and Naveenkumar Murugan. "Case Report – Surgical Management and Neurological Recovery in an 18-Year-Old Male with C4-C5 Cervical Spine Fracture." Journal of Orthopaedic Case Reports 15, no. 7 (2025): 38–42. https://doi.org/10.13107/jocr.2025.v15.i07.5760.

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Introduction: Cervical spine fractures, particularly those at C4 and C5, are among the most serious forms of spinal injuries due to the involvement of the cervical spinal cord, which regulates motor and sensory pathways throughout the body. Case Report: This report presents an 18-year-old male who sustained fractures at the C4 and C5 levels after a traumatic fall, resulting in complete motor loss (0/5) and partial sensation (1/2) in both upper and lower limbs. Following posterior decompression and stabilization from C3 to C5, his neurological function improved: upper limb strength increased to

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Ono, Allan Hiroshi de Araujo, Ivan Dias da Rocha, Alexandre Fogaça Cristante, Raphael Martus Marcon, Reginaldo Perilo Oliveira, and Tarcísio Eloy Pessoa Barros Filho. "SUBAXIAL CERVICAL FRACTURE: APPLICATION AND CORRELATION OF AO AND SLIC." Coluna/Columna 14, no. 3 (2015): 218–22. http://dx.doi.org/10.1590/s1808-185120151403114135.

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Objective:To evaluate the AO/Magerl classification and the SLIC (Subaxial Cervical Spine Injury Classification), used in the cervical spine fractures and assess whether they are correlated to the neurological severity of patients, the choice of approach to be used, de duration of surgery an between themselves.Method:Retrospective analysis of medical records and radiological image files of 77 patients surgically treated of subaxial cervical fracture or dislocation from August 2010 to September 2012.Results:The SLIC classification showed a strong correlation with neurological deficit and Pearson

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Hadley, Mark N., Carol Browner, and Volker K. H. Sonntag. "Axis Fractures: A Comprehensive Review of Management and Treatment in 107 Cases." Neurosurgery 17, no. 2 (1985): 281–90. http://dx.doi.org/10.1227/00006123-198508000-00006.

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Abstract The combination of movement, location, and anatomy of the axis predisposes it to multiple and varied fracture/dislocations distinct from other vertebrae. We examine all forms of axis fractures and address the appropriate treatment for each specific fracture type. In a retrospective review of 625 cervical spine fractures during an 8-year period, we found 107 axis fractures. There were 25 hangman's fractures (23%), 59 odontoid fractures (55%), and 23 miscellaneous fractures (22%), Each case was characterized by age, sex, the presence of associated injuries, presenting symptoms and findi

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Özgiray, Erkin, Mehmet Asim Özer, Suzan Şirintürk, et al. "Application of the Life-Size Patient-Specific Three-Dimensional Cervical Spine Anatomical Model for Odontoid Fracture Fixation." Neurological Sciences and Neurophysiology 38, no. 3 (2021): 187–93. http://dx.doi.org/10.4103/nsn.nsn_160_20.

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Objective: Cervical fixation is the most common treatment of vertebral fractures, osteosarcoma, osteomyelitis, arthritis, and congenital disorders. Mortal complications, such as internal carotid artery, vertebral artery (VA), and spinal cord damages, may occur during the application. The aim of this study was to create the application of the actual three-dimensional (3D) personalized model which was exercised for screwing insertion in C2 damage patients. Methods: Two patients with Type II of C2 fractures were treated with personalized spine models. These models were investigated to achieve par

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Saapang, Glen Sandi, I. Gusti Ketut Agung Surya Kencana, and Tjokorda Gde Bagus Mahadewa. "Occipito-cervical fusion approach to Hangman's fracture on osteoporosis patient." Neurologico Spinale Medico Chirurgico 5, no. 1 (2022): 1–4. http://dx.doi.org/10.36444/nsmc.v5i1.163.

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An unstable Hangman fracture in an elderly patient is a condition that requires special consideration in selecting a surgical approach. In a healthy sixty-year-old man with a good Karnofsky score, a cervical X-ray and non-contrast CT-scan (NCCT) were performed to confirm the diagnosis. Installation of cervical traction with light weights first followed by occipito-cervical fusion has shown improvement in fracture alignment without complications, even with limited resources. Postoperative radiological examination showed good realignment with lateral mass screw fixation. From this case, it can b

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Hadley, Mark N., Curtis A. Dickman, Carol M. Browner, and Volker K. H. Sonntag. "Acute axis fractures: a review of 229 cases." Journal of Neurosurgery 71, no. 5 (1989): 642–47. http://dx.doi.org/10.3171/jns.1989.71.5.0642.

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✓ Eighteen percent of acute cervical spine fractures involve the C-2 vertebra. The odontoid Type II fracture is the most common axis fracture and it is also the most difficult to treat. The degree of odontoid dislocation has been identified as the single most important fracture feature that helps separate those patients who have a high likelihood of healing with nonoperative therapy from those who are likely to fail nonoperative therapy and should be offered early surgical stabilization. The difference is statistically significant (p < 0.001, x2 = 30.20). The present series includes 229 pat

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Satar, Abdul, Muhammad Zahid Khan, Mohammad Arif, Samir Kabir, and Ihsan Ullah. "PREOPERATIVE CLOSE REDUCTION OF CERVICAL FRACTURE DISLOCATIONS." International Journal of Advanced Research 10, no. 08 (2022): 685–92. http://dx.doi.org/10.21474/ijar01/15222.

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Study design: Retrospective study. Purpose: To determine Reduction rate of cervical fracture dislocations using preoperative gradual in hospital skull traction. Overview of literature: Cervical spine fracture dislocations are unstable injuries and require surgical intervention and stabilization. The approach may be anterior, posterior or combined. Majority of the surgeons prefer anterior approach after initial close reduction of cervical fracture dislocation. If close reduction preoperatively fails, then posterior direct reduction is needed followed by anterior surgery.In this study we intend

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Kong, Chae-Gwan, and Jong-Beom Park. "Treatment Strategy for Subaxial Minimal Facet/Lateral Mass Fractures: A Comprehensive Clinical Review." Journal of Clinical Medicine 14, no. 8 (2025): 2554. https://doi.org/10.3390/jcm14082554.

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Minimal facet and lateral mass fractures of the subaxial cervical spine (C3–C7) are a distinct subset of spinal injuries that present diagnostic and therapeutic challenges. These fractures often result from low-energy trauma or hyperextension mechanisms. They are frequently stable. However, subtle fracture instability and associated soft tissue injuries may lead to delayed instability, neurological compromise, and/or chronic severe pain if not properly identified. Accurate diagnosis relies on a combination of plain radiography, high-resolution computed tomography (CT), and magnetic resonance i

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Jabbar, Faisal Abdul, Abdul Ali Khan, and Rehana Ali Shah. "LOWER CERVICAL FRACTURE AND DISLOCATIONS." Professional Medical Journal 25, no. 02 (2018): 185–90. http://dx.doi.org/10.29309/tpmj/2018.25.02.440.

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Objectives: The aim of our study is to determine the outcome of cervical pediclescrew fixation for fractures/dislocations of the cervical spine at our set up in Karachi, Pakistan.Study Design: A prospective case series. Period: 04 years duration from January 2013 toDecember 2016. Setting: Tertiary Care Centre in Karachi, Pakistan. Method: All the patientswho were included in the study signed a full informed consent. The inclusion criterion was allthe patients who cervical spine fracture/dislocation, presented to us within 24 hours of injuryand were operated at our set up. Data was collected in

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Sim, Ernst. "Vertical facet splitting: a special variant of rotary dislocations of the cervical spine." Journal of Neurosurgery 82, no. 2 (1995): 239–43. http://dx.doi.org/10.3171/jns.1995.82.2.0239.

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✓ A special variant of rotary displacement of the cervical spine with vertical splitting of an inferior articular process by its articulating partner is reviewed. Eighteen patients with unilaterally locked facet joints confirmed by computerized tomography were seen between 1986 and 1991. Five patients presented with vertical split fractures of an inferior articular process by impaction of the superior process of the subjacent vertebra. This specific fracture pattern is not accounted for in current classifications. Four males and one female with a mean age of 31 years (range 16 to 49 years) wer

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Maserati, Matthew B., Bradley Stephens, Zohny Zohny, et al. "Occipital condyle fractures: clinical decision rule and surgical management." Journal of Neurosurgery: Spine 11, no. 4 (2009): 388–95. http://dx.doi.org/10.3171/2009.5.spine08866.

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Object Occipital condyle fractures (OCFs) are rare injuries and their treatment remains controversial. Several classification systems have been proposed, first by Anderson and Montesano and more recently by Tuli and colleagues and Hanson and associates, who sought to stratify these fractures in a manner that would guide treatment that has typically ranged from semirigid collar immobilization to halo fixation or occipitocervical fusion. It has been the authors' impression, based on experience with OCFs at their institution, that classification is cumbersome and contributes little to the clinica

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Carmody, Margaret A., Michael D. Martin, and Christopher E. Wolfla. "Persistent First Intersegmental Vertebral Artery in Association With Type II Odontoid Fracture: Surgical Treatment Utilizing a Novel C1 Posterior Arch Screw." Neurosurgery 67, no. 1 (2010): E210—E211. http://dx.doi.org/10.1227/01.neu.0000370012.34424.30.

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Abstract OBJECTIVE AND IMPORTANCE Posterior cervical stabilization for cervical fractures is common, and numerous techniques for fixation have been described. This case describes the novel usage of C1 laminar screws due to a persistent intersegmental artery and congenital fusion of C2–C3. CLINICAL PRESENTATION A 64-year-old woman presented with loss of consciousness after falling down a flight of stairs. Initial CT scan showed a type II odontoid fracture with significant malalignment, as well as an anomalous congenital fusion of C2–C3 and degenerative spondylolisthesis of C3 to C4. CT angiogra

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