Articular mass fracture: A neglected cause of post-traumatic neck pain?

Smith, Gerald R.; Beckly, D.E.; Abel, Martin S.

doi:10.1016/s0009-9260(76)80085-2

Cited by 19 publications

(7 citation statements)

References 6 publications

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“…11 Numerous studies have reported on the difficulty of plain radiographs in the diagnosis of cervical spine facet fractures. 12,13 CT with multiplanar reconstructions best establishes the diagnosis and fracture pattern. 11 MR imaging is beneficial in identifying the ligamentous injury as well as any disc herniations and can be predictive of instability.…”

Section: Discussionmentioning

confidence: 99%

Lower Cervical Posterior Element Fractures in the National Football League: A Report of 2 Cases and a Review of the Literature

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Lower Cervical Posterior Element Fractures in the National Football League: A Report of 2 Cases and a Review of the Literature

et al. 2011

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“…There is a cohort of patients in whom the anomalies that are suggestive of trauma are present often in absence of a clear past history of significant cervical injury (Table 1). 4,6,8,9,12,13,19,26,[29][30][31]34,39 In fact, Smith et al 39 has described some of Forsberg's congenital anomalies as being caused by trauma and signifying malunion of spondylolysis. Is a C6 vertebra, most vulnerable to nonunion leading to chronic spondylolysis being most common in this region even though acute trauma is not as common in this level?…”

Section: Discussionmentioning

confidence: 99%

“…No matter the cause, changes described by Forsberg signify chronic spondylolysis as oppose to an acute fracture. 5,39 This begs the question, was the pars interarticularis defect caused by neck injury or was it present before the injury and would it lead to a potential weakness in the spine and subsequent catastrophic spinal injury in this level after a relatively minor trauma? [7][8][9]12,16,23 Rovin et al 6 identified 2 different patterns of injury resulting in traumatic subaxial cervical spondylolysis.…”

Section: Discussionmentioning

confidence: 99%

Cervical Spondylolysis, Radiologic Pointers of Stability and Acute Traumatic as Opposed to Chronic Spondylolysis

Mofidi¹,

Tansey²,

Mahapatra³

et al. 2007

Journal of Spinal Disorders &Amp; Techniques

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“…Several authors have pointed out a low accuracy in the initial diagnosis of lateral mass and articular process fractures [7,12,18,22,24]. These fractures are often involved in the lower cervical spine, and initial plain radiographs do not demonstrate the abnormality in many cases.…”

Section: Discussionmentioning

confidence: 99%

Cervical spine injuries associated with lateral mass and facet joint fractures: New classification and surgical treatment with pedicle screw fixation

et al. 2004

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To clarify the injury pattern, initial spinal instability, degree of discoligamentous injuries in cervical lateral mass and facet joint fractures, we retrospectively analyzed radiological parameters and introduced a new classification for these injuries. Surgical treatment was performed with cervical pedicle screw fixation (CPS), and overall neurological and radiological outcome was evaluated with a minimum follow-up period of 2 years. Lateral mass fractures were divided into the following four subtypes: separation, comminution, split, and traumatic spondylolysis. The sagittal and frontal alignments were evaluated at both mainly injured and adjacent spinal segments on radiographs. The initial discoligamentous injuries were investigated on magnetic resonance imaging in terms of their frequencies, subtype of injuries, and involved spinal levels. Anterior translation of fractured vertebra was demonstrated in 77% of lateral mass fractures, while 24% of anterior translation was observed, even in cephaladadjacent vertebrae. On magnetic resonance imaging, signal changes in anterior longitudinal ligament (ALL) and intervertebral disc were demonstrated in 76% of caudal segments and 24% of cephalad segments adjacent to fractured vertebra of lateral mass fractures. The subtype analyses of lateral mass fractures demonstrated high rates of anterior translation in separation, split, and traumatic spondylolisthesis, as well as significant coronal malalignment in comminution and split types (p<0.05). Thirty-one patients underwent surgical treatments using a cervical pedicle screw fixation. The CPS provided the superior capability of deformity correction without pseudoarthrosis, as well as excellent neurological recovery. The average numbers of stabilized segments were minimized without serious complications. In separation, facet joint fracture, and fractures with mild lateral mass comminution, the single level posterior fixation can be considered. The significant unstable injuries of split and comminution type with coronal malalignment can be treated with exclusive two-level posterior stabilization with CPS. The initial evaluation of fracture subtypes helps to successfully minimize the stabilized spinal segment.

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Articular mass fracture: A neglected cause of post-traumatic neck pain?

Cited by 19 publications

References 6 publications

Lower Cervical Posterior Element Fractures in the National Football League: A Report of 2 Cases and a Review of the Literature

Lower Cervical Posterior Element Fractures in the National Football League: A Report of 2 Cases and a Review of the Literature

Cervical Spondylolysis, Radiologic Pointers of Stability and Acute Traumatic as Opposed to Chronic Spondylolysis

Cervical spine injuries associated with lateral mass and facet joint fractures: New classification and surgical treatment with pedicle screw fixation

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