Atlases with Arcuate Foramen Present Cortical Bone Thickening That May Contribute to Lower Fracture Risk

Sanchis‐Gimeno, Juan A.; Llidó, Susanna; Guede, David; Nalla, Shahed; Martı́nez-Soriano, Francisco; Blanco-Pérez, Esther; Caeiro, José Ramón

doi:10.1016/j.wneu.2018.05.220

Cited by 4 publications

(4 citation statements)

References 30 publications

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“…Juan et al . declared that the AF resulted in thickened cortical bone and the avoidance of fracture 4 . This article is the first to report this rare and complex clinical case, and the successful treatment experience may provide a reference for such cases that may occur in the future.…”

Section: Discussionmentioning

confidence: 85%

“…We had reviewed the reports on the clinical features and treatment methods of AF (Table 2). Some patients show symptoms including dizziness, headache, migraine, cervico‐genic headache, neck pain, shoulder–arm pain, vertebrobasilar insufficiency, neurosensory‐type hearing loss, bow hunter's syndrome, Barre–Lieou syndrome, eye pain, and photophobia 2, 4, 12, 20, 21 . When serious symptoms occur, surgical treatment to resect the bony ridges has been deemed a solution to the problem 2, 20, 21 .…”

Section: Discussionmentioning

confidence: 99%

“…The overall pooled prevalence of a complete AF was 9.1% and that of an incomplete AF was 13.6% 1 . Some patients show symptoms, including dizziness, headache, migraine, neck pain, shoulder–arm pain, vertebrobasilar insufficiency, neurosensory‐type hearing loss, and bow hunter's syndrome 2–4 . When serious symptoms occur, surgical treatment to resect the bony ridges has been deemed an acceptable solution to the problem.…”

Section: Introductionmentioning

confidence: 99%

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Multiple Fractures of Cervical Vertebrae Combined with Arcuate Foramen and Vertebral Artery Occlusion: A Case Report and Literature Review

Wang

Liu

Guo

et al. 2020

Orthopaedic Surgery

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Background The arcuate foramen is a complete or partial bony bridge over the vertebral artery groove of atlas. The mechanism of the arcuate foramen is not clearly understood. Omission of the arcuate foramen sometimes causes lethal iatrogenic injury during spinal surgery. Case Presentation We describe a patient who was diagnosed with multiple fractures of the cervical vertebrae, arcuate foramen, and right vertebral artery occlusion based on clinical and radiological exams. After conservative treatment, he resumed a normal and productive life. Conclusions Arcuate foramen is a common variation that causes symptoms such as dizziness, headache, and migraine. If the patient does not develop severe symptoms, conservative treatment can achieve very good results without the necessity to remove the bone bridge. When serious symptoms occur, surgical treatment to resect the bony ridges can relieve the symptoms dramatically.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Multiple Fractures of Cervical Vertebrae Combined with Arcuate Foramen and Vertebral Artery Occlusion: A Case Report and Literature Review

Wang

Liu

Guo

et al. 2020

Orthopaedic Surgery

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“…The ingestion of fructose in tap water by OVX rats significantly increased circulating OPG and cortical and cross-sectional thickness and significantly decreased cortical endosteal perimeter and medullary volume. Interestingly, taking into consideration previously published results on cortical bone parameters and fracture risk, the fructose-induced cortical bone thickening (increased circulating OPG most probably reflecting decreased cortical bone resorption) could contribute to a lower fracture risk in TWFO [7,57,59,60,61,62]. As an example, cortical femur thinning has been shown to identify 21% additional fracture cases over the 57% identified by a T-score < −2.5 [60].…”

Section: Discussionmentioning

confidence: 99%

Differential Modulation of Cancellous and Cortical Distal Femur by Fructose and Natural Mineral-Rich Water Consumption in Ovariectomized Female Sprague Dawley Rats

Pereira

Guede²,

Durães

et al. 2019

Nutrients

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Bone mineral density (BMD) and microstructure depend on estrogens and diet. We assessed the impact of natural mineral-rich water ingestion on distal femur of fructose-fed estrogen-deficient female Sprague Dawley rats. Ovariectomized rats drank tap or mineral-rich waters, with or without 10%-fructose, for 10 weeks. A sham-operated group drinking tap water was included (n = 6/group). Cancellous and cortical bone compartments were analyzed by microcomputed tomography. Circulating bone metabolism markers were measured by enzyme immunoassay/enzyme-linked immunosorbent assay or multiplex bead assay. Ovariectomy significantly worsened cancellous but not cortical bone, significantly increased circulating degradation products from C-terminal telopeptides of type I collagen and receptor activator of nuclear factor-kappaB ligand (RANKL), and significantly decreased circulating osteoprotegerin and osteoprotegerin/RANKL ratio. In ovariectomized rats, in cancellous bone, significant water effect was observed for all microstructural properties, except for the degree of anisotropy, and BMD (neither a significant fructose effect nor a significant interaction between water and fructose ingestion effects were observed). In cortical bone, it was observed a significant (a) water effect for medullary volume and cortical endosteal perimeter; (b) fructose effect for cortical thickness, medullary volume, cross-sectional thickness and cortical endosteal and periosteal perimeters; and (c) interaction effect for mean eccentricity. In blood, significant fructose and interaction effects were found for osteoprotegerin (no significant water effect was seen). For the first time in ovariectomized rats, the positive modulation of cortical but not of cancellous bone by fructose ingestion and of both bone locations by natural mineral-rich water ingestion is described.

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Earliest axial fossils from the genus Australopithecus

Meyer

Williams

2019

Journal of Human Evolution

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Atlases with Arcuate Foramen Present Cortical Bone Thickening That May Contribute to Lower Fracture Risk

Cited by 4 publications

References 30 publications

Multiple Fractures of Cervical Vertebrae Combined with Arcuate Foramen and Vertebral Artery Occlusion: A Case Report and Literature Review

Multiple Fractures of Cervical Vertebrae Combined with Arcuate Foramen and Vertebral Artery Occlusion: A Case Report and Literature Review

Differential Modulation of Cancellous and Cortical Distal Femur by Fructose and Natural Mineral-Rich Water Consumption in Ovariectomized Female Sprague Dawley Rats

Earliest axial fossils from the genus Australopithecus

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