Combined injuries in the upper cervical spine: clinical and epidemiological data over a 14-year period

Gleizes, V.; Jacquot, Frédéric; Signoret, F.; Feron, Jean-Marc G.

doi:10.1007/s005860000153

Cited by 93 publications

(55 citation statements)

References 27 publications

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“…11 The same might hold true for multiple fractures of the axis, whereas the therapy in combined injuries of the atlantoaxial junction and subaxial cervical spine will be dictated by the most unstable injury. 2,12 The specific feature of multifragmentary injuries of the axis is that unstable components have to be distinguished from stable ones.…”

Section: Discussionmentioning

confidence: 95%

“…Nevertheless, rarely isolated odontoid screw fixation or isolated anterior fusion of C2-3 was performed. [1][2][3][7][8][9][10][11][12][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] In summary, it strikes that in combined and multiple fractures of the axis, most often, when surgery was indicated odontoid fractures resulted in posterior fusion of C1-2, disabling cervical ROM. Furthermore, discoligamentous instability, in the presence of unstable traumatic spondylolistheses of C2-3, was not addressed by anterior fusion of C2-3 regularly, where usually combinations of anterior and posterior approaches were necessary, and a combination of surgical treatment and cervicothoracic orthesis was chosen.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Simultaneous Anterior Arthrodesis C2-3 and Anterior Odontoid Screw Fixation for Stabilization of a 4-Part Fracture of the Axis—A Technical Description

Koller

Assuncao²,

Kammermeier³

et al. 2006

Journal of Spinal Disorders &Amp; Techniques

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Multiple fractures of the axis are rare and present challenging patterns of instability in cervical spine surgery. Once a surgeon is faced with a combination of fractures in the axis vertebra, including stable and unstable components, a sound treatment concept must be worked out to achieve primary stability, early mobilization, and superior outcome. We demonstrate an operative technique for the stabilization of a 4-part fracture of the axis. Utilizing anterior odontoid screw fixation and C2-3 arthrodesis, an unstable traumatic spondylolisthesis with fracture of the odontoid type IIA, and lateral mass of C2 was successfully stabilized at once. The technique enabled early postoperative mobilization of our patient, who, after 1 year, showed a favorable outcome with a pain-free range of motion. The basic thoughts guiding to treatment options in multiple fractures of the axis are discussed and our therapy concept is presented.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Simultaneous Anterior Arthrodesis C2-3 and Anterior Odontoid Screw Fixation for Stabilization of a 4-Part Fracture of the Axis—A Technical Description

Koller

Assuncao²,

Kammermeier³

et al. 2006

Journal of Spinal Disorders &Amp; Techniques

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“…[1][2][3] There is a high prevalence of concomitant fractures of the second cervical vertebra. 4,5 The unstable Jefferson fracture of C1 is a C1 burst fracture with concomitant injury of the transverse atlantal ligament. 6,7 Whether an unstable Jefferson fracture of C1 should be treated surgically or non-surgically is controversial.…”

Section: Introductionmentioning

confidence: 99%

Motion-preserving reduction and fixation of C1 Jefferson fracture using a C1 lateral mass screw construct

Park

Hong

2011

Journal of Clinical Neuroscience

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“…The incidence of combined fractures, as a subset of C-1 or C-2 fractures, is 43% and 16%, respectively (1,2).…”

Section: Introductionmentioning

confidence: 99%

Surgical management of combined fracture of atlas associated with fracture of axis vertebrae (CAAF): Case Series

Satyarthee¹,

Vaghani²,

Mahapatra³

2015

Romanian Neurosurgery

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Combined fracture involving atlas together associated with axis (CAAF) accounts for approximately 3 % of traumatic cervical spine injury, CAAF are rarely reported, so modalities of management and outcome are not well understood, due to paucity of literature and only few reports reported in the form of isolated case report. CAFF management possess challenge as it is associated with high incidence non-union with previously conservative method. However, missed diagnosis and subsequent delay may be associated with catastrophic worsening in neurological deficit. So early diagnosis and management remains the key for successful neurological outcome. Such fractures are rare. Authors report five such cases of CAFF, all required surgical management with good outcome with no mortality. Current study, all cases were males (n=5), commonest mode of injury was fall (n=3), time interval since injury was within 24 hours in (n=4), however rest one presented after a gap of eight months. Commonest clinical feature was neck pain (n=3), neurological deficit (n=2), neck tenderness and swelling tenderness (n=3) Neuroimaging including X-ray, CT scan and MRI were carried out for all cases revealed fracture of arches of atlas (n=5), one case had multiple site fracture of both arches, odontoid fracture (n=2), lateral mass of atlas fracture in 1 cases. Astonishingly two cases had disruption of transverse ligament. Surgical procedures performed considering economic consideration included occipito-cervcial fusion (n=3), transarticular C1-C2 fusion and anterior odontoid screw fixation in one cases each. Management options in CAFF and review of literature discussed in present study.

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Combined injuries in the upper cervical spine: clinical and epidemiological data over a 14-year period

Cited by 93 publications

References 27 publications

Simultaneous Anterior Arthrodesis C2-3 and Anterior Odontoid Screw Fixation for Stabilization of a 4-Part Fracture of the Axis—A Technical Description

Simultaneous Anterior Arthrodesis C2-3 and Anterior Odontoid Screw Fixation for Stabilization of a 4-Part Fracture of the Axis—A Technical Description

Motion-preserving reduction and fixation of C1 Jefferson fracture using a C1 lateral mass screw construct

Surgical management of combined fracture of atlas associated with fracture of axis vertebrae (CAAF): Case Series

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