Emergency Vertebrology: Cervical Spine in Children

Губин, А.В.; Ulrikh, Eduard; Mushkin, Aleksandr; Ryabykh, Sergey; Burtsev, A. V.; Anisimov, Aleksandr; Dubonosov, Yury; Ochirova, P. V.

doi:10.14531/ss2013.3.81-91

Cited by 5 publications

(1 citation statement)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Рентгенологически зубовидная кость может быть стабильной и нестабильной, однако, независимо от наличия рентгенологических признаков нестабильности, большинство авторов считают этот порок первично нестабильным аналогично перелому зубовидного отростка типа II [4,9,10].…”

Section: определение и эпидемиологияunclassified

Os odontoideum of C2 vertebra: Aspects of epidemiology, etiopathogenesis, clinical manifestations, and diagnosis. Literature review

Sharov

Kuleshov

Shkarubo

et al. 2023

N.N. Priorov Journal of Traumatology and Orthopedics

View full text Add to dashboard Cite

We present a literature review devoted to the study of a craniovertebral malformation such as the os odontoideum of C2 vertebra. This is a rare anomaly that often results in atlantoaxial instability and, as a consequence, a wide range of clinical manifestations. The review is analytic and was conducted using medical literature databases and search resources, namely, PubMed (MEDLINE), Google Scholar, and eLibrary. The review focused on the definition of os odontoideum and its epidemiology, including the structure of craniovertebral junction pathologies. Features of the embryonic development of the craniovertebral junction, which are important in terms of the notion of the theories of the origin of os odontoideum, are described. The anatomical variants of the os odontoideum are presented, and a wide range of clinical manifestations of this pathological condition and approaches to its diagnosis are described.

show abstract

Section: определение и эпидемиологияunclassified

Os odontoideum of C2 vertebra: Aspects of epidemiology, etiopathogenesis, clinical manifestations, and diagnosis. Literature review

Sharov

Kuleshov

Shkarubo

et al. 2023

N.N. Priorov Journal of Traumatology and Orthopedics

View full text Add to dashboard Cite

show abstract

Surgical treatment of cervical spine tumors involving vertebral artery in children: analysis of small sample siz

Mushkin

Glukhov

Зорин

et al. 2021

Khir. Z. im. N.I. Pirogova

View full text Add to dashboard Cite

Transpharyngeal closed reduction displacement of the first cervical vertebra in children

Wan

Минасов

Yakupova

et al. 2022

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

View full text Add to dashboard Cite

BACKGROUND: Currently, the treatment of children with atlantoaxial rotational block has no standard protocol. The proposed conservative methods are difficult and require long-term hospitalization, whereas surgical treatment is associated with a risk of complications. AIM: This study aimed to develop and evaluate the effectiveness of the transpharyngeal closed reduction method for first cervical vertebral displacement in children. MATERIALS AND METHODS: The study presents the analysis results of clinical cases of 46 children with atlantoaxial rotational fixation with types III subluxations by Fielding and Hawkins the CI transpharyngeal closed reduction method. The average age of the patients was 4.5 2.6 years. The time of admission of patients after the disease onset varied from 1 to 30 days. The reduction technique consisted of the following elements: 1. A bracket is installed for traction behind the skull along the axis; 2. The surgeon pulls the bracket along the axis, while using the index finger of the other hand in the oropharynx fixes the anterior arch of the atlas, creating a fulcrum; 3. Rotational displacement of the atlas is eliminated by rotational movements with simultaneous traction along the axis; and 4. The anatomical position of the atlas and axis is controlled by an X-ray image intensifier. RESULTS: Only in one case of recurrent dislocation was noted after 4 days. The efficiency of primary reduction was 97.8%. Pain syndrome on the visual analog scale was reduced by 62.3%. Neurological deficit recurrence was not noted. The average bed-day was 2.5 1.3 days. CONCLUSION: Transpharyngeal closed reduction method for first cervical vertebral displacement in children of the younger age group is effective for atlantoaxial rotational fixation treatment in early admitted patients, which determines the prospects for its wider application in the practice of specialized hospitals.

show abstract

Emergency Vertebrology: Cervical Spine in Children

Cited by 5 publications

References 40 publications

Os odontoideum of C2 vertebra: Aspects of epidemiology, etiopathogenesis, clinical manifestations, and diagnosis. Literature review

Os odontoideum of C2 vertebra: Aspects of epidemiology, etiopathogenesis, clinical manifestations, and diagnosis. Literature review

Surgical treatment of cervical spine tumors involving vertebral artery in children: analysis of small sample siz

Transpharyngeal closed reduction displacement of the first cervical vertebra in children

Contact Info

Product

Resources

About