Epidemiology of atlas fractures—a national registry–based cohort study of 1,537 cases

Matthiessen, Christian M.I.M.; Robinson, Yohan

doi:10.1016/j.spinee.2015.06.052

Cited by 47 publications

(46 citation statements)

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“…It was found that the majority of patients with atlas fractures are male and that most cases occurred in the elderly population with a mean age of 72 years. This is in line with findings of previous epidemiologic studies on this topic that confirm a higher incidence of C1 fractures among the elderly [5,11].…”

Section: Discussionsupporting

confidence: 92%

Epidemiology and management of atlas fractures

et al. 2020

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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 trauma mechanism was a low-energy trauma (59.8%). A concomitant injury of the cervical spine was found in 59.8%, a combined C1/C2 injury in 56.6% and a concomitant fracture of the thoraco-lumbar spine in 15.4%. When classified according to Gehweiler, there were: 23.3% type 1, 22.2% type 2, 32.8% type 3, 19.0% type 4 and 1.1% type 5. Treatment of isolated atlas fractures (n = 67) consisted of non-operative management in 67.1%, halo fixation in 6.0% and open surgical treatment in 26.9%. In patients with combined injuries, the therapy was essentially dictated by the concomitant subaxial cervical injuries. Conclusions Atlas fractures occurred mainly in elderly people and in the majority of the cases were associated with other injuries of the head and spine. Most atlas fractures were treated conservatively. However, surgical treatment has become a safe and valid option in unstable fracture patterns involving the anterior and posterior arch (type 3) or those involving the articular surfaces (type 4).1. Atlas fractures occurred mainly in elderly people and in the majority of the cases were associated with other injuries of the head and spine. 2.A concomitant injury of the cervical spine was found in 59.8 %, a combined C1/C2 injury in 56.6 %.3. Most atlas fractures were treated conservatively. However, surgical treatment has become a safe and valid option in unstable fracture patterns involving the anterior and posterior arch (type 3) or those involving the articular surfaces (type 4).Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Section: Discussionsupporting

confidence: 92%

Epidemiology and management of atlas fractures

et al. 2020

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“…Furthermore, based on the local situation of clinical center, referred patients are quite different (Scholes et al, 2014). Almost all studies reported the incidence of fractures in men more than women and the rate of this incidence in males are about 10-41 in 100000 while in females are 8.1-31 in 100000 (Cannada & Hill, 2014;Donaldson et al, 1990;Donaldson et al, 2008;Fife & Barancik, 1985;Matthiessen & Robinson, 2015;Sakaki et al, 2014;Stockton et al, 2015). In this study the rate of fracture frequency was 76.7% in males and 23.3% in females that is consistent with other studies.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Review of Relation between Gender and Traumatic Injuries in Hospitals in Iran

Ameri¹,

Ali²,

Mehrpisheh³

et al. 2016

GJHS

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BACKGROUND: Orthopedic injury including fractures of limbs, hip or spine or the injuries of soft tissue, muscles, ligaments and tendons lesions are the most common traumatic injuries these days, and impose a significant material and spiritual cost to the communities every year. The aim of this study is to evaluate the relation between injuries and the mechanism of injuries and gender.METHODS: In these studies 2480 patients with mean age of 29.9±17.8 referred to Shafa Yahyaeian Hospital in Tehran, Iran were participated. Some information of patients has been recorded during April-October in 2013. Information includes demographic characteristics, the exact mechanism of injury, radiographic imaging, CT scan, MRI were recorded. The statistical analysis performed on data with t-test, Mann-Whitney and Chi-Square tests.RESULTS: From 685 patients with lower extremity fractures, 500 (73%) were male and 185 (27%) female. Also from 332 patients with soft tissue injuries, the males were 281 (84.5%) and 51 (15.5%) female. In this study no significant relation between gender and upper and lower extremity injuries were not seen (P=0.69). The most common mechanism of trauma in male patients were fall from standing position 34.8%, direct trauma 24.6%, motorcycle crash 10% and fall from height 7.9%. Also the most common mechanism of trauma in female patients was fall from standing position 54.2%, direct trauma 15.8% and falling from stairs 7.5%. There were no significant relation between sex and trauma mechanism in this study (P=0.00).CONCLUSIONS: According to the results the frequency of fractures and soft tissue injuries were higher in male than female. The main mechanisms of injury in both groups were fall from the standing position.

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“…Sie kommen in bis zu 13 % aller akuten zervikalen Verletzungen vor und stellen aufgrund der Ringstruktur des Atlas eine Besonderheit dar [34]. Sie entstehen infolge eines axialen Krafteinwirkungsvektors oder einer erheblichen Hyperextension (mit oder ohne Rotation), die über die Okzipitalkondylen nach kaudal abgeleitet werden.…”

Section: Isolierte Atlasfrakturenunclassified

Rationale Bildgebung beim HWS-Trauma

Grieser¹

2018

OP-JOURNAL

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ZusammenfassungDie HWS ist – aufgrund ihrer hohen Mobilität – sowohl hinsichtlich ihrer knöchernen als auch ihrer diskoligamentären Integrität und Stabilität bei Akzelerations-/Dezelerationstraumen stärker gefährdet als andere Wirbelsäulenabschnitte. Dabei treten die meisten derartigen Verletzungen in der unteren HWS auf. Die konventionelle Projektionsradiografie kann weder diesen Abschnitt durchweg suffizient abbilden noch ist das HWS-Röntgen ausreichend sensitiv genug, zervikale Frakturen sicher zu erkennen. Die moderne Multislice-CT-Technik bietet sich hierzu als eine ausreichend sichere und sensitive Methode an, diesen diagnostischen Nachteil – insbesondere zur Beurteilung knöcherner Läsionen – zu überwinden. Der MRT wiederum kommt ein wachsender Stellenwert bei der Einschätzung diskoligamentärer Verletzungsmuster zu, und sie ist unverzichtbar zur Beurteilung intraspinaler Pathologien, insbesondere von traumatischen Myelonläsionen. Im Weiteren werden die für die HWS exklusiven Verletzungsmuster des kraniozervikalen Überganges einschließlich HWK II gesondert und ausführlich besprochen.

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Epidemiology of atlas fractures—a national registry–based cohort study of 1,537 cases

Abstract: Atlas fractures occurred predominantly in the elderly population. Further study is needed to determine the cause of the increasing incidence.

Cited by 47 publications

References 18 publications

Epidemiology and management of atlas fractures

Epidemiology and management of atlas fractures

Epidemiological Review of Relation between Gender and Traumatic Injuries in Hospitals in Iran

Rationale Bildgebung beim HWS-Trauma

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