Fracture « tear-drop » en extension de l’axis

Vialle, Raphaël; Schmider, L; Levassor, N; Rillardon, L.; Drain, Olivier; Guigui, P.

doi:10.1016/s0035-1040(04)70038-0

Cited by 16 publications

(3 citation statements)

References 6 publications

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“…We found that only a few cases of HTDFA were reported in previous studies (Table 1 ). 5 – 7 , 9 – 12 Results from these case reports indicated that both conservative and surgical treatment methods seemed effective in the treatment of HTDFA. In addition, both anterior and posterior approaches were reported to be effective with regards achieving bone fusion.…”

Section: Discussionmentioning

confidence: 90%

Anterior Reduction, Discectomy, and Three Cortical Iliac Bone Grafting With Instrumentation to Treat A Huge Tear Drop Fracture of the Axis

Yang²,

Gong³

et al. 2016

Medicine

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Fractures of the axis body have been little reported and treatment strategies remain controversial and individualized. Not more than 10 cases of huge tear drop fracture of the axis (HTDFA) have been reported in previous studies and the treatment method varies from conservative treatment to an anterior, or posterior, approach surgery. Considering the sparse knowledge of HTDFA, we present a special case report to share our experience and to explore the safety and effectiveness of anterior reduction and fusion to treat HTDFA.A 24-year-old man was referred to our department; he presented with neck pain lasting for 12 h since being involved in a roll-over motor vehicle accident. His neck movement was limited but there was no neurological compromise. Physical examination of the patient showed myodynamia of four limbs Grade 5, Hoffmann sign (–), and Babinski sign (–). Three-dimensional reconstruction computed tomography (CT) confirmed a huge tear drop fracture of the anterior–inferior corner of the axis and discontinuity of the cortex of the axis. After discussion with the spinal surgeon team in the department and an effective conversation with the patient, surgery involving anterior reduction, discectomy, and three cortical iliac bone grafts with instrumentation after transnasal induction of general anesthesia was performed. The patient was instructed to wear a cervical collar until he returned to our department for a follow-up examination some 3 months after surgery. The 3-month postoperative x-ray and CT scan showed a good position of the implant and bony fusion at the C2/3 segment.Anterior reduction, discectomy, and three cortical iliac bone grafts with instrumentation to treat HTDFA are effective, safe, and simple. Of course, longer follow-up duration and more cases are warranted to verify this procedure. Anterior reduction, discectomy, and bone grafting with instrumentation are warranted for most HTDFA cases. However, if HTDFA incorporates other complex fractures, such as fracture of the posterior structure, an anterior and posterior union surgery is recommended.

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Section: Discussionmentioning

confidence: 90%

Anterior Reduction, Discectomy, and Three Cortical Iliac Bone Grafting With Instrumentation to Treat A Huge Tear Drop Fracture of the Axis

Yang²,

Gong³

et al. 2016

Medicine

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“…The treatment of tear-drop axis fracture is controversial. All authors agree that a neurological de cit is an indication of surgical treatment with decompression and fusion (2,3,(6)(7)(8)(9) drop fracture of the axis without neurological de cit with a posterior fusion (7). The authors argument was that there was medullary canal narrowing at the level of C2 without any anomaly of the C2-C3 intervertebral disc.…”

Section: Discussionmentioning

confidence: 97%

“…CT-scan is the ideal investigation. Lingering over indirect signs of instability should be made: widening of the interspinous distance at the site of injury, narrowing of the disc space resulting of the damage to the intervertebral disc, loss of parallelism due to subluxation of the facet joints as a result of disruption of their capsules, posterior displacement of the vertebral body (greater than 3 mm at the CT-scan (7)) which indicates disruption of the posterior longitudinal ligament and the presence of vertebral soft-tissue widening which is evidence of anterior longitudinal damage (5). MRI can be helpful for the diagnosing an unstable injury especially with high velocity trauma, neurological de cit and soft tissue swelling (5).…”

Section: Discussionmentioning

confidence: 99%

Tear-drop Fracture of the Axis: Non-operative Treatment of Two Cases : Case Report

Benammou

Elloumi

Jaouadi

et al. 2021

Preprint

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Tear-drop fracture of the axis are rare. It is characterized by a fracture of the anterior-inferior corner of the C2 body. The mechanism is usually in extension which is different from the tear-drop of lower cervical spine. We report two cases of adults who sustained a road traffic accident. They did not have any neurological deficit. The diagnosis was made on radiological examination. They both were treated conservatively with rigid immobilization and recovered well. Tear-drop fracture of the axis are usually stable. Imagery is the key of the diagnosis. Neurological deficit is rare. Conservative management usually give good outcome for non-complicated cases.

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Fractures of the Vertebral Body

Korres

Efstathopoulos

2013

The Axis Vertebra

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Fracture « tear-drop » en extension de l’axis

Cited by 16 publications

References 6 publications

Anterior Reduction, Discectomy, and Three Cortical Iliac Bone Grafting With Instrumentation to Treat A Huge Tear Drop Fracture of the Axis

Anterior Reduction, Discectomy, and Three Cortical Iliac Bone Grafting With Instrumentation to Treat A Huge Tear Drop Fracture of the Axis

Tear-drop Fracture of the Axis: Non-operative Treatment of Two Cases : Case Report

Fractures of the Vertebral Body

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