Traumatic spondylolisthesis of the axis: analysis of management

Barros, Turíbio; Bohlman, Henry H.; Capen, Daniel A.; Cotler, Jerome M.; Dons, Kjeld; Biering‐Sørensen, Fin; Marchesi, Dante; Zigler, Jack E.

doi:10.1038/sj.sc.3100786

Cited by 12 publications

(4 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…12,13 Our results corroborated this statistic. There was no need for surgical approach in any of the cases, and no progression of neurological deficit was observed.…”

Section: Discussionsupporting

confidence: 87%

Espondilolistese traumática do áxis: epidemiologia, conduta e evolução

et al. 2012

View full text Add to dashboard Cite

ObjectiveTo evaluate cases of traumatic spondylolisthesis of the axis and describe them in relation to epidemiology, classification, neurological deficit, healing time and treatment method.MethodA retrospective analysis of the medical records of patients treated between 2002 and 2010 at IOT-FMUSP. Inclusion criteria: pars interarticularis fracture of C2.Results68% were male patients, with a mean age of 39.1 years. We used the classification by Effendi, modified by Levine-Edwards. Type I fractures were observed in five patients (31.2%) and type II in eight patients (50%). Only three patients (18%) had type IIa fracture. There were no cases of type III. Mechanism: Eight car accidents and four falls. Other mechanisms: being run over, and diving accidents. Treatment with halo traction was used in eleven patients, using minerva cast and halo-cast. Healing time: 3.6 months. Follow-up time: 9.6 months.DiscussionIn general, hangman fracture has a good prognosis, which is confirmed by our results. There was no need for surgery in any of the cases. The incidence of neurological deficit is low. No patient had unstable fracture (type III).ConclusionThis paper suggests that traumatic spondylolisthesis of the axis continues to be an injury that is successfully treated by conservative treatment in most cases. Level of Evidence -IV, Case series.

show abstract

“…12,13 Our results corroborated this statistic. There was no need for surgical approach in any of the cases, and no progression of neurological deficit was observed.…”

Section: Discussionsupporting

confidence: 87%

Espondilolistese traumática do áxis: epidemiologia, conduta e evolução

et al. 2012

View full text Add to dashboard Cite

show abstract

“…54 Most authors affirm that hangman's fractures have a good prognosis. 53,55 The treatment of this fracture is predominantly nonoperative according to the literature, although surgery is preferred for neurologic symptoms, severe ligamentous injuries, or disruption of the C2-C3 disc space. 52 The classification of these fractures, initially defined by Effendi et al, 56 then modified by Levine and Edwards who included the trauma mechanism, 57 is divided into three main types 48 :…”

Section: Odontoid Process Fracture (C2)mentioning

confidence: 99%

Trauma Imaging of the Acute Cervical Spine

Berritto

Pinto

Michelin

et al. 2017

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

Among patients admitted in emergency departments for acute cervical spine trauma, only a few have a confirmed and significant injury requiring surgical intervention. Imaging plays a key role in screening for unstable lesions that can be responsible for devastating neurologic complications or death. The complex anatomy of the cervical spine is associated with a wide spectrum of osseous and ligamentous pathologies. This review focuses on the imaging features of the main cervical spine fractures that can be encountered in emergency radiology.

show abstract

“…In general, poor reduction and non-union are the most common reasons to operate. 49,50 If surgery is required stabilization can be achieved by a posterior fusion of C1 -2 or an anterior fusion of C2-3.…”

Section: Hangman's Fracturementioning

confidence: 99%

Management of post traumatic cranio vertebral junction instability

Panigrahi¹,

Mohan²,

Purohit³

2005

The Indian Journal of Neurotrauma

View full text Add to dashboard Cite

The occipito-atlanto-axial complex is a transition zone between vertebral joint structures and the skull. It is unique in that it allows extensive motion and yet its vertebrae are inter-locked to form an amazingly stable structure. Trauma in this region constitutes to above 25?30% cervical spine injuries. In a retrospective review of 490 cervical spine fractures during a 9-year period, we found 91 fractures involving cranio vertebral junction. Of the 91 patients, 54 had odontoid fractures, 22 had Hangman's fractures, 9 had miscellaneous fractures of C2, 5 had isolated C1 fractures and 1 patient presented with occipito atlantal dislocation. Age, sex, presence of associated injuries, neurological status at admission, treatment, and results of the treatment characterized each case. Excluding two patients who died within the first month of injury and two patients who went against medical advice, follow up data is available for 85 of 91 patients. Two patients were lost to follow up. In all 85 out of 91 patients followed for a median duration of 3.8 years ranging from one week to 8 years. Cranio Vertebral junction trauma constituted about 18.5% of total cervical spinal injuries admitted during this period. Neurological compromise in cranio vertebral junction trauma was noted to be 40.6% in our series. The patients with isolated atlas fractures, stable type I and type III odontoid fractures, hangman's fractures and miscellaneous fractures do well with non operative management. For type II odontoid fractures because of the high nonunion rates associated with non operative treatment, we recommend surgical management with direct anterior odontoid screw fixation within 6 months of injury, and Posterior transarticular screw fixation for fractures after 6 months of injury. The overall patient satisfaction for daily survival was better with surgery and collar as compared to halo.

show abstract

Traumatic spondylolisthesis of the axis: analysis of management

Cited by 12 publications

References 4 publications

Espondilolistese traumática do áxis: epidemiologia, conduta e evolução

Espondilolistese traumática do áxis: epidemiologia, conduta e evolução

Trauma Imaging of the Acute Cervical Spine

Management of post traumatic cranio vertebral junction instability

Contact Info

Product

Resources

About