Unstable jefferson burst fractures (JBF): Intraoperative stability testing after posterior atlas ring osteosynthesis (C1-RO) allows determination of surgical procedure extent

Ottenbacher, Andy; Rizk, Ahmed; Mehlitz, Marcus; Bettag, Martin

doi:10.1016/j.bas.2022.101668

Brain and Spine

2022

DOI: 10.1016/j.bas.2022.101668

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Unstable jefferson burst fractures (JBF): Intraoperative stability testing after posterior atlas ring osteosynthesis (C1-RO) allows determination of surgical procedure extent

Andy Ottenbacher

Ahmed Rizk

Marcus Mehlitz

et al.

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2024

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Direct osteosynthesis in the treatment of atlas burst fractures: a systematic review

Niu,

Zhang,

Yan

et al. 2024

J Orthop Surg Res

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Purpose The treatment of unstable atlas fractures remains a controversial topic. The study aims at assessing the prognosis and efficacy of osteosynthesis for unstable atlas fractures through a review of the current literature and additionally aims to compare outcomes between the transoral and posterior approaches. Methods A systematic review of databases including PubMed, EMBASE, Cochrane, Web of Science, CNKI, and Wanfang was conducted. Titles and abstracts were screened by two reviewers to identify studies meeting pre-defined inclusion criteria for comprehensive analysis. Results The systematic review included 28 articles, 19 employing the posterior approach and 9 utilizing the transoral approach. It covered osteosynthesis in 297 patients with unstable atlas fractures, comprising 169 treated via the posterior approach and 128 via the transoral approach. Analysis revealed high healing rates and clinical improvement in both approaches, evidenced by improvements in the visual analog scale, range of motion, atlantodens interval, and lateral displacement distance post-surgery. Conclusion Osteosynthesis offers effective treatment for unstable atlas fractures. Both transoral and posterior approaches can achieve good clinical outcomes for fracture, and biomechanical studies have confirmed that osteosynthesis can maintain the stability of the occipitocervical region, preserve the motor function of the atlantoaxial and occipito-atlantoaxial joints, and greatly improve the quality of life of patients. However, variations exist in the indications and surgical risks associated with each method, necessitating their selection based on a thorough clinical evaluation of the patient's condition.

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Direct osteosynthesis in the treatment of atlas burst fractures: a systematic review

Niu,

Zhang,

Yan

et al. 2024

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

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Unstable jefferson burst fractures (JBF): Intraoperative stability testing after posterior atlas ring osteosynthesis (C1-RO) allows determination of surgical procedure extent

Cited by 1 publication

References 26 publications

Direct osteosynthesis in the treatment of atlas burst fractures: a systematic review

Direct osteosynthesis in the treatment of atlas burst fractures: a systematic review

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