OBJECTIVE: A prospective review of a clinical series was performed. The treatment features of atlas fractures with and without associated axis injuries were investigated. METHODS: Twenty-nine patients were investigated. RESULTS: No displaced fractures were treated with a cervical orthosis. Patients with displaced fractures were managed with a halo vest immobilization; 96.4% patients had a solid fusion at their last follow-up evaluations. CONCLUSIONS: Isolated not displaced or combined with not displaced axis fractures atlas fractures can be treated effectively with a rigid cervical collar alone. Isolated displaced fractures or not displaced but with concurrent displaced axis fractures require immobilization by the halo vest.
OBJECTIVE: A prospective review of a clinical series was performed. The treatment features of atlas fractures with and without associated axis injuries were investigated. METHODS: Twenty-nine patients were investigated. RESULTS: No displaced fractures were treated with a cervical orthosis. Patients with displaced fractures were managed with a halo vest immobilization; 96.4% patients had a solid fusion at their last follow-up evaluations. CONCLUSIONS: Isolated not displaced or combined with not displaced axis fractures atlas fractures can be treated effectively with a rigid cervical collar alone. Isolated displaced fractures or not displaced but with concurrent displaced axis fractures require immobilization by the halo vest.
Authors: Heiko Koller; Herbert Resch; Mark Tauber; Juliane Zenner; Peter Augat; Rainer Penzkofer; Frank Acosta; Klaus Kolb; Anton Kathrein; Wolfgang Hitzl Journal: Eur Spine J Date: 2010-04-13 Impact factor: 3.134
Authors: Patrick A Sugrue; Ziad A Hage; Daniel L Surdell; Mina Foroohar; John Liu; Bernard R Bendok Journal: Neurocrit Care Date: 2008-10-28 Impact factor: 3.210
Authors: Alison M Westrup; Landon S Hendrickson; Kendall L Hughes; Jaylun I Smith; Christen M O'Neal; Sixia Chen; Andrew K Conner Journal: Surg Neurol Int Date: 2022-06-23