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Literature DB >> 2909687

Neurosurgical management of acute atlas-axis combination fractures. A review of 25 cases.

C A Dickman¹, M N Hadley, C Browner, V K Sonntag.

Abstract

Combination atlas-axis fractures occur relatively frequently and have a higher incidence of neurological morbidity than isolated C-1 or isolated C-2 injuries. Patients with combination C1-2 fracture-subluxation injuries should be studied with thin-section computerized tomography. Appropriate treatment is determined by the type of axis fracture present and includes surgical and nonsurgical strategies. An experience with 25 patients with combination C1-2 fractures is presented, and management and follow-up guidelines are reviewed.

Entities: Disease Gene Species

Mesh：

Year: 1989 PMID： 2909687 DOI： 10.3171/jns.1989.70.1.0045

Source DB: PubMed Journal: J Neurosurg ISSN： 0022-3085 Impact factor: 5.115

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Cited

18 in total

1. Odontoid fractures with neurologic deficit have higher mortality and morbidity.

Authors: Amar Patel; Harvey E Smith; Kris Radcliff; Navin Yadlapalli; Alexander R Vaccaro
Journal: Clin Orthop Relat Res Date: 2012-06 Impact factor: 4.176

Review 2. [Management of spine injuries in polytraumatized patients].

Authors: C E Heyde; W Ertel; R Kayser
Journal: Orthopade Date: 2005-09 Impact factor: 1.087

3. Why you should wear your seatbelt on an airplane: Burst fracture of the atlas (jefferson fracture) due to in-flight turbulence.

Authors: Nikola Lekic; Jonathan Sheu; Hayley Ennis; Nathan Lebwohl; Motasem Al-Maaieh
Journal: J Orthop Date: 2019-06-15

4. [Direct osteosynthesis of instable Gehweiler Type III atlas fractures. Presentation of a dorsoventral osteosynthesis of instable atlas fractures while maintaining function].

Authors: H Böhm; R Kayser; H El Saghir; C-E Heyde
Journal: Unfallchirurg Date: 2006-09 Impact factor: 1.000

Neurosurgical management of acute atlas-axis combination fractures. A review of 25 cases.

1. Odontoid fractures with neurologic deficit have higher mortality and morbidity.

Review 2. [Management of spine injuries in polytraumatized patients].

3. Why you should wear your seatbelt on an airplane: Burst fracture of the atlas (jefferson fracture) due to in-flight turbulence.

4. [Direct osteosynthesis of instable Gehweiler Type III atlas fractures. Presentation of a dorsoventral osteosynthesis of instable atlas fractures while maintaining function].

Review 5. Indications for surgery in upper cervical spine injury.

6. Management of combination fractures of the atlas and axis: a report of four cases and literature review.

7. CT appearance of an unusual type of comminuted fracture/dislocation of C1 and C2.

8. Management of combined atlas-axis fractures: a review of forty one cases.

9. C1 fracture in a patient with a congenital cleft in the posterior arch: report on a failed conservative treatment.

10. Combined Type II Odontoid Fracture With Axis Anterior Arch Fracture: A Case Report in an Elderly Patient.