Bilateral First Rib and Associated Lower Cervical Spine Fractures

For patients with AS and lower cervical spine fractures, surgical methods have mainly included the single anterior approach, single posterior approach, and combined anterior-posterior approach. However, various surgical procedures were utilized because the fractures have not been clearly classified according to presence of displacement in these previous studies. Consequently, controversies have been raised regarding the selection of the surgical procedure. This study retrospective analysis was conducted in 12 patients with AS and lower cervical spine fractures and dislocations and explored single-session combined anterior-posterior approach for the treatment of AS with obvious displaced lower cervical spine fractures and dislocations which has demonstrated advantages such as good stabilization, satisfied fracture healing, and easy postoperative cares. However, to some extent, the difficulty and risk of this approach should be considered. Attention should be paid to the prevention of perioperative complications.

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CONVENTIONAL X-RAY AND COMPUTED TOMOGRAPHY FINDINGS OF CERVICAL SPINE TRAUMA

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2016.5.2 ◽

2016 ◽

pp. 12-19

Author(s):

Hoang Minh Thi Nguyen ◽

Thanh Thao Nguyen

Keyword(s):

Cervical Spine ◽

Fracture Dislocation ◽

Spine Injury ◽

Posterior Arch ◽

Spine Fractures ◽

Cervical Spine Trauma ◽

Lower Cervical Spine ◽

Spine Trauma ◽

X Ray ◽

Cervical Spine Fractures

Background: Cervical spine trauma is a serious and complicated injury, affects both spine and spine cord. Evaluation of cervical spine trauma is crucial for selecting effective treatment methods. Purposes: To describe characteristics on X-ray and CT scanner of the cervical spine in trauma and to evaluate the value of X-ray for the cervical spine trauma. Materials and Method: A cross-sectional study of 33 patients with cervical spine injury seen on CT from 08/2014 to 08/2015 at Hue Central Hospital and Hue University Hospital. Results: Average age was 43 years. The majority was males (the ratio was 4.5). The most common reason of injury were motor vehicle crashes and labor accidents. The most common site of injury was C5 - C6 level. There were 4/33 cases of upper cervical spine fractures and there were 29/33 cases of lower cervical spine fractures, in which blunt fracture, dislocation fracture, simple fracture were mainly identified on CT than on X-ray, p <0.05. The Kappa value for measuring the realiability between X-ray and CT in findings of body spine fractures was moderate (0.41 < K = 0.598 < 0.6). The ratio in finding posterior arch of lower cervical spine fractures on CT were higher than on X-ray, particularly in laminar frature and multiple sites fracture. There was no diagnostic suitability between X-ray and CT in detecting posterior arch of lower cervical spine fractures, K= 0.115 < 0.2. Conclusion: X-ray is still valuable in clinical practice in medical facilities that have not been equipped with modern specialized equipment in odontoid fracture type 2, Hangman fracture and dislocated injuries besides using CT and MRI. Key words: Cervical vertebrate; Trauma; Morphologic characteristics

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Cervical Spine Fractures in Athletes

Clinics in Sports Medicine ◽

10.1016/s0278-5919(20)30754-7 ◽

1990 ◽

Vol 9 (1) ◽

pp. 13-29 ◽

Cited By ~ 2

Author(s):

Michael R. Marks ◽

Gordon R. Reli ◽

Francis R.S. Roumphrey

Keyword(s):

Cervical Spine ◽

Spine Fractures ◽

Cervical Spine Fractures

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Accuracy of standard radio-graphic views in detecting cervical spine fractures

Journal of Emergency Medicine ◽

10.1016/0736-4679(84)90172-0 ◽

1984 ◽

Vol 1 (4) ◽

pp. 361

Author(s):

Robert Simonson

Keyword(s):

Cervical Spine ◽

Spine Fractures ◽

Cervical Spine Fractures

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Mortality in Elderly Patients After Cervical Spine Fractures

The Journal of Bone and Joint Surgery (American) ◽

10.2106/jbjs.i.00003 ◽

2010 ◽

Vol 92 (3) ◽

pp. 567-574 ◽

Cited By ~ 67

Author(s):

Mitchel B Harris ◽

William M Reichmann ◽

Christopher M Bono ◽

Kim Bouchard ◽

Kelly L Corbett ◽

...

Keyword(s):

Cervical Spine ◽

Elderly Patients ◽

Spine Fractures ◽

Cervical Spine Fractures

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Application of clinical criteria for ordering radiographs to detect cervical spine fractures

The American Journal of Emergency Medicine ◽

10.1016/j.ajem.2006.05.015 ◽

2007 ◽

Vol 25 (3) ◽

pp. 326-330 ◽

Cited By ~ 2

Author(s):

Ronald M. Moscati ◽

E. Brooke Lerner ◽

Jennifer L. Pugh

Keyword(s):

Cervical Spine ◽

Spine Fractures ◽

Clinical Criteria ◽

Cervical Spine Fractures

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Mortality related to and functional outcomes of upper cervical spine fractures in the elderly

Journal of Orthopaedic Science ◽

10.1016/j.jos.2021.06.015 ◽

2021 ◽

Author(s):

Shintaro Honda ◽

Eijiro Onishi ◽

Takumi Hashimura ◽

Satoshi Ota ◽

Satoshi Fujita ◽

...

Keyword(s):

Cervical Spine ◽

Functional Outcomes ◽

The Elderly ◽

Upper Cervical Spine ◽

Spine Fractures ◽

Upper Cervical ◽

Cervical Spine Fractures

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Cervical Spine Injury is Rare in Self-Inflicted Craniofacial Gunshot Wounds: An Institutional Review and Comparison to the US National Trauma Data Bank (NTDB)

Prehospital and Disaster Medicine ◽

10.1017/s1049023x20000771 ◽

2020 ◽

Vol 35 (5) ◽

pp. 524-527

Author(s):

Allison G. McNickle ◽

Paul J. Chestovich ◽

Douglas R. Fraser

Keyword(s):

Cervical Spine ◽

Spinal Surgery ◽

Gunshot Wounds ◽

Data Bank ◽

Spine Injury ◽

Spine Fractures ◽

National Trauma ◽

National Trauma Data Bank ◽

The Us ◽

Cervical Spine Fractures

AbstractBackground:Cadaveric and older radiographic studies suggest that concurrent cervical spine fractures are rare in gunshot wounds (GSWs) to the head. Despite this knowledge, patients with craniofacial GSWs often arrive with spinal motion restriction (SMR) in place. This study quantifies the incidence of cervical spine injuries in GSWs to the head, identified using computerized tomography (CT). Fracture frequency is hypothesized to be lower in self-inflicted (SI) injuries.Methods:Isolated craniofacial GSWs were queried from this Level I trauma center registry from 2013-2017 and the US National Trauma Data Bank (NTDB) from 2012–2016 (head or face abbreviated injury scale [AIS] >2). Datasets included age, gender, SI versus not, cervical spine injury, spinal surgery, and mortality. For this hospital’s data, prehospital factors, SMR, and CTs performed were assessed. Statistical evaluation was done with Stata software, with P <.05 significant.Results:Two-hundred forty-one patients from this hospital (mean age 39; 85% male; 66% SI) and 5,849 from the NTDB (mean age 38; 84% male; 53% SI) were included. For both cohorts, SI patients were older (P < .01) and had increased mortality (P < .01). Overall, cervical spine fractures occurred in 3.7%, with 5.4% requiring spinal surgery (0.2% of all patients). The frequency of fracture was five-fold greater in non-SI (P < .05). Locally, SMR was present in 121 (50.2%) prior to arrival with six collars (2.5%) placed in the trauma bay. Frequency of SMR was similar regardless of SI status (49.0% versus 51.0%; P = not significant) but less frequent in hypotensive patients and those receiving cardiopulmonary resuscitation (CPR). The presence of SMR was associated with an increased use of CT of the cervical spine (80.0% versus 33.0%; P < .01).Conclusion:Cervical spine fractures were identified in less than four percent of isolated GSWs to the head and face, more frequently in non-SI cases. Prehospital SMR should be avoided in cases consistent with SI injury, and for all others, SMR should be discontinued once CT imaging is completed with negative results.

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