Spinal Trauma: a case report

2018 ◽  
Vol 1 (2) ◽  
pp. 16
Author(s):  
Nasrullah Mustamir

Introduction: The incidences of both car accident and sport accident have been increasing lately in Indonesia. One of the big problems is about the trauma of the spine. Cervical spine trauma is the most dangerous case. Herein we report one case of Odontoid Fracture Type II.Methods: A 24-years-old man had an accident after jumping into a shallow swimming pool. The patient bumped his head into the floor and suffered from tetraparesis. After that, he was getting better step-by-step. Approximately 3 months later, the patient bumped his head again on a branch of a tree and regressed to tetraparesis again. We established odontoid fracture type II diagnosis from plain cervical x-ray. We decided to do a surgery by using pedicle screws at CII, lateral mass at CI, and fusion at CI and CII.Result: After the surgery, the patient’s health improved. Six months after the operation, the patient recovered well.Conclusion: We can do this operation without c-arm, we performed this operation by free-hand and anatomy landmark.

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Nasrullah Mustamir

Introduction: The incidences of both car accident and sport accident have been increasing lately in Indonesia. One of the big problems is about the trauma of the spine. Cervical spine trauma is the most dangerous case. Herein we report one case of Odontoid Fracture Type II.Methods: A 24-years-old man had an accident after jumping into a shallow swimming pool. The patient bumped his head into the floor and suffered from tetraparesis. After that, he was getting better step-by-step. Approximately 3 months later, the patient bumped his head again on a branch of a tree and regressed to tetraparesis again. We established odontoid fracture type II diagnosis from plain cervical x-ray. We decided to do a surgery by using pedicle screws at CII, lateral mass at CI, and fusion at CI and CII.Result: After the surgery, the patient’s health improved. Six months after the operation, the patient recovered well.Conclusion: We can do this operation without c-arm, we performed this operation by free-hand and anatomy landmark.


2019 ◽  
Vol 12 (02) ◽  
pp. 151-154
Author(s):  
William Wiryawan ◽  
Otman Siregar ◽  
Pranajaya Dharma Kadar ◽  
Heru Rahmadhany ◽  
Benny

Orthopedics ◽  
2003 ◽  
Vol 26 (10) ◽  
pp. 1061-1063
Author(s):  
Jacob M Buchowski ◽  
Khaled M Kebaish ◽  
Nicholas U Ahn ◽  
Kyung-Soo Suk ◽  
John P Kostuik

2020 ◽  
Vol 27 ◽  
pp. 100298
Author(s):  
A.J.F. da Silva ◽  
Fabrício A.C. Lopes ◽  
Wallan R. Mendes

10.14444/6010 ◽  
2019 ◽  
Vol 13 (1) ◽  
pp. 79-83 ◽  
Author(s):  
ARIF MUSA ◽  
SAIF ALDEEN FARHAN ◽  
YU-PO LEE ◽  
BRITTANY URIBE ◽  
P. DOUGLAS KIESTER

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Ichiro Okano ◽  
Joe Omata ◽  
Yushi Hoshino ◽  
Yuki Usui ◽  
Tomoaki Toyone ◽  
...  

2000 ◽  
Vol 8 (6) ◽  
pp. 1-6 ◽  
Author(s):  
Terrence D. Julien ◽  
Bruce Frankel ◽  
Vincent C. Traynelis ◽  
Timothy C. Ryken

Object The management of odontoid fractures remains controversial. Evidence-based methodology was used to review the published data on odontoid fracture management to determine the state of the current practices reported in the literature. Methods The Medline literature (1966–1999) was searched using the keywords “odontoid,” “odontoid fracture,” and “cervical fracture” and graded using a four-tiered system. Those articles meeting selection criteria were divided in an attempt to formulate practice guidelines and standards or options for each fracture type. Evidentiary tables were constructed by treatment type. Ninety-five articles were reviewed. Five articles for Type I, 16 for Type II, and 14 for Type III odontoid fractures met selection criteria. All studies reviewed contained Class III data (American Medical Association data classification). Conclusions There is insufficient evidence to establish a standard or guideline for odontoid fracture management. Given the extent of Class III evidence and outcomes reported on Type I and Type III fractures, a well-designed case-controlled study would appear to provide sufficient evidence to establish a practice guideline, suggesting that cervical immobilization for 6 to 8 weeks is appropriate management. In cases of Type II fracture, analysis of the Class III evidence suggests that both operative and nonoperative management remain treatment options. A randomized trial or serial case-controlled studies will be required to establish either a guideline or treatment standard for this fracture type.


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