Trends in Surgical Management for Type II Odontoid Fracture: 20 Years of Experience at a Regional Spinal Cord Injury Center

Orthopedics ◽  
2011 ◽  
Author(s):  
Harvey E. Smith ◽  
Alexander R. Vaccaro ◽  
Mitchell Maltenfort ◽  
Todd J. Albert ◽  
Alan S. Hilibrand ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Surgical Management ◽  
Odontoid Fracture ◽  
Type Ii ◽  
Years Of Experience ◽  
Cord Injury

Traumatic Spinal Cord Injury

2018 ◽  
Author(s):  
Ryan Martin ◽  
Lara Zimmermann ◽  
Kee D. Kim ◽  
Marike Zwienenberg ◽  
Kiarash Shahlaie
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Surgical Management ◽  
Burst Fracture ◽  
Compression Fracture ◽  
The United States ◽  
Traumatic Spinal Cord Injury ◽  
Early Management ◽  
Pressure Therapy ◽  
Cord Injury

Traumatic spinal cord injury currently affects approximately 285,000 persons in the United States and carries with it significant morbidity and cost. Early management focuses on adequate ventilation and hemodynamic resuscitation of the patient and limiting motion of the spine to prevent a second injury. Medical management targets maintenance of adequate blood flow to the spinal cord, whereas surgical management focuses on decompression, realignment, and stabilization of the vertebral column. In this chapter, we discuss the approach to the patient with traumatic spinal cord injury, injury types, and medical and surgical management. This review contains 9 figures, 4 tables and 30 references Key Words: American Spinal Injury Association score, burst fracture, Chance fracture, compression fracture, hangman, mean arterial pressure therapy, odontoid fracture, spinal cord injury, traction

Traumatic Spinal Cord Injury

2018 ◽  
Author(s):  
Ryan Martin ◽  
Lara Zimmermann ◽  
Kee D. Kim ◽  
Marike Zwienenberg ◽  
Kiarash Shahlaie
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Surgical Management ◽  
Burst Fracture ◽  
Compression Fracture ◽  
The United States ◽  
Traumatic Spinal Cord Injury ◽  
Early Management ◽  
Pressure Therapy ◽  
Cord Injury

Traumatic spinal cord injury currently affects approximately 285,000 persons in the United States and carries with it significant morbidity and cost. Early management focuses on adequate ventilation and hemodynamic resuscitation of the patient and limiting motion of the spine to prevent a second injury. Medical management targets maintenance of adequate blood flow to the spinal cord, whereas surgical management focuses on decompression, realignment, and stabilization of the vertebral column. In this chapter, we discuss the approach to the patient with traumatic spinal cord injury, injury types, and medical and surgical management. This review contains 9 figures, 4 tables and 30 references Key Words: American Spinal Injury Association score, burst fracture, Chance fracture, compression fracture, hangman, mean arterial pressure therapy, odontoid fracture, spinal cord injury, traction

scholarly journals Implementation of the spinal cord injury exercise guidelines in the hospital and community settings: Protocol for a type II hybrid trial

Spinal Cord ◽  
2021 ◽  
Author(s):  
Jasmin K. Ma ◽  
Kristen Walden ◽  
Christopher B. McBride ◽  
Catherine Le Cornu Levett ◽  
Regina Colistro ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Type Ii ◽  
Community Settings ◽  
Cord Injury ◽  
Exercise Guidelines ◽  
Hybrid Trial

Odontoid Fracture

Neurosurgery ◽  
1981 ◽  
Vol 9 (6) ◽  
pp. 631-637 ◽  
Author(s):  
Chris E. U. Ekong ◽  
Michael L. Schwartz ◽  
Charles H. Tator ◽  
David W. Rowed ◽  
Virginia E. Edmonds
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Odontoid Process ◽  
Odontoid Fracture ◽  
Halo Vest ◽  
Cord Injury ◽  
Type 3 ◽  
Halo Device

Abstract Twenty-two patients with C-2 fractures involving the odontoid process were treated by immobilization in a halo device. Six had associated spinal cord injury (1 complete and 5 incomplete), and 16 had no spinal cord injury. The age of the patients ranged from 20 to 86 years, with a mean age of 53. There were 15 cases in which the fracture line went through the base of the odontoid process only (Type 2), 1 case with a Type 2 odontoid fracture associated with a Jefferson fracture, 4 in which the fracture line involved the body of C-2 (Type 3), and 2 cases with a Type 3 odontoid fracture associated with a Jefferson fracture. Eighteen of the patients were followed for at least 6 months (the mean follow-up period was approximately 2/12; years) to determine the results of bony fusion and neurological improvement. Three patients died early: 1 had no spinal cord injury and died of an associated head injury; 2 had spinal cord injuries and died of respiratory failure. One was lost to follow-up. Successful bony healing and stability at the fracture site as indicated by flexion and extension roentgenograms of the cervical spine were achieved in 10 (59%) of 17 patients treated with the halo ring and vest only. Early fusion was required in 1 patient, and late fusion was required in 5 patients. The remaining 2 patients refused operation. Improvement in neurological status was noted in all four surviving patients with spinal cord injury. and none of the patients without spinal cord injury developed a neurological deficit during the course of the halo treatment. The average duration of hospitalization was 27 days for those without spinal cord injury and 70 days for those with spinal cord injury. Complications related directly to the halo devices were few and minor and included scalp infection, pressure sores, loosening of the halo pins, and 1 case of osteomyelitis of the skull. We found that the halo device is useful for immobilizing the cervical spine even in the presence of diminished sensation over the trunk. Except for the presence of certain types of coexisting head injury, an absolute contraindication to its use has not been encountered. The major advantage of the halo vest is that it allows external maneuvering of bony injuries in all three planes followed by fixation when acceptable reduction is attained without the need for early operation in patients who may already be very ill. The halo vest also allows early mobilization of patients and early discharge from the hospital.

Traumatic Spinal Cord Injury

2018 ◽  
Author(s):  
Ryan Martin ◽  
Lara Zimmermann ◽  
Kee D. Kim ◽  
Marike Zwienenberg ◽  
Kiarash Shahlaie
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Surgical Management ◽  
Burst Fracture ◽  
Compression Fracture ◽  
The United States ◽  
Traumatic Spinal Cord Injury ◽  
Early Management ◽  
Pressure Therapy ◽  
Cord Injury

Traumatic spinal cord injury currently affects approximately 285,000 persons in the United States and carries with it significant morbidity and cost. Early management focuses on adequate ventilation and hemodynamic resuscitation of the patient and limiting motion of the spine to prevent a second injury. Medical management targets maintenance of adequate blood flow to the spinal cord, whereas surgical management focuses on decompression, realignment, and stabilization of the vertebral column. In this chapter, we discuss the approach to the patient with traumatic spinal cord injury, injury types, and medical and surgical management. This review contains 9 figures, 4 tables and 30 references Key Words: American Spinal Injury Association score, burst fracture, Chance fracture, compression fracture, hangman, mean arterial pressure therapy, odontoid fracture, spinal cord injury, traction

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