The Significance of Space Available for the Spinal cord at the Injured Level in the Lower Cervical Spine Fractures and Dislocations

Abstract Thirty-five patients with complete myelopathies secondary to cervical spine fractures from C-4 to C-7 underwent spinal decompressions and fusions between 1975 and 1981. Twenty-five of these patients underwent simultaneous nerve root decompressions, 23 with an accompanying anterior decompression and fusion and 2 with an accompanying posterior fusion. Substantial recovery of nerve root function occurred in 15 of these patients. A posterior reduction and fusion without nerve root decompression was performed in each of the remaining 10 patients. None of these patients demonstrated a significant improvement neurologically. Operation for nerve root decompression is indicated in selected victims of spinal cord injury.

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Spinal cord injuries related to cervical spine fractures in elderly patients: factors affecting mortality

The Spine Journal ◽

10.1016/j.spinee.2013.01.045 ◽

2013 ◽

Vol 13 (8) ◽

pp. 862-866 ◽

Cited By ~ 15

Author(s):

Parham Daneshvar ◽

Darren M. Roffey ◽

Yasser A. Brikeet ◽

Eve C. Tsai ◽

Chris S. Bailey ◽

...

Keyword(s):

Spinal Cord ◽

Cervical Spine ◽

Elderly Patients ◽

Spinal Cord Injuries ◽

Spine Fractures ◽

Factors Affecting ◽

Cervical Spine Fractures

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Functional Recovery after Decompressive Spine Operation for Cervical Spine Fractures

Neurosurgery ◽

10.1227/00006123-198705000-00012 ◽

1987 ◽

Vol 20 (5) ◽

pp. 742-746 ◽

Cited By ~ 53

Author(s):

Edward C. Benzel ◽

Sanford J. Larson

Keyword(s):

Spinal Cord ◽

Cervical Spine ◽

Functional Recovery ◽

Spinal Canal ◽

Neurological Recovery ◽

Spine Fractures ◽

Functional Scale ◽

Effect Relationship ◽

Average Interval ◽

Cervical Spine Fractures

Abstract Ninety-nine patients with cervical spine fractures from C-4 through C-7 were operated upon from 1975 to 1981. Operation was performed to restore normal relationships between the spinal cord and roots and the spinal canal and foramina and to maintain these relationships by fusion when necessary. Neurological function was recorded pre- and postoperatively using a functional scale. Satisfactory fusion without adverse change in vertebral alignment was achieved in each patient. The average interval between injury and operation was 29 days. When neurological recovery was observed, it began promptly after operation, suggesting a cause and effect relationship.

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Risk factors of neurological lesions in low cervical spine fractures and dislocations

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2000000600009 ◽

2000 ◽

Vol 58 (4) ◽

pp. 1030-1034 ◽

Cited By ~ 12

Author(s):

DANILO GONÇALVES COELHO ◽

ALBERT V. B. BRASIL ◽

NELSON PIRES FERREIRA

Keyword(s):

Risk Factors ◽

Spinal Cord ◽

Cervical Spine ◽

Spinal Cord Injuries ◽

Significant Risk ◽

Significant Risk Factor ◽

Spine Fractures ◽

Nerve Root Injury ◽

Cord Injury ◽

Cervical Spine Fractures

Eighty-nine patients with lower cervical spine fractures or dislocations were evaluated for risk factors of neurological lesion. The age, sex, level and pattern of fracture and sagittal diameter of the spinal canal were analysed. There were no significant differences on the age, gender, level and Torg's ratio between intact patients and those with nerve root injury, incomplete or complete spinal cord injuries. Bilateral facet dislocations and burst fractures are a significant risk factor of spinal cord injury.

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Angular Stable Plates in Lower Cervical Spine Fractures

Osteosynthesis & Trauma Care ◽

10.1055/s-2006-921368 ◽

2006 ◽

Vol 14 (1) ◽

pp. 22-27 ◽

Cited By ~ 2

Author(s):

M. Vesel ◽

I. Straus ◽

S. Al Mawed ◽

M. Dobravec ◽

M. Jug

Keyword(s):

Cervical Spine ◽

Spine Fractures ◽

Lower Cervical Spine ◽

Cervical Spine Fractures

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Health care burden of cervical spine fractures in the United States: analysis of a nationwide database over a 10-year period

Journal of Neurosurgery Spine ◽

10.3171/2010.3.spine09530 ◽

2010 ◽

Vol 13 (1) ◽

pp. 61-66 ◽

Cited By ~ 32

Author(s):

Ali A. Baaj ◽

Juan S. Uribe ◽

Tann A. Nichols ◽

Nicholas Theodore ◽

Neil R. Crawford ◽

...

Keyword(s):

Health Care ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Cervical Spine ◽

Adverse Outcomes ◽

Spine Fractures ◽

Cord Injury ◽

The Us ◽

Discharge Status ◽

Cervical Spine Fractures

Object The objective of this work was to search a national health care database of patients diagnosed with cervical spine fractures in the US to analyze discharge, demographic, and hospital charge trends over a 10-year period. Methods Clinical data were derived from the Nationwide Inpatient Sample (NIS) for the years 1997 through 2006. The NIS is maintained by the Agency for Healthcare Research and Quality and represents a 20% random stratified sample of all discharges from nonfederal hospitals within the US. Patients with cervical spine fractures with and without spinal cord injury (SCI) were identified using the appropriate ICD-9-CM codes. The volume of discharges, length of stay (LOS), hospital charges, total national charges, discharge pattern, age, and sex were analyzed. National estimates were calculated using the HCUPnet tool. Results Approximately 200,000 hospitalizations were identified. In the non-SCI group, there was a 74% increase in hospitalizations and charges between 1997 and 2006, but LOS changed minimally. There was no appreciable change in the rate of in-hospital mortality (< 3%), but discharges home with home health care and to skilled rehabilitation or nursing facilities increased slightly. In the SCI group, hospitalizations and charges increased by 29 and 38%, respectively. There were no significant changes in LOS or discharge status in this group. Spinal cord injury was associated with increases in LOS, charges, and adverse outcomes compared with fractures without SCI. Total national charges associated with both groups combined exceeded $1.3 billion US in 2006. Conclusions During the studied period, increases in hospitalizations and charges were observed in both the SCI and non-SCI groups. The percentage increase was higher in the non-SCI group. Although SCI was associated with higher adverse outcomes, there were no significant improvements in immediate discharge status in either group during the 10 years analyzed.

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Single-Session Combined Anterior-Posterior Approach for Treatment of Ankylosing Spondylitis with Obvious Displaced Lower Cervical Spine Fractures and Dislocations

BioMed Research International ◽

10.1155/2017/9205834 ◽

2017 ◽

Vol 2017 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Baohui Yang ◽

Teng Lu ◽

Haopeng Li

Keyword(s):

Cervical Spine ◽

Posterior Approach ◽

Perioperative Complications ◽

Spine Fractures ◽

Lower Cervical Spine ◽

Single Session ◽

Surgical Methods ◽

Single Posterior Approach ◽

Cervical Spine Fractures ◽

Anterior Posterior

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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