Report of an unusual upper cervical spine injury: Traumatic atlantoaxial rotatory subluxation with vertical odontoid fracture in a child

2013 ◽  
Vol 61 (2) ◽  
pp. 197 ◽  
Author(s):  
Mesut Mete ◽  
�lkün�nlü �nsal ◽  
YusufKurtulus Duransoy ◽  
Mustafa Barutçuoglu ◽  
Mehmet Selçuki
BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e015307 ◽  
Author(s):  
Shiyao Liao ◽  
Erik Popp ◽  
Petra Hüttlin ◽  
Frank Weilbacher ◽  
Matthias Münzberg ◽  
...  

IntroductionEmergency management of upper cervical spine injuries often requires cervical spine immobilisation and some critical patients also require airway management. The movement of cervical spine created by tracheal intubation and cervical spine immobilisation can potentially exacerbate cervical spinal cord injury. However, the evidence that previous studies have provided remains unclear, due to lack of a direct measurement technique for dural sac's space during dynamic processes. Our study will use myelography method and a wireless human motion tracker to characterise and compare the change of dural sac's space during tracheal intubations and cervical spine immobilisation in the presence of unstable upper cervical spine injury such as atlanto-occipital dislocation or type II odontoid fracture.Methods and analysisPerform laryngoscopy and intubation, video laryngoscope intubation, laryngeal tube insertion, fiberoptic intubation and cervical collar application on cadaveric models of unstable upper cervical spine injury such as atlanto-occipital dislocation or type II odontoid fracture. The change of dural sac's space and the motion of unstable cervical segment are recorded by video fluoroscopy with previously performing myelography, which enables us to directly measure dural sac's space. Simultaneously, the whole cervical spine motion is recorded at a wireless human motion tracker. The maximum dural sac compression and the maximum angulation and distraction of the injured segment are measured by reviewing fluoroscopic and myelography images.Ethics and disseminationThis study protocol has been approved by the Ethics Committee of the State Medical Association Rhineland-Palatinate, Mainz, Germany. The results will be published in relevant emergency journals and presented at relevant conferences.Trial registration numberDRKS00010499.


1981 ◽  
Vol 30 (1) ◽  
pp. 41-47
Author(s):  
M. Yamanaka ◽  
G. Awaya ◽  
S. Takata ◽  
N. Nishijima ◽  
S. Shimamura

2009 ◽  
Vol 67 (4) ◽  
pp. 692-696 ◽  
Author(s):  
Sami Al Eissa ◽  
Jeremy G. Reed ◽  
John B. Kortbeek ◽  
Paul T. Salo

2010 ◽  
Vol 2010 (jul15 2) ◽  
pp. bcr0220102731-bcr0220102731
Author(s):  
L. Mica ◽  
V. Neuhaus ◽  
E. Poschmann ◽  
D. Konu-Leblebicioglu ◽  
U. Schwarz ◽  
...  

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