scholarly journals Diagnosis and Treatment for Traumatic Injury of the Upper Cervical Spine(Surgical Management of the Cranio-cervical Junction Disorders)

2008 ◽  
Vol 17 (4) ◽  
pp. 311-316
Author(s):  
Masakazu Takayasu
1996 ◽  
Vol 3 (1) ◽  
pp. 66-72
Author(s):  
V. M. Tsodyks ◽  
V. A. Moiseenko

This article deals with current problems in the diagnosis and treatment of traumatic dislocations of the upper cervical spine.


2018 ◽  
Vol 156 (06) ◽  
pp. 662-671 ◽  
Author(s):  
Matti Scholz ◽  
Philipp Schleicher ◽  
Frank Kandziora ◽  
Andreas Badke ◽  
Marc Dreimann ◽  
...  

AbstractIn a consensus process with four sessions in 2017, the working group “upper cervical spine” of the German Society for Orthopaedics and Trauma Surgery (DGOU) formulated “Therapeutic Recommendations for the Diagnosis and Treatment of Upper Cervical Fractures”, taking their own experience and the current literature into consideration. The following article describes the recommendations for axis ring fractures (traumatic spondylolysis C2). About 19 to 49% of all cervical spine injuries include the axis vertebra. Traumatic spondylolysis of C2 may include potential discoligamentous instability C2/3. The primary aim of the diagnostic process is to detect the injury and to determine potential disco-ligamentous instability C2/3. For classification purposes, the Josten classification or the modified Effendi classification may be used. The Canadian C-spine rule is recommended for clinical screening for C-spine injuries. CT is the preferred imaging modality and an MRI is needed to determine the integrity of the discoligamentous complex C2/3. Conservative treatment is appropriate in case of stable fractures with intact C2/3 motion segment (Josten type 2 and 2). Patients should be closely monitored, in order to detect secondary dislocation as early as possible. Surgical treatment is recommended in cases of primary severe fracture dislocation or discoligamentous instability C2/3 (Josten 3 and 4) and/or secondary fracture dislocation. Anterior cervical decompression and fusion (ACDF) C2/3 is the treatment of choice. However, in case of facet joint luxation C2/3 with looked facet (Josten 4), a primary posterior approach may be necessary.


Neurosurgery ◽  
1989 ◽  
Vol 24 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Nicola Di Lorenzo

Abstract An experience with 19 cases of transoral exposure of the lower clivus and ventral aspect of the upper cervical spine is presented. The spectrum of pathological entities in this series includes malformative, neoplastic, and spondylotic conditions. The report is designed to focus upon some points of overall surgical management of patients treated by the transoral approach, with emphasis on management of postoperative instability, and to underline the discrepancy in the prognosis of congenital and acquired disorders, in terms of mortality, morbidity, and long-term results.


2016 ◽  
Vol 16 (7) ◽  
pp. e467-e472 ◽  
Author(s):  
Adam Schell ◽  
John M. Rhee ◽  
Abigail Allen ◽  
Lindsay Andras ◽  
Feifei Zhou

Skull Base ◽  
2008 ◽  
Vol 18 (S 01) ◽  
Author(s):  
Harminder Singh ◽  
Bartosz Grobelny ◽  
Adam Flanders ◽  
Marc Rosen ◽  
Paul Schiffmacher ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document