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Conservative and operative treatment in the extension teardrop fracture of the axis

Conservative and operative treatment in the extension teardr...

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2013中国工程院科技论坛暨浙江省骨科学学术年会

作者： Yong Hu Christopher K.Kepler Todd J.Albert Wei-hu Ma Yongjie Gu Zhen-shan Yuan Wei-xin Dong Rong-ming Xu Department of Spinal Surgery Ningbo No.6 Hospital Department of Orthopaedic Surgery Thomas Jefferson University & Rothman Institute

Study Design.A retrospective case series describing teardrop fracture of the axis. *** purpose of the present study was to clarify the clinical features,the mechanism of injury and potential instability of extension teardrop fracture of the axis,so as to emphasize the importance of recognizing this injury as a separate entity. Summary of Background *** fractures of the axis are rare spinal fractures,comprising only a small percentage of all injuries of the cervical *** exact mechanism of injury leading to teardrop fractures of the axis may not be identified in some cases and different injury mechanisms may lead to fracture which appear similar on *** stability of this fracture pattern is a matter of debate leading to controversy regarding treatment strategies and the need for stabilization. *** retrospectively reviewed data from 16 patients to document mechanism of injury,neurological deficit,treatment and clinical outcome,and imaging *** imaging allowed documentation of the size and displacement of associated fragments,the presence of C2-3 subluxation,amount of prevertebral soft-tissue swelling(PVST),the presence of C2-3 disc injury,and the angle of rotation of the avulsed bony fragment. *** teardrop fractures accounted for approximately 8.9%of upper cervical spinal injuries and 12.7%of axis fractures at authors’ institute over the same *** average age of all patients was 43.6 *** vehicle accidents(MVA)(56.3%) were the most common mechanism of *** patients(4 males and 2 females) underwent surgery(4 via an anterior approach,2 cases via a posterior approach). Indications for surgery included:large fragment size,displacement or angulation,association of the fracture with disruption of the C2-3 disc and compression of the esophagus by the displaced *** cases underwent halo vest immobilization for a period of time between 6 and 12 *** final follow-up, fourteen cases ach

关键词： teardrop fracture axis fracture upper cervical spine injury treatment

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Conservative and operative treatment in the extension teardrop fracture of the axis

Conservative and operative treatment in the extension teardr...

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2015年浙江省骨科学学术年会

Study Design. A retrospective case series describing teardrop fracture of the *** purpose of the present study was to clarify the clinical features,the mechanism of injury and potential instability of extension teardrop fracture of the axis,so as to emphasize the importance of recognizing this injury as a separate *** of Background *** fractures of the axis are rare spinal fractures,comprising only a small percentage of all injuries of the cervical *** exact mechanism of injury leading to teardrop fractures of the axis may not be identified in some cases and different injury mechanisms may lead to fracture which appear similar on *** stability of this fracture pattern is a matter of debate leading to controversy regarding treatment strategies and the need for *** retrospectively reviewed data from 16 patients to document mechanism of injury,neurological deficit,treatment and clinical outcome,and imaging *** imaging allowed documentation of the size and displacement of associated fragments,the presence of C2-3 subluxation,amount of prevertebral soft-tissue swelling(PVST),the presence of C2-3 disc injury,and the angle of rotation of the avulsed bony *** teardrop fractures accounted for approximately 8.9%of upper cervical spinal injuries and12.7%of axis fractures at authors’ institute over the same *** average age of all patients was 43.6 *** vehicle accidents(MVA)(56.3%) were the most common mechanism of *** patients(4 males and 2females) underwent surgery(4 via an anterior approach,2 cases via a posterior approach).Indications for surgery included:large fragment size,displacement or angulation,association of the fracture with disruption of the C2-3disc and compression of the esophagus by the displaced *** cases underwent halo vest immobilization for a period of time between 6 and 12 *** final follow-up,fourteen cases achieved ex

关键词： teardrop fracture axis fracture upper cervical spine injury treatment

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