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Cervical fracture

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https://www.readbyqxmd.com/read/29330570/open-door-laminoplasty-what-can-the-unilateral-approach-offer
#1
REVIEW
R Kothe, G Schmeiser, L Papavero
OBJECTIVE: Multilevel posterior decompression of subaxial cervical spinal canal stenosis through a less-invasive unilateral approach. INDICATIONS: Degenerative cervical myelopathy due to multilevel subaxial spinal canal stenosis. CONTRAINDICATIONS: Cervical kyphosis or instability, bilateral radiculopathy due to foraminal stenosis, involvement of C2 or C7. SURGICAL TECHNIQUE: Unilateral subaxial approach with detachment of muscles only on one side...
January 12, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29327560/-research-progress-on-reatment-of-unstable-atlas-fracture-with-single-segment-fixation-by-transoral-approach
#2
REVIEW
Li-Ran Wang, Liu-Jun Zhao, Wei-Hu Ma
As a common type of fracture in cervical, atlas fracture is frequently unstable due to its special anatomical structure. In a previous treatment, external fixation was likely to bring low bony union rate and long-term neck pain, while occipito-cervical fusion and atlantoaxial fusion sacrifice range of motion in cervical spine. Reduction and single section fixation of atlas by anterior lateral mass screws through the transoral approach were reported by some scholars, and the retrospective study demonstrated the high healing rate, reservation of cervical ROM and less bleeding...
January 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29323806/spine-and-spinal-cord-injuries-after-falls-from-tree-stands-during-the-wisconsin-deer-hunting-season
#3
Kimberly Hamilton, Brandon Rocque, Nathaniel Brooks
BACKGROUND: Deer hunting is popular in much of the United States. In Wisconsin, use of tree stands for hunting is common. Spine surgeons at a Level 1 Trauma Center observed a high incidence of spine and spinal cord injury due to falls from tree stands while hunting. This study's purpose is to systematically characterize and classify those injuries. METHODS: We reviewed the University of Wisconsin Hospital and Clinics' trauma database for tree stand-related injuries from 1999 to 2013...
November 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29322309/the-global-spine-care-initiative-a-summary-of-guidelines-on-invasive-interventions-for-the-management-of-persistent-and-disabling-spinal-pain-in-low-and-middle-income-communities
#4
REVIEW
Emre Acaroğlu, Margareta Nordin, Kristi Randhawa, Roger Chou, Pierre Côté, Tiro Mmopelwa, Scott Haldeman
PURPOSE: The purpose of this study was to synthesize recommendations on the use of common elective surgical and interventional procedures for individuals with persistent and disabling non-radicular/axial with or without myelopathy, radicular back pain, cervical myelopathy, symptomatic spinal stenosis, and fractures due to osteoporosis. This review was to inform a clinical care pathway on the patient presentations where surgical interventions could reasonably be considered. METHODS: We synthesized recommendations from six evidence-based clinical practice guidelines and one appropriate use criteria guidance for the surgical and interventional management of persistent and disabling spine pain...
January 10, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29310670/the-comparison-of-clinical-outcome-of-fresh-type-ii-odontoid-fracture-treatment-between-anterior-cannulated-screws-fixation-and-posterior-instrumentation-of-c1-2-without-fusion-a-retrospective-cohort-study
#5
Suomao Yuan, Bin Wei, Yonghao Tian, Jun Yan, Wanlong Xu, Lianlei Wang, Xinyu Liu
BACKGROUND: Recently, the excellent outcomes of temporary fixation of C1-2 without fusion in the treatment of odontoid fracture had been reported. It is still unclear if this technique could achieve the equivalent outcomes as the golden standard technique of anterior screw fixation. The objective of this study is to compare the clinical outcome of two treatments of fresh type II odontoid fracture: anterior cannulated screws fixation (ACSF) versus posterior instrumentation of C1-2 without fusion (PIWF)...
January 8, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29310380/traumatic-c1-2-posterolateral-dislocation-with-dens-fracture-injury-of-the-transverse-atlantal-ligament-and-unilateral-facet-fracture-with-subluxation-of-c6-7-a-case-report
#6
Jong-Beom Park, Sung Shik Kang, Jin S Yeom
RATIONALE: Traumatic C1-2 dislocation associated with contiguous or noncontiguous cervical spine injury is rare. Moreover, there have been no reports describing traumatic C1-2 dislocation associated with multiple contiguous and noncontiguous cervical injuries. PATIENT CONCERNS: The authors present a case of a 20-year-old male with painful limitation of motion of the neck. This complex cervical injury occurred due to hyperextension of the head in a rotated position...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29290895/falls-from-height-a-retrospective-analysis
#7
Kasim Turgut, Mehmet Ediz Sarihan, Cemil Colak, Taner Güven, Ali Gür, Sükrü Gürbüz
BACKGROUND: Emergency services manage trauma patients frequently and falls from height comprise the main cause of emergency service admissions. In this study, we aimed to analyse the demographic characteristics of falls from height and their relationship to the mortality. METHODS: A total of 460 patients, who admitted to the Emergency Department of Inonu University between November 2011 and November 2014 with a history of fall from height, were examined retrospectively...
2018: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29285559/pressure-induced-end-plate-fracture-in-the-porcine-spine-is-the-annulus-fibrosus-susceptible-to-damage
#8
Chelsea R Snow, Maxine Harvey-Burgess, Brigitte Laird, Stephen H M Brown, Diane E Gregory
PURPOSE: To determine if the mechanical properties of the annulus fibrosus (AF) are altered following end-plate fracture. Vertebral fractures, particularly those in the growth plate, are relatively common among adolescents. What is unclear is whether or not these fractures are also associated with concomitant damage to the intervertebral disc (IVD), in particular the AF. METHODS: The current study employed a high-rate IVD pressurization model to create growth plate fractures in the porcine cervical spine...
December 28, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29284890/a-safe-regional-technique-in-a-high-risk-patient-cervical-plexus-blockage
#9
Ayhan Kaydu, Ebru Tarıkçı Kılıç, Erhan Gökçek, Mehmet Salim Akdemir
Regional anesthesia in the form of combined cervical plexus block is gaining popularity as a technique of choice for cervical spine surgeries, especially for urgent ones. An important advantage is that it allows continuous monitoring of patient's neurological status. The success of the block often depends on accurate placement of the local anesthetic. Landmarks for the block are therefore of great importance. In this case, we aimed to present a 74-year-old man with C4-5 odontoid fracture. We planned to perform a unilateral combined cervical plexus block for anterior cervical instrumentation and fusion (ACIF) operation because of his associated high-risk comorbid disorders...
October 2017: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/29284452/screw-migration-and-oesophageal-perforation-after-surgery-for-osteosarcoma-of-the-cervical-spine
#10
Luca Denaro, Umile Giuseppe Longo, Alberto Corrado Di Martino, Nicola Maffulli, Vincenzo Denaro
BACKGROUND: Even though internal fixation has expanded the indications for cervical spine surgery, it carries the risks of fracture or migration, with associated potential life threatening complications. Removal of metal work from the cervical spine is required in case of failure of internal fixation, but it can become challenging, especially when a great amount of scar tissue is present because of previous surgery and radiotherapy. CASE PRESENTATION: We report a 16 year old competitive basketball athlete who underwent a combined anterior and posterior approach for resection of an osteosarcoma of the sixth cervical vertebra...
December 29, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29283958/risk-of-pneumonia-after-vertebral-compression-fracture-in-women-with-low-bone-density-a-population-based-study
#11
Byunghyun Kim, Joonghee Kim, You Hwan Jo, Si-Hyuck Kang, Yeon Joo Lee, Jae Hyuk Lee, Je Eun Hwang, Min Ji Park, Sihyung Lee
STUDY DESIGN: Retrospective large population based-study. OBJECTIVE: The aim of this study is to elucidate the association between VCFs and pneumonia. SUMMARY OF BACKGROUND DATA: Vertebral compression fracture (VCF) is known to be associated with impaired pulmonary function. However, the risk of developing a pneumonia after a new-onset VCF has not been evaluated. METHODS: The data source was the National Health Screening Program Cohort, a population-based sample cohort of national health screening enrolees...
December 27, 2017: Spine
https://www.readbyqxmd.com/read/29282172/management-of-a-permanent-maxillary-lateral-incisor-with-vital-pulp-and-necrotic-dens-invaginatus-type-iii
#12
Thais Rodrigues Campos Soares, Luciana Pereira da Silva, Patrícia de Andrade Risso, Lucianne Cople Maia, Laura Guimarães Primo
This is a case report on the management of a vital lateral incisor with a radiolucent cervical area associated with the presence of necrotic pulp due to a dens invaginatus (DI) type III. A nine-year-old boy presented to a university pediatric dental clinic with dental trauma. The examination showed poor oral hygiene, an uncomplicated fracture in the permanent maxillary left central incisor, and a fistula near the permanent maxillary right lateral incisor. A radiograph showed that the right lateral incisor had incomplete root development and a type III DI...
September 15, 2017: Journal of Dentistry for Children
https://www.readbyqxmd.com/read/29279998/modified-anterior-only-reduction-and-fixation-for-traumatic-cervical-facet-dislocation-ao-type-c-injuries
#13
Rishi M Kanna, Ajoy P Shetty, S Rajasekaran
PURPOSE: Surgical reduction of uni and bi-facetal dislocations of the cervical spine (AO type C injuries) can be performed by posterior, anterior or combined approaches. Ease of access, low infection rates and less risks of neurological worsening has popularized anterior approach. However, the reduction of locked cervical facets can be intricate through anterior approach. We analyzed the safety, efficacy and outcomes at a minimum 1 year, of a novel anterior reduction technique for consecutively treated cervical facet dislocations...
December 26, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29249875/evaluation-of-fracture-resistance-of-ceramic-veneers-with-different-preparation-designs-and-loading-conditions-an-in-vitro-study
#14
Aman Arora, Viram Upadhyaya, Sheen J Arora, Prachi Jain, Avneet Yadav
Purpose: The purpose of this study was to evaluate the effect of incisal butt joint and incisal overlap design on the fracture resistance of ceramic veneers under two different loading conditions, i.e., 125° and 60° representing protrusive and intercuspal movements, respectively. Materials and Methods: Thirty-two maxillary central incisors were divided into two groups of sixteen specimens each and were prepared with incisal butt joint and incisal overlap design...
October 2017: Journal of Indian Prosthodontic Society
https://www.readbyqxmd.com/read/29243998/adjacent-segment-disease-after-thoracic-pedicle-screw-fixation
#15
Nitin Agarwal, Robert F Heary, Prateek Agarwal
OBJECTIVE Pedicle screw fixation is a technique widely used to treat conditions ranging from spine deformity to fracture stabilization. Pedicle screws have been used traditionally in the lumbar spine; however, they are now being used with increasing frequency in the thoracic spine as a more favorable alternative to hooks, wires, or cables. Although safety concerns, such as the incidence of adjacent-segment disease (ASD) after cervical and lumbar fusions, have been reported, such issues in the thoracic spine have yet to be addressed thoroughly...
December 15, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29242977/the-mechanism-in-junctional-failure-of-thoraco-lumbar-fusions-part-i-biomechanical-analysis-of-mechanisms-responsible-of-vertebral-overstress-and-description-of-the-cervical-inclination-angle-cia
#16
Jean-Charles Le Huec, Jonathon Richards, Andreas Tsoupras, Rachel Price, Amélie Léglise, Antonio A Faundez
PURPOSE: The purpose of the study is to describe the biomechanical theory explaining junctional breakdowns in thoraco-lumbar fusions, by taking the example of vertebral compression fractures. Also, a new angle, the cervical inclination angle (CIA), describing the relative position of the head at each vertebral level, is presented. METHODS: For the CIA, the data were collected from 137 asymptomatic subjects of a prospective database, containing clinical and radiologic informations...
December 14, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29242030/large-retropharyngeal-haematoma-airway-management-with-airtraq%C3%A2-laryngoscope
#17
M D Mira, M I Valldeperas, A Socias, H Sarasíbar, J L Aguilar Sánchez
Retropharyngeal haematoma is a life-threatening clinical situation that can lead to a potential obstruction of the upper airway and requires rapid diagnosis. Clinicaly, it can be presented in different ways, depending on its size and growing speed. The first measure is to protect and manage the airway: in most cases this is a difficult airway situation. A retropharyngeal haematoma can be formed due to a previous traumatic history, with or without associated cervical fracture. Treatment of the haematoma is conservative in most cases, with close monitoring until it is reabsorbed in 3-4 weeks, although they can sometimes require surgical evacuation...
December 11, 2017: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/29225650/maintenance-of-pulp-after-horizontal-root-fractures-in-three-maxillary-incisors-a-thirteen-year-evaluation
#18
Vânia Portela Ditzel Westphalen, Everdan Carneiro, Luiz Fernando Fariniuk, Ulisses Xavier da Silva Neto, Fernando Henrique Westphalen, Alexandre Kowalczuck
This case report documents the clinical approach adopted for three upper incisors with horizontal root fracture in the middle or cervical third. The proposed procedures involved maintaining pulp vitality and periodontal stability of the fractured teeth with 13 years of follow-up.
2017: Iranian Endodontic Journal
https://www.readbyqxmd.com/read/29218392/unusual-circumstances-to-diagnose-cervical-pott-s-disease
#19
Mohamed Ali Kedous, Ahmed Msakni, Wael Chebbi, Mourad Zaraa, Mohsen Trabelsi
Tuberculous spondylodiscitis usually affects the dorso-lumbar spine, and its cervical location is a rare condition that can mimic other diseases and consequently cause treatment delays. We report a case of tuberculous spondylodiscitis of the lower cervical spine discovered under unusual circumstances in a patient with severe polytrauma involving a cranio-cerebral trauma, a non-displaced fracture of the two laminæ and the spinous process of the C6 vertebrae as well as fibular and tibial shaft fractures. The patient underwent static tibial nailing, and a collar with occipital and chin supports was applied...
December 7, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/29208400/influence-of-cervical-preflaring-on-the-incidence-of-root-dentin-defects
#20
Álvaro Henrique Borges, Monique Sobral Damião, Thiago Machado Pereira, Gilberto Siebert Filho, Fabio Luis Miranda-Pedro, Welligton Luiz de Oliveira da Rosa, Evandro Piva, Orlando Aguirre Guedes
INTRODUCTION: This study evaluated the influence of cervical preflaring on the incidence of root dentin defects after root canal preparation. METHODS: Extracted human maxillary central incisors were selected and allocated to 1 control group and 12 experimental groups (n = 15). Teeth in the control group were left unprepared, whereas the others were prepared using 2 reciprocating single-file systems (Reciproc and WaveOne [WO]), 3 full-sequence rotary systems (ProTaper Universal, ProTaper Next [PTN], and ProFile), and K-files driven by an oscillatory system, with and without cervical preflaring...
December 2, 2017: Journal of Endodontics
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