C2 Body Fracture: Report of Cases Managed Conservatively by Philadelphia Collar

Motiei-Langroudi, Rouzbeh; Sadeghian, Homa

doi:10.4184/asj.2016.10.5.920

Cited by 6 publications

(4 citation statements)

References 7 publications

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“…Similarly, Muzin et al [11] suggested that hard cervical collars were effective for the initial management of trauma (i.e., to prevent cervical instability). Finally, Motiei-Langroudi and Sadeghian [21] studied 11 patients with a C2 fracture who used the Philadelphia collar either until the bone completely recovered or until the neck pain disappeared. After a follow-up of 21 months, the patients reported no neurological symptoms or deficits, a mean VAS score of 2, and recovery of their lifestyle before the injury.…”

Section: Philadelphia Collarmentioning

confidence: 99%

Effectiveness of orthoses for treatment in patients with spinal pain

Choo

Lee

2020

Yeungnam Univ J Med

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Spinal pain is a common patient complaint in clinical practice. Conservative treatment methods include oral medication, physical therapy, injections, and spinal orthoses. The clinical application of orthoses is debated because of potential complications associated with long-term use, such as muscle weakness and joint contracture. We reviewed the orthoses most frequently used to manage spinal pain. We review the use of soft cervical and Philadelphia collars, lumbosacral corsets, and thoracolumbosacral orthosis to manage spinal pain. Spinal orthoses can help reduce pain by protecting the muscles and joints of the injured spinal region, preventing or correcting malformations, and limiting trunk flexion, extension, lateral flexion, and rotation. The short-term use of spinal orthoses is known to improve pain and disability during the treatment period without significant adverse effects. Spinal orthoses are expected to alleviate pain and improve patients' lifestyle.

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Section: Philadelphia Collarmentioning

confidence: 99%

Effectiveness of orthoses for treatment in patients with spinal pain

Choo

Lee

2020

Yeungnam Univ J Med

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“…Type II fractures are thought to be caused by a combination of extension and axial loading, followed by flexion and compression loads [5]. Many type II fractures are stable; thus, if stability is proven, they can be treated with nonsurgical management via a rigid cervical collar or halo vest [6,7].…”

Section: Discussionmentioning

confidence: 99%

Hangman’s Fracture Caused by a Truck Cabin Tilting Backward: A Case Report

Cha

2023

J Clin Med Surgery

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“…In this study, we analyzed the radiographic images of patients who visited our clinic and classified them into five morphological types: coronal, sagittal, transverse, avulsion, and combined. Some studies have shown good results with conservative treatment for vertebral body fractures [18][19] . In this study, conservative treatment was performed first, which is using a neck brace or halo-vest depending on the stability of the fracture.…”

Section: Literature Reviewmentioning

confidence: 99%

Morphological Features and Clinical Results of C2 Vertebral Body Fractures

Son

Choi

2023

BAS

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Type of study: Retrospective study. Objectives: To classify and analyze the morphological patterns of vertebral body fractures and report the clinical results. Summary of literature review: There have not been many reports on the classification of vertebral body fractures and treatment results, and it remains a matter of debate. Materials and methods: Among 107 patients diagnosed with an axis fracture from 2005 to 2019, 53 patients with fracture involving the vertebral body were selected. After the exclusion of 9 patients with a history of cervical spine surgery or who were lost to follow-up, 44 consecutive patients were enrolled in this retrospective study. Patients were classified into 5 groups (coronal, sagittal, transverse, avulsion, and complex) according to the main fracture line. The demographic data, injury mechanism, discoligamentous injury, combined injury, neurological symptoms, and clinical treatment results were analyzed. Results: Patients’ average age was 61.7 years (range, 25–81 years). 24 patients were male and 20 were female. The average follow-up period was 14.2 months (range, 7–33 months). The coronal, sagittal, transverse, avulsion, and complex groups contained 5, 5,8, 7, and 19 patients, respectively. Six patients were injured by slip-down accidents, 12 patients by falling height, and 26 patients by traffic accidents. Eighteen patients were presented with a discoligamentous injury. Twenty-five patients showed a combination of fractures of cervical vertebrae and bones. Thirteen patients presented neurological symptoms. 16 patients were treated with a neck collar and 28 patients were treated with a halo-vest. Two patients eventually required surgical fusion because union was not achieved with conservative management. In the final follow-up, all neurological symptoms were resolved; however, 4 patients still complained of a mild tingling sensation in the upper extremity. Pin site infection occurred in 3 patients who were treated with a halo-vest, but it was controlled after antibiotic administration. Conclusion: Vertebral body fractures accounted for almost 50% of axis fractures in this study. Vertebral body fractures can be classified into 5 groups (coronal, sagittal, transverse, avulsion, and complex) according to the morphological pattern. Non-operative management can be a reasonable treatment option with good clinical results and bone union.

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C2 Body Fracture: Report of Cases Managed Conservatively by Philadelphia Collar

Cited by 6 publications

References 7 publications

Effectiveness of orthoses for treatment in patients with spinal pain

Effectiveness of orthoses for treatment in patients with spinal pain

Hangman’s Fracture Caused by a Truck Cabin Tilting Backward: A Case Report

Morphological Features and Clinical Results of C2 Vertebral Body Fractures

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