Surgical management of the fractures of axis body: indications and surgical strategy

Zhang, Yinshun; Zhang, Jianxiang; Yang, Qian; Shen, Cailiang; Li, Wei; Yin, Zhou

doi:10.1007/s00586-013-3158-x

Cited by 19 publications

(13 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Axis body fractures, also known as miscellaneous axis fractures or non-odontoid non-hangman's axis fractures, are relatively less common in comparison to odontoid (dens) and hangman's fractures [123]. Although C2 fractures compromise 20% of cervical fractures, C2 body fractures account for approximately 10% of the upper cervical fractures [34].…”

Section: Discussionmentioning

confidence: 99%

“…Using this classification system yields three types: vertical coronal (type 1), vertical sagittal (type 2), and transverse (type 3) [14]. The latter was once regarded as a type 3 odontoid fracture, while most consider it a separate type under C2 body fracture [23].…”

Section: Discussionmentioning

confidence: 99%

“…The more commonly used one is based on the orientation of fracture line, and classifies these fractures as coronal (type 1), sagittal (type 2), and transverse (type 3) fractures [14]. The other system classifies them based on imaging findings into avulsion, burst, sagittal, and transverse (or horizontal) fractures (Fig.…”

Section: Introductionmentioning

confidence: 99%

“…However, in most series, conservative and non-operative management using external immobilization is recommended for treatment of isolated C2 body fractures [124567]. Surgical management of this subtype is advocated for a minority of cases and has only been recommended in fractures associated with obvious instability of adjacent joints, irreducible displaced superior articular facet fracture, spinal cord compression [1], and severe malalignment of the atlantoaxial (C1–C2) joint [5]. …”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

Motiei-Langroudi

Sadeghian

2016

Asian Spine J

View full text Add to dashboard Cite

Study DesignCase series.PurposeTo present results of conservative management in patients with pure C2 body fractures.Overview of LiteratureAxis body fractures, a less common subgroup of C2 fractures, are commonly classified as vertical coronal, vertical sagittal, and transverse subtypes. While the treatment paradigm for other C2 fractures is clear, there is insufficient evidence to support treatment guidelines for C2 body fractures.MethodsEleven patients with pure C2 body fractures were managed with external immobilization and followed thereafter.ResultsAll neurologic examinations were normal. In computed tomography (CT) scans, four, two, three, and two patients had a coronal, sagittal, horizontal, and burst fracture, respectively. Magnetic resonance imaging showed hematoma and partial rupture in the anterior longitudinal ligament in four patients, posterior ligamentous complex injury in one, and normal ligamentous structure in six. All fractures were managed conservatively using the Philadelphia collar, which was continued until complete disappearance of symptoms (within 1–3 months in all patients). The decision to discontinue the neck collar was made by a dynamic neck X-ray and CT scan that showed complete bony fusion. All patients were then followed for an additional 1.5 years (mean follow-up of 21 months for all patients). No patient showed any neurologic symptoms or deficits during the follow-up period.ConclusionsIn patients with pure C2 body fracture, non-operative management with Philadelphia neck collar is a safe and efficacious option, even in the presence of some sort of ligamentous injury.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Motiei-Langroudi

Sadeghian

2016

Asian Spine J

View full text Add to dashboard Cite

show abstract

“…To the authors best knowledge, only small case series exist on axis body fractures and conservative treatment was generally favored [17]. Some authors tried to recommend choice of treatment according to fracture pattern [18, 19]. …”

Section: Discussionmentioning

confidence: 99%

Oblique Axis Body Fracture: An Unstable Subtype of Anderson Type III Odontoid Fractures—Apropos of Two Cases

Takai

Konstantinidis

Schmal

et al. 2016

Case Reports in Orthopedics

View full text Add to dashboard Cite

Purpose. Anderson type III odontoid fractures have traditionally been considered stable and treated conservatively. However, unstable cases with unfavorable results following conservative treatment have been reported. Methods. We present the cases of two patients who sustained minimally displaced Anderson type III fractures with a characteristic fracture pattern that we refer to as “oblique type axis body fracture.” Results. The female patients aged 90 and 72 years, respectively, were both diagnosed with minimally displaced Anderson type III fractures. Both fractures had a characteristic “oblique type” fracture pattern. The first patient was treated conservatively with cervical spine immobilization in a semirigid collar. However, gross displacement was noted at the 6-week follow-up visit. The second patient was therefore treated operatively by C1–C3/4 posterior fusion and the course was uneventful. Conclusions. Oblique type axis body fractures resemble a highly unstable subtype of Anderson type III fractures with the potential of severe secondary deformity following conservative treatment, irrespective of initial grade of displacement. The authors therefore warrant a high index of suspicion for this injury and suggest early operative stabilization.

show abstract

Clinical findings of conservative cases with a coronally oriented vertical fracture of the posterior region of the C2 vertebral body

et al. 2015

View full text Add to dashboard Cite

The patients with a coronally oriented vertical fracture of the posterior region of the C2 vertebral body consisted were all elderly males in our study. Six of the eight patients demonstrated associated cervical spinal fractures; however, all patients acquired solid bony union, including fusion of the associated cervical spinal fractures. We suggest that a Philadelphia collar may be sufficient for conservatively treating coronally oriented vertical C2 body fractures, including associated cervical spinal fractures.

show abstract

Surgical management of the fractures of axis body: indications and surgical strategy

Abstract: Conservative treatment is still advocated as primary management for most axis body fractures. But for patients with obvious adjacent joints instability or irreducible displaced superior articular facet fracture, surgical intervention based on the different fracture pattern is necessary.

Cited by 19 publications

References 26 publications

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

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

Oblique Axis Body Fracture: An Unstable Subtype of Anderson Type III Odontoid Fractures—Apropos of Two Cases

Clinical findings of conservative cases with a coronally oriented vertical fracture of the posterior region of the C2 vertebral body

Contact Info

Product

Resources

About