Traumatic cervical spine fractures in the adult

Copley, Phillip Correia; Tilliridou, Vicky; Jamjoom, Aimun A B

doi:10.12968/hmed.2016.77.9.530

Cited by 6 publications

(8 citation statements)

References 27 publications

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“…This is the same as what reported in the same study [11]. We found that the most common age group was (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30). The sekhar paper found that the incidence of cervical spine trauma was highest in the age group of 21-30 years followed by 31-40 [11].…”

Section: Discussionsupporting

confidence: 89%

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Corpectomy in Sub-Axial Cervical Fracture in Tertiary Center inThird World Country

Elashry¹,

Elkatatny

2021

The Medical Journal of Cairo University

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Background: Cervical spine injuries represent 5-10% of major injuries in post-traumatic patients. These injuries cause 6K deaths and 5K quadriplegic cases annually. The neurological defect happens due to disruption of the normal anatomy. Aim of Study: Cervical corpectomy is a common spinal surgery procedure used to decompress the spinal cord in numerous degenerative, traumatic and neoplastic conditions. The aim of this study was to investigate the indications, complications and outcomes in past cervical corpectomy cases at one centre. Patients and Methods: During the period of July 2019-July 2020, corpectomy was performed on 14 patients with lower cervical spine fracture, fracture/dislocation by the author surgeons. Etiology for the cervical trauma of 14 patients was road traffic accidents. A standard anterior approach to the cervical column was applied to remove affected vertebrae and discs, including their upper and lower surfaces. Corpectomy was done with rounger and high-speed drills with image guidance. A PIRA mesh filled with bone was inserted into the space created by body and discs removed. A plate was inserted. Results: In our series, 12 (85.7%) were incomplete myelopathy (Grade III, IV, V). 7 of them improved after surgery (58.3%), 3 unchanged (25%), 2 passed away (16.7%). We have 2 patients (14.3%) with grade VI, of them 1 patient improved (50%) and the other one did not improve (50%). we have 12 patients (85.7%) operated in 24 hours after trauma. 8 of them improved (66.7%) and they were all the patients who were improved from the total (8/14, 57.14%). 2 cases only were postponed later than 24 hours. We have 2 patients had wound infection (14.3%), 2 CSF collections (14. 3%), 2 patients had difficulties in breathing (14.3%), 4 patients suffered from bed sores (28.6%). So total patients with complications were 8/14 (57.14%). Four patients stayed 48 hours (28.6%), 8 patients (57.1 %) stayed for 72 hours. And 2 patients stayed more than 72 hours (14.3%). Conclusion: We do not have actual number of incidences of road traffic accidents, but all our cases are due to accidents. We have C5 fracture was the most common segment. Most common age group affected was 21-30 with male predomi

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Section: Discussionsupporting

confidence: 89%

“…While theoretical and experimental animal studies showed that early intervention may give advantage for spinal cord injuries with cervical fractures, no clinical studies have showed this yet. Experts advised to interfere with in 8-24 hours [28,29]. And this goes with what we found.…”

Section: Discussionsupporting

confidence: 79%

Corpectomy in Sub-Axial Cervical Fracture in Tertiary Center inThird World Country

Elashry¹,

Elkatatny

2021

The Medical Journal of Cairo University

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“…ABBREVIATIONS: AI ¼ artificial intelligence; ASiR ¼ adaptive statistical iterative reconstruction; DSS ¼ decision support system; CSFx ¼ cervical spinal fractures C ervical spinal fractures (CSFx) are devastating injuries that can cause severe morbidity and mortality from damage to the enclosed spinal cord, the craniocervical junction, and cervical vasculature. 1 Failure of the osseous spinal column can lead to instability and impingement of the underlying spinal cord; 2 therefore, timely identification and stabilization of CSFx are crucial to prevent further disability. 1,3 In the acute clinical setting, NCCT of the cervical spine is the recommended method for detecting CSFx; 4 however, with diagnostic imaging volumes dramatically increasing, 5,6 these increased imaging volumes place a burden on radiologists who must maintain diagnostic accuracy and efficiency.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Accuracy and Failure Mode Analysis of a Deep Learning Algorithm for the Detection of Cervical Spine Fractures

Voter

Larson

Garrett

et al. 2021

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE: Artificial intelligence decision support systems are a rapidly growing class of tools to help manage ever-increasing imaging volumes. The aim of this study was to evaluate the performance of an artificial intelligence decision support system, Aidoc, for the detection of cervical spinal fractures on noncontrast cervical spine CT scans and to conduct a failure mode analysis to identify areas of poor performance.

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“…1 The goals, indications, approaches, and techniques for the treatment of cervical injuries are well established. 2 However, therapeutic tools used during surgery depend on their availability.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Cervical Spine Fractures and Subluxations without the Use of Intraoperative Fluoroscopy in Resource-Limited Settings

Eyenga

Bikono

Eloundou

2020

JNRP

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Background Surgical management of subaxial cervical spine injuries remains challenging. Although intraoperative fluoroscopy is usually used for intraoperative spinal level localization (SLL), it is unavailable in most developing countries. The surgeon therefore has to rely on anatomic landmarks. In our setting, in the absence of intraoperative fluoroscopy, we used the carotid tubercle for SLL. Herein we evaluate the accuracy and reliability of the carotid tubercle as a landmark during surgery for traumatic cervical spine injury. Methods This was a retrospective cohort study on 34 patients undergoing anterior cervical surgery for subaxial cervical spine fractures and/or subluxation between January 2005 and February 2011. From their medical records, the patients’ sociodemographic, clinical, radiological, and operative data were retrieved and analyzed. Results Thirty-four patients were included in the study. The mean age was 36.2 years. Thirty patients were males. The mean duration between the trauma and surgical intervention was 9.6 days. Six patients were completely tetraplegic. Fourteen patients had fractures and 20 patients had subluxation. The carotid tubercle was palpable in all the 34 cases. Twenty-two (68.8%) patients had partial or complete neurologic recovery. Complete anatomic reduction was achieved in 30 cases. One case of slight malalignment of the plate was observed. No case of significant deviation nor penetration of the screw into the vertebral canal was found. One patient died. Conclusions Carotid tubercle, a palpable intrinsic marker, is an attractive anatomic landmark for SLL during surgeries for traumatic spine injuries in resource-limited settings.

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Traumatic cervical spine fractures in the adult

Abstract: This article reviews fractures of the cervical spine, highlighting the pertinent goals of initial management, the indications for different imaging modalities and the different fracture patterns. Basic principles of management of these different fracture patterns are outlined.

Cited by 6 publications

References 27 publications

Corpectomy in Sub-Axial Cervical Fracture in Tertiary Center inThird World Country

Corpectomy in Sub-Axial Cervical Fracture in Tertiary Center inThird World Country

Diagnostic Accuracy and Failure Mode Analysis of a Deep Learning Algorithm for the Detection of Cervical Spine Fractures

Treatment of Cervical Spine Fractures and Subluxations without the Use of Intraoperative Fluoroscopy in Resource-Limited Settings

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