Head and Spine Trauma

2014 ◽  
pp. 55-92
Keyword(s):  
Spine Trauma

Gray Area: Methylprednisolone in Spine Trauma

2006 ◽  
Vol 2 (12) ◽  
pp. 23
Author(s):  
BARBARA J. RUTLEDGE
Keyword(s):  
Spine Trauma ◽  
Gray Area

Multiple subluxations and comminuted fracture of the cervical spine in a sheep

2015 ◽  
Vol 43 (01) ◽  
pp. 44-38
Author(s):  
C.-C. Lin ◽  
K.-S. Chen ◽  
Y.-L. Lin ◽  
J. P.-W. Chan
Keyword(s):  
Cervical Spine ◽  
Pain Perception ◽  
Cervical Vertebrae ◽  
Traumatic Injury ◽  
Spinal Reflexes ◽  
Spine Trauma ◽  
Blunt Force Trauma ◽  
Comminuted Fracture ◽  
History Of ◽  
The Right

SummaryA 5-month-old, 13.5 kg, female Corriedale sheep was referred to the Veterinary Medicine Teaching Hospital, with a history of traumatic injury of the cervical spine followed by non-ambulatoric tetraparesis that occurred 2 weeks before being admitted to the hospital. At admission, malalignment of the cervical spine with the cranial part of the neck deviating to the right was noted. Neurological examinations identified the absence of postural reactions in both forelimbs, mildly decreased spinal reflexes, and normal reaction to pain perception tests. Radiography revealed malalignment of the cervical vertebrae with subluxations at C1–C2 and C2–C3, and a comminuted fracture of the caudal aspect of C2. The sheep was euthanized due to a presumed poor prognosis. Necropsy and histopathological findings confirmed injuries of the cervical spine from C1 to C3, which were consistent with the clinical finding of tetraparesis in this case. This paper presents a rare case of multiple subluxations of the cervical spine caused by blunt force trauma in a young sheep. These results highlight the importance of an astute clinical diagnosis for such an acute cervical spine trauma and the need for prompt surgical correction for similar cases in the future.

Toward Developing a Specific Outcome Instrument for Spine Trauma

Spine ◽  
2015 ◽  
Vol 40 (17) ◽  
pp. 1371-1379 ◽  
Author(s):  
F. Cumhur Oner ◽  
Said Sadiqi ◽  
A. Mechteld Lehr ◽  
Bizhan Aarabi ◽  
Robert N. Dunn ◽  
...  
Keyword(s):  
Spine Trauma ◽  
Outcome Instrument ◽  
Specific Outcome

Gymnasts and Spine Trauma

1991 ◽  
Vol 5 (5) ◽  
pp. 5
Author(s):  
&NA;
Keyword(s):  
Spine Trauma

An Evidence-Based Medicine Process to Determine Outcomes After Cervical Spine Trauma

Spine ◽  
2012 ◽  
Vol 37 (18) ◽  
pp. E1140-E1147 ◽  
Author(s):  
Peter Lewkonia ◽  
Christian DiPaola ◽  
Rowan Schouten ◽  
Vanessa Noonan ◽  
Marcel Dvorak ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Cervical Spine Trauma ◽  
Spine Trauma ◽  
Based Medicine

Lateral retropleural and retrodiaphragmatic approach in patients with spine trauma and diseases: a systematic review and meta-analysis

2021 ◽  
Vol 85 (3) ◽  
pp. 94
Author(s):  
A.A. Grin ◽  
A.Yu. Kordonskiy ◽  
I.S. Lvov ◽  
S.L. Arakelyan ◽  
A.V. Sytnik
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Spine Trauma

Role of Including the Index level in Short Segment Pedicular Fixation in Traumatic Thoraco-Lumbar Fractures

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ayman Abd-El-Ra’ouf EL-Shazly ◽  
Salah Mostafa Hamada ◽  
Ahmed Maged Nagaty ◽  
Ahmed Adel Nabih
Keyword(s):  
Pedicle Screw ◽  
Thoracolumbar Fractures ◽  
Spine Trauma ◽  
Kyphosis Angle ◽  
Short Segment ◽  
Loss Of Correction ◽  
Significant Difference ◽  
Index Level ◽  
Short Segment Fixation ◽  
Fracture Level

Abstract Background It is generally acknowledged that short-segment pedicle screw instrumentation is the preferred surgical method for thoracolumbar fractures. However, the use of short-segment instrumentation with or without intermediate screws at the fracture level remains controversial. This review will evaluate the evidence available to date regarding the efficacy of including the fracture level in trans-pedicular screw short segment fixation, to assess clinical and radiological outcome. Objectives Our primary objective is evaluating the efficacy and outcome of including the fractured level vertebra in short segment fixation. And concerns regarding the use of pedicle screws into the fractured vertebra as to whether it is safe to insert a screw through a broken bone. Our secondary objective analyzing the importance of posterior pedicle screw fixation in unstable thoracolumbar fractures. Methods The following electronic databases will be searched from 1992 to 2018: PubMed, Google scholar search engine. Cochrane database of systematic reviews, EMBASE and science Direct, using the keywords “TLICS”, "index screw", “short segment fixation”, "Thoracolumbar spine trauma", "traumatic spine injury", "spinal cord injury", "spine trauma", "role", “reliability”.Studies will be eligible if they contain the target keywords in title or abstract, addressing our age group. Afterwards the full text of the articles will be reviewed to exclude full texts not fulfilling the criteria or deviating from the initial impression taken from the title/abstract reviewing. References/bibliography of the selected articles will be examined to evaluate potential for further research and possible inclusion in the analysis. Any differences will be sorted by discussion between study team (student, director, and co-directors). Results A total of 3010 studies were screened for eligibility , 8 studies were included in our systematic review for comparing the short segment fixation “including” the fracture level with “conventional” methods whether short or long segment fixation. Overall study population reached 512 patients. Analysis showed comparable results regarding clinical picture and radiography, showing highly statistically significant difference in favor of “including” index level in fixation in post operative kyphosis angle correction, loss of correction of kyphosis angle through follow up until 2 years and loss of correction of AVH, also statistically significant difference in rate of implant failure in favor for “including” group, and with no significant difference in operative time , blood loss and VAS for post-operative pain. Conclusion We conclude that Short segment fixation including the fracture level is a promising surgical option when it comes to thoraco-lumbar unstable fractures. In conclusion, inclusion of the fracture level into the construct offers a better kyphosis correction, in addition to fewer instrument failures, without additional complications, and with a comparable-if not better-clinical outcome, the radiologic correction achieved is maintained even at the end of 2 years and reflected in good functional outcomes. We recommend insertion of screws into pedicles of the fractured thoracolumbar vertebra when considering a short segment posterior fixation, especially in Magerl type C fractures. Large population prospective randomized controlled studies and clinical trials are recommended for more high level evidence data.

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