medigraphic.com
Órgano Oficial del Hospital Angeles Health System

2012, Number 1

<< Back Next >>

Acta Med 2012; 10 (1)

C3 vertebral flexocompression fracture stage III of Allen and Fergurson, ASIA E

Morales SCJ, Ramos MJF

Language: Spanish
References: 18
Page: 30-34
PDF size: 712.92 Kb.


ABSTRACT

The fractures that affect the lower cervical spine, in specifically the vertebra of transition or segment C3, are a rare type of injury in the literature, in the series of Allen and Fergurson they describe injury of lower cervical spine for flexo compression mechanism with presentation of 22 %, being the most affected segment C5, most of the patients experiences certain degree of neurological associate injury.
The aim of the present work of investigation is to contribute with our experience in the treatment of the injuries of the segment of transition C3 for mechanism of injury type whiplash, with a follow-up case of 24 months, with detection of expected complications for this type of injury and current favorable evolution.
There is performed an extensive search of articles of review on this pathology, in databases of PubMed, MEDLINE and the search engine OVID, of which the obtained results are compared and there are identified the principal sequels of this suffering.


REFERENCES

  1. Fisher CG, Dvorak MF, Leith J, Wing PC. Comparison of outcomes for unstable lower cervical flexion teardrop fractures managed with halo thoracic vest versus anterior corpectomy and plating. Spine 2002; 27: 160-166.

  2. Fehlings MG, Cooper PR, Errico TJ. Posterior plates in the management of cervical instability: long-term results in 44 patients. J Neurosurg 1994; 81: 341-349.

  3. Cisneros-Dreinhofer F, Hurtado-Padilla A. Incidencia de las lesiones vertebrales traumáticas en el Servicio de Cirugía de Columna de un hospital de concentración del Sistema de Seguridad Social. Acta Ortop Mex 2003; 17(6): 292-297.

  4. Allen BL Jr, Ferguson RL, Lehmann TR, O’Brien RP. A mechanistic classification of closed, indirect fractures and dislocations of the lower cervical spine. Spine 1982; 7(1): 1-27.

  5. Kim KS, Chen HH, Russell EJ, Rogers LF. Flexion teardrop fracture of the cervical spine: radiographic characteristics. AJR Am J Roentgenol 1989; 152: 319-326.

  6. Manaster BJ. Traumatic cervical spine injuries: Characteristics of missed injuries. University of Utah School of Medicine, Salt Lake City, Utah; Courtesy of eClips Consult.

  7. Torg JS, Pavlov H, O’Neill MJ et al. The axial load teardrop fracture: A biomechanical, clinical and roentgenographic analysis. Am J Sports Med 1991; 19: 355-364.

  8. Roaf R. Vertebral growth and its mechanical control. J Bone Joint Surg Br 1960; 42-B: 40-59.

  9. Kongsted A, Sorensen JS, Andersen H, Keseler B, Jensen TS, Bendix T. Are early MRI findings correlated with long-lasting symptoms following whiplash injury? A prospective trial with 1-year follow-up. Eur Spine J 2008; 17(8): 996-1005.

  10. Machinis TG, Fountas KN, Kapsalaki EZ, Kapsalakis I, Grigorian AA. A rare case of complete C2–C3 dislocation with mild neurological symptoms. Eur Spine J 2006; 15(Suppl 5): S585-S589.

  11. Bohlman HH. Acute fractures and dislocations of the cervical spine. An analysis of three hundred hospitalized patients and review of the literature. J Bone Joint Surg Am 1979; 61: 1119-1142.

  12. Ito S, Ivancic C, Pearson AM, Tominaga Y, Gimenez SE, Rubin W, Panjabi MM. Cervical intervertebral disc injury during simulated frontal impact. Eur Spine J 2005; 14: 356-365.

  13. Nibu K, Cholewicki J, Panjabi MM, Babat LB, Grauer JN, Kothe R, Dvorak J. Dynamic elongation of the vertebral artery during an in vitro whiplash simulation. Eur Spine J 1997; 6: 286-289.

  14. Hartwig E, Kettler A, Schultheiss M, Kinzl L, Claes L, Wilke HJ. In vitro low-speed side collisions cause injury to the lower cervical spine but do not damage alar ligaments. Eur Spine J 2004; 13: 590-597.

  15. Ivancic PC, Pearson AM, Panjabi MM, Ito S. Injury of the anterior longitudinal ligament during whiplash simulation. Eur Spine J 2004; 13: 61-68.

  16. Vetti N, Krakenes J, Damsgaard E, Rorvik J, Gilhus NE, Espeland A. Magnetic resonance imaging of the alar and transverse ligaments in acute whiplash-associated disorders 1 and 2: a cross-sectional controlled study. Spine 2011; 36(6): E434–E440.

  17. Kim KS, Chen HH, Russell EJ, Rogers LF. Flexion teardrop fracture of the cervical spine: radiographic characteristics. AJR Am J Roentgenol 1989; 152: 319-326.

  18. Vengust R, Mihalič R, Turel M. Two different causes of acute respiratory failure in a patient with diffuse idiopathic skeletal hyperostosis and ankylosed cervical spine. Eur Spine J 2010; 19(Suppl 2): S130-S134.




2020     |     www.medigraphic.com