2020, Number 2
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Rev Méd Electrón 2020; 42 (2)
Occipito-cervical fusion in unstable fracture of Jefferson type atlas
Sierra BEM, Guerra SR, Socorro IY, León PMQ
Language: Spanish
References: 10
Page:
PDF size: 336.76 Kb.
ABSTRACT
Atlas fractures represent the second most common type of upper cervical spine injury.
This work aims to describe the occipito-cervical fixation as a treatment for the unstable
Jefferson-type atlas fracture. A patient suffering from spinal cord trauma is presented,
after applying a thorough physical examination and the computed tomography of the
cervical spine, a Jefferson type fracture of atlas with more than 7 mm of separation of
its fragments is detected. As this is an unstable fracture of the upper cervical region, it
was decided to perform an occipito-cervical fixation as a treatment method for this
lesion. The postoperative evolution of the patient was uneventful.
REFERENCES
Adult and Pediatric Spine Trauma. NEUROSURGERY CLINICS OF NORTH AMERICA Volume 28, Number 1. January 2017 ISSN 1042-3680, ISBN 13: 978-0-323-48264-6
Li-Jun L, Ying-Chao H, Ming-Jie Y, Jie P, Jun T, Dong- Sheng Z. Biomechanical analysis of the longitudinal ligament of upper cervical spine in maintaining atlantoaxial stability. Spinal Cord 2014;52:342–34
Domenicucci M, Mancarella C, Dugoni ED, Ciappetta P, Paolo M. Post-traumatic Collet-Sicard syndrome: personal observation and review of the pertinent literature with clinical, radiologic and anatomic considerations. Eur Spine J 2014 Aug 24. [Epub ahead of print]
Koller H, Resch H, Tauber M, et al. A biomechanical rationale for C1-ring osteosynthesis as treatment for displaced Jefferson burst fractures with incompetency of the transverse atlantal ligament. Eur Spine J 2010;19:1288–1298
Tan M, Dong L, Wang W, et al. Clinical application of the “pedicle exposure technique” for atlantoaxial instability patients with a narrow C1 posterior arch. J Spinal Disord Tech 2015;28:25–30
Hu Y, Xu R-M, Albert TJ, et al. Function-preserving reduction and fixation of unstable Jefferson fractures using a C1 posterior limited construct. J Spinal Disord Tech 2014;27:E219–E225
Elliott RE, Tanweer O, Boah A, et al. Outcome comparison of atlantoaxial fusion with transarticular screws and screw-rod constructs: meta-analysis and review of literature. J Spinal Disord Tech 2014;27: 11–28
Lee J, Thumbikat P. Pathophysiology, presentation and management of spinal cord injury. Surgery. 2015;33(6):238–47.
Handbook of Neurosurgery. Eighth Edition. 2016 Thieme Medical Publishers, Inc. Thieme Publishers New York 333 Seventh Avenue, New York, NY 10001 USA +1 800 782 3488 customerservive@thieme.com www.thieme.com, Cap 62. Spine Trauma.
Roig Fabre E. Diagnóstico y tratamiento de las lesiones traumáticas de la unión craneoespinal. Tesis presentada en opción al grado científico de Doctor en Ciencias Medicas. Hospital Calixto García. La Habana. 2009.