Traumatic spondylolisthesis of the axis.
نویسندگان
چکیده
A series of 123 patients suffering traumatic spondylolisthesis of the axis is reported. This lesion is associated with extension and axial loading injury, and there is a high incidence of injuries of the face or scalp and of associated fractures of the upper cervical spine. There is a low incidence of neurological injury, which seems paradoxical in the presence of what appears to be gross instability, but protection from extremes of flexion and extension may be adequate treatment. Union is usual regardless of displacement. Traction is a safe means of treatment, but early waking in a halo support reduces time in hospital without jeopardizing the result. Operation is needed only for chronic instability with or without pain, and anterior interbody fusion of C2--3 is than preferred in order to preserve rotation at the atlanto-axial joints.
منابع مشابه
Pediatric Hangman's Fracture: A Comprehensive Review.
PURPOSE Over 170 years ago, traumatic spondylolisthesis of the axis or hangman's fracture was described. Most descriptions of this entity have focused on adult presentations. METHODS We review the literature on pediatric cases of hangman's fracture emphasizing the embryological as well as presentation aspects. RESULTS The majority of cervical spine fractures in children occur at C1 and C2 v...
متن کاملTraumatic spondylolisthesis of the axis treated with direct C2 pars screw.
OBJECTIVE The optimal treatment modality for traumatic spondylolisthesis of the axis is still a controversial issue. Many conservative, posterior and anterior fixation techniques have been used to treat these injuries. The C2 pars (isthmus) was used as a novel screw anchor point in upper cervical spine injuries. The direct C2 pars screws are also used to fixate the posterior and anterior parts ...
متن کاملSurgical management of axis' traumatic spondylolisthesis (Hangman's fracture).
OBJECTIVE To evaluate the results of surgical treatment using pedicle screws going through C2 pedicles for fixating the spondylolisthesis of the axis in patients who presented pseudoarthrosis after clinical treatment, or who have no condition for fixation with "halo vest", due to serious head trauma. METHOD Ten patients have been operated from June 1998 to April 2002, nine suffering from trau...
متن کاملLow-Intensity Pulsed Ultrasound and Halo Immobilization Is an Effective Treatment for Nonunion Following Traumatic Spondylolisthesis of the Axis
This case report describes a unique case involving traumatic spondylolisthesis of the axis that resulted in nonunion, angulation, and displacement after conservative treatment with a cervical collar, but which was successfully achieved union with halo immobilization and low-intensity pulsed ultrasound (LIPUS). Halo immobilization of a traumatic spondylolisthesis in a 20-year-old patient, that p...
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عنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 63-B 3 شماره
صفحات -
تاریخ انتشار 1978