Introduction Odontoid fractures occur commonly in a bimodal age distribution. In younger patients the injury is associated with high energy trauma; however fractures in the elderly population are associated with low energy trauma such as falls. Above the age of 70 years, fractures of the odontoid peg are the most common cervical spine injury, with the majority being type II by the Anderson and ...

RATIONALE The complication of iatrogenic distraction of odontoid fracture after anterior screw fixation has not been reported in the literature. We treated the patient with endoscopically assisted bone grafting with good results. The new technique was not reported in the management of odontoid fracture or nonunion before. PATIENT CONCERNS A 22-year-old man presented with neck pain after a mot...

BACKGROUND Different strategies exist for reduction of the cervical spine. Placement of C1 lateral mass screws is a powerful technique but may be impossible in a degenerative or revision setting. We report the open, posterior-only, and instrumented reduction of a fixed C1-2 subluxation using occipital and C2/C3 fixation. The patient had rheumatoid arthritis and had undergone previous surgery of...

UNLABELLED SUBAXIAL CERVICAL FACET DISLOCATION INJURIES: STANDARDS There is insufficient evidence to recommend treatment standards. GUIDELINES There is insufficient evidence to recommend treatment guidelines. OPTIONS Closed or open reduction of subaxial cervical facet dislocation injuries is recommended. Treatment of subaxial cervical facet dislocation injuries with rigid external immobil...

Anterior cervical spine operations involve decompression of the spinal canal and cervical nerve roots by discectomy or corpectomy in combination with fusion via cage or replacement of a vertebral body. Bailey and Badgley,1 Smith and Robinson,2 and Cloward3 introduced the technique first in the 1950s and the early 1960s. The reported rates of clinical success in the literature are high4 and low-...

Anterior cervical spine surgery is an established surgical intervention for cervical degenerative disease and high success rate with excellent long-term outcomes have been reported. However, indications of surgical procedures for certain conditions are still controversial and severe complications to cause neurological dysfunction or deaths may occur. This review is focused mainly on five widely...

BACKGROUND CONTEXT Vocal cord palsy (VCP) is a known complication of anterior cervical spine surgery. However, the true incidence and interventions to minimize this complication are not well studied. PURPOSE To conduct a systematic review to identify the incidence, risk, and interventions for VCP after anterior cervical spine surgery. STUDY DESIGN This is a qualitative systematic literature...

Introduction: Chordoma is a rare type of low-grade malignant neoplasm that arised from the remnants of the embryonic notochord. Observed mainly in the clivus and sacrum but can occur anywhere along the spine. Several treatment approaches are described. Treatment outcomes are significantly influenced by the size and location of the tumor. Clinical presentation and follow up: We report a 19-year-...

BACKGROUND Anterior cervical discectomy and fusion (ACDF) is a well-accepted treatment option for patients with cervical spine disease. Three- and four-level discectomies are known to be associated with a higher complication rate and lower fusion rate than single-level surgery. This study was performed to evaluate and compare zero-profile fixation and stand-alone PEEK cages for three- and four-...