Document Detail


Multiple unstable cervical fractures with cord compromise treated nonoperatively: a case report.
MedLine Citation:
PMID:  15167674     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: The case of a 17-year-old boy who sustained an unusual pattern of multiple unstable cervical spine fractures with a spinal cord injury is presented. OBJECTIVE: To review the management and treatment of multiple unstable cervical spine fractures. SUMMARY OF BACKGROUND DATA.: Combined unstable cervical spine injuries are uncommon. Treatment of multiple-level cervical spine fractures remains controversial. METHODS: The case of a 17-year-old boy who sustained a ring fracture of the atlas, an atypical traumatic spondylolisthesis of the axis, bilateral pedicle fractures of C3 with significant anterior subluxation of C3 on C4, a C6 burst fracture, compression fractures of C7 and T1, and significant cord compression as the result of a motor vehicle accident is presented. RESULTS: The patient was successfully treated with an initial closed reduction using cervical traction for 1 week followed by placement of a cervical halo vest. The fractures healed successfully, and the patient regained near-normal neurologic function. CONCLUSIONS: Despite advances in the surgical treatment of cervical fractures and dislocations, nonoperative treatment with halo immobilization remains a viable option for selected complex injury patterns.
Authors:
Tony Y Tannoury; Matthew G Zmurko; Chadi A Tannoury; D Greg Anderson; Donald P K Chan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  29     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-05-28     Completed Date:  2004-07-15     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E234-8     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA. ttannoury@msn.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Cervical Vertebrae / injuries*,  pathology,  radiography
Humans
Magnetic Resonance Imaging
Male
Spinal Cord Injuries / diagnosis,  therapy*
Spinal Fractures / diagnosis,  radiography,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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