Twenty-two patients who underwent anterior and posterior spinal fixation were studied. This study evaluated the pathogenesis of disc hernia in cervical fracture dislocations. Maeda, Go Shiba, Keiichiro Ueta, Takayoshi Shirasawa, Kenzo Ohta, Hideki Mori, Eiji Rikimaru, Shunichi Hida, Shinichi Tokunaga, Masami (Spinal Injuries Center, Fukuoka (Japan))Īlthough disc injury is common in cervical spinal fractures the mechanism of disc herniation in cervical fracture dislocations is not known. (author)Įnergy Technology Data Exchange (ETDEWEB) We concluded that the characteristic MRI findings of cervical disc hernia are as follows: 1) discontinuity of injured disc, 2) anterior indentation of spinal cord at the site of dislocated vertebral body, and 3) signal irregularity at the site of interspace between dislocated vertebral body and spinal cord. During surgery, cervical disk hernia were found in six patients (27 %), and the MRI finding of these patients were evaluated in detail. Findings of preoperative magnetic resonance imaging (MRI) were compared with surgical findings. Maeda, Go Shiba, Keiichiro Ueta, Takayoshi Shirasawa, Kenzo Ohta, Hideki Mori, Eiji Rikimaru, Shunichi Hida, Shinichi Tokunaga, MasamiĪlthough disc injury is common in cervical spinal fractures the mechanism of disc herniation in cervical fracture dislocations is not known. International Nuclear Information System (INIS) MRI findings in posterior disc prolapse associated with cervical fracture dislocation Surgeons who treat cervical spine trauma should be able to perform both procedures as well as combined approaches to adequately manage CFD and improve patients’ final outcomes. Although both anterior and posterior approaches can be used interchangeably, there are some patients who may benefit from one of them over the other, as discussed in this review. Combined approaches can be used in more complex cases. Posterior approaches are useful for direct reduction of locked facet joints and provide stronger fixation from a biomechanical point of view. Anterior approaches can restore cervical lordosis, and cause less postoperative pain and less wound problems. We performed a systematic literature review to evaluate the indications for anterior and posterior approaches in the management of CFD. Surgical treatment of traumatic cervical facet dislocation: anterior, posterior or combined approaches?ĭirectory of Open Access Journals (Sweden)įull Text Available ABSTRACT Surgical treatment is well accepted for patients with traumatic cervical facet joint dislocations (CFD, but there is uncertainty over which approach is better: anterior, posterior or combined. While transoral intraoperative reduction of a partially displaced odontoid fracture has previously been described, the authors present the first case utilizing this technique in the treatment of a completely dislocated type II odontoid fracture. In this report, the authors present the case of a patient with a locked type II odontoid fracture treated by anterior screw fixation facilitated by closed transoral and posterior cervical manual reduction. Piedra, Mark P Hunt, Matthew A Nemecek, Andrew NĮarly fixation of type II odontoid fractures has been shown to provide high rates of long-term stabilization and osteosynthesis. Anterior screw fixation of a dislocated type II odontoid fracture facilitated by transoral and posterior cervical manual reduction.
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