Transoral osteosynthesis for C1 fractures: two cases report
DOI:
https://doi.org/10.25305/unj.55967Keywords:
upper cervical spine fractures, cervical spine fusion, spinal instrumentationAbstract
The upper cervical spine fractures are rare and often fatal injuries so immediately with the traumatic event. Due to the amplitude of the spinal canal in the upper cervical region, only 16% of the survivors exhibit neurological compromise, so they can go unnoticed for emergency care. CI injuries are rare. We report two cases in relation to our experience in the management of this injury through transoral.
References
1. Crockard HA. The transoral approach to the base of the brain and upper cervical cord. Ann R Coll Surg Engl. 1985;67(5):321–325. [PubMed]
2. Vieweg U, Meyer B, Schramm J. Differential treatment in acute upper cervical spine injuries: A critical review of a single-institution series. Surgical Neurology. 2000;54(3):203-211. [CrossRef] [PubMed]
3. Kalantar S. Fractures of the C1 and C2 Vertebrae. Seminars in Spine Surgery. 2013;25(1):23-35. [CrossRef]
4. White A, Panjabi M. Clinical Biomechanics Of The Spine. Philadelphia: Lippincott; 1990.
5. Fredø H, Rizvi S, Lied B, Rønning P, Helseth E. The epidemiology of traumatic cervical spine fractures: a prospective population study from Norway. Scand J Trauma Resusc Emerg Med. 2012;20(1):85. [CrossRef] [PubMed]
6. Hadley M, Dickman C, Browner C, Sonntag V. Acute axis fractures: a review of 229 cases. Journal of Neurosurgery. 1989;71(5):642-647. [CrossRef] [PubMed]
7. Aebi M, Nazarian S. [Classification of injuries of the cervical spine]. Orthopade. 1987;16(1):27-36. German. [PubMed]
8. Hadley M, Dickman C, Browner C, Sonntag V. Acute traumatic atlas fractures. Neurosurgery. 1988;23(1):31-5. [CrossRef] [PubMed]
9. Hadley M, Browner C, Sonntag V. Axis fractures: a comprehensive review of management and treatment in 107 cases. Neurosurgery. 1985;17(2):281-90. [CrossRef] [PubMed]
10. Polin R, Szabo T, Bogaev C, Replogle R, Jane J. Nonoperative Management of Types II and III Odontoid Fractures: The Philadelphia Collar versus the Halo Vest. Neurosurgery. 1996;38(3):450-457. [CrossRef] [PubMed]
11. Gleizes V, Jacquot FP, Signoret F, Féron JMG. Combined injuries in the upper cervical spine: clinical and epidemiological data over a 14-year period. European Spine Journal. 2000;9(5),386-392. [CrossRef] [PubMed]
12. Al-Mefty O, Borba L, Aoki N, Angtuaco E, Pait T. The transcondylar approach to extradural nonneoplastic lesions of the craniovertebral junction. Journal of Neurosurgery. 1996;84(1):1-6. [CrossRef] [PubMed]
13. Mouchaty H, Perrini P, Conti R, Di Lorenzo N. Craniovertebral junction lesions: our experience with the transoral surgical approach. European Spine Journal. 2009;18(S1):13-19. [CrossRef] [PubMed]
14. Türe U, Pamir M. Extreme lateral—transatlas approach for resection of the dens of the axis. Journal of Neurosurgery: Spine. 2002;96(1):73-82. [CrossRef] [PubMed]
15. Shaha A, Johnson R, Miller J, Milhorat T. Transoral-transpharyngeal approach to the upper cervical vertebrae. The American Journal of Surgery. 1993;166(4):336-340. [CrossRef] [PubMed]
16. Crockard H. Transoral surgery: some lessons learned. Br J Neurosurg. 1995;9(3):283-294. [CrossRef] [PubMed]
17. Crockard HA, Johnston F. Development of Transoral Approaches to Lesions of the Skull Base and Craniocervical Junction. Neurosurgery Quarterly [Internet]. 1993: [cited 2015 Aprl 12]. Available from: http://journals.lww.com/neurosurgery-quarterly/Fulltext/1993/06000/Development_of_Transoral_Approaches_to_Lesions_of.1.aspx
18. Levine A, Edwards C. Traumatic Lesions of the Occipitoatlantoaxial Complex. Clinical Orthopaedics and Related Research. 1989;&NA;(239):53-68. [CrossRef] [PubMed]
19. Ruf M, Melcher R, Harms J. Transoral Reduction and Osteosynthesis C1 as a Function-Preserving Option in the Treatment of Unstable Jefferson Fractures. Spine (Phila Pa 1976). 2004 Apr 1;29(7):823-7. [CrossRef] [PubMed]
20. Menezes A, VanGilder J. Transoral-transpharyngeal approach to the anterior craniocervical junction. Journal of Neurosurgery. 1988;69(6):895-903. [CrossRef] [PubMed]
21. Hadley M, Spetzler R, Sonntag V. The transoral approach to the superior cervical spine. Journal of Neurosurgery. 1989;71(1):16-23. [CrossRef] [PubMed]
22. Tun K, Kaptanoglu E, Cemil B, Karahan S, Esmer A, Elhan A. A neurosurgical view of anatomical evaluation of anterior C1–C2 for safer transoral odontoidectomy. European Spine Journal. 2008;17(6):853-856. [CrossRef] [PubMed]
23. Visocchi M, Doglietto F, Della Pepa G et al. Endoscope-assisted microsurgical transoral approach to the anterior craniovertebral junction compressive pathologies. European Spine Journal. 2011;20(9):1518-1525. [CrossRef] [PubMed]
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Copyright (c) 2015 Hector Farid Escorcia-Rodríguez, Hernando Raphael Alvis-Miranda, Carlos Fernando Lozano-Tangua, Gabriel Alcala-Cerra, Willem Calderon Miranda, Luis Rafael Moscote-Salazar
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