Your browser doesn't support javascript.
loading
Min-invasive surgical treatment for multiple axis fractures: A case report.
Zhu, Xuan-Chen; Liu, Yi-Jie; Li, Xue-Feng; Yan, Han; Zhang, Ge; Jiang, Wei-Min; Sun, Hou-Yi; Yang, Hui-Lin.
Afiliación
  • Zhu XC; Department of Orthopedics, First Affiliated Hospital of Suzhou University, Suzhou 215008, Jiangsu Province, China.
  • Liu YJ; Department of Orthopedics, First Affiliated Hospital of Suzhou University, Suzhou 215008, Jiangsu Province, China.
  • Li XF; Department of Orthopedics, First Affiliated Hospital of Suzhou University, Suzhou 215008, Jiangsu Province, China.
  • Yan H; Department of Orthopedics, First Affiliated Hospital of Suzhou University, Suzhou 215008, Jiangsu Province, China.
  • Zhang G; Department of Orthopedics, First Affiliated Hospital of Suzhou University, Suzhou 215008, Jiangsu Province, China.
  • Jiang WM; Department of Orthopedics, First Affiliated Hospital of Suzhou University, Suzhou 215008, Jiangsu Province, China. jwm610829@vip.sina.com.
  • Sun HY; Department of Orthopedics, First Affiliated Hospital of Suzhou University, Suzhou 215008, Jiangsu Province, China.
  • Yang HL; Department of Orthopedics, First Affiliated Hospital of Suzhou University, Suzhou 215008, Jiangsu Province, China.
World J Clin Cases ; 7(7): 898-902, 2019 Apr 06.
Article en En | MEDLINE | ID: mdl-31024962
BACKGROUND: Fractures of the axis are commonly seen in spinal injuries. Upper cervical fractures are usually managed conservatively. However, the complications due to long-term external immobilization cannot be ignored. The traditional open surgery has the disadvantages of too much blood loss and soft tissue injury. The aim of our paper is to introduce a minimally invasive surgical treatment for multiple axis fractures. CASE SUMMARY: We report a 40-year-old Chinese male who had severe neck pain and difficult neck movement after falling from 3 meters. X-ray and computed tomography (CT) scan revealed an axis injury consisting of an odontoid Type III fracture associated with a Hangman fracture categorized as a Levine-Edwards Type I fracture. The patient underwent anterior odontoid screw fixation and posterior percutaneous screw fixation using intraoperative O-arm navigation. Neck pain was markedly improved after surgery. X-rays and CT scan reconstructions of 3-mo follow-up showed good stability and fusion. The range of cervical motion was well preserved. CONCLUSION: Anterior odontoid screw fixation and posterior direct C2 percutaneous pedicle screw fixation with the aid of O-arm navigation and neurophysiological monitoring can be an interesting alternative option for complicated multiple axis fractures.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: World J Clin Cases Año: 2019 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: World J Clin Cases Año: 2019 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos