C1 fractures: a review of diagnoses, management options, and outcomes

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• 作者：Loren B. Mead II ; Paul W. Millhouse…
• 刊名：Current Reviews in Musculoskeletal Medicine
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：9
• 期：3
• 页码：255-262
• 全文大小：548 KB
• 刊物主题：Orthopedics; Rehabilitation Medicine; Sports Medicine; Surgical Orthopedics; Minimally Invasive Surgery; Surgery;
• 出版者：Springer US
• ISSN：1935-9748
• 卷排序：9

文摘

The atlas is subject to fracture under axial load, often due to traumatic injuries such as shallow dives and automobile accidents. These fractures account for 2–13 % of injuries to the cervical spine [Marcon RM et al. Clinics (Sao Paulo) 68(11):1455-61, 2013]. Fractures of the C1 vertebra are often difficult to diagnose, as there is often no neurological deficit or easily identifiable findings on radiographs. However, injuries to the atlas can be associated with vertebral artery injury and atlantoaxial or atlanto-occipital instability, making prompt and accurate diagnosis imperative. A detailed understanding of the anatomy, inherent stability, and common injury patterns is essential for any surgeon treating spinal trauma. This chapter explores the diagnosis and management of C1 fractures, as well as outcomes after treatment.KeywordsC1Jefferson fractureAtlas fractureAtlantoaxial instabilityTransverse odontoid ligamentUpper cervical spine