Classification and Treatment of Axis Body Fractures
SUMMARYWe have classified 31 cases of axis body fracture by the type of bony injury depicted in radiographic images into the following four typesavulsion, transverse, burst, and sagittal fractures. The results of treatment in these types were retrospectively analyzed. In all of nine cases of avulsio...
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| Veröffentlicht in: | Journal of orthopaedic trauma 1996-01, Vol.10 (8), p.536-540 |
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| creator | Fujimura, Yoshikazu Nishi, Yukimi Kobayashi, Keiji |
| description | SUMMARYWe have classified 31 cases of axis body fracture by the type of bony injury depicted in radiographic images into the following four typesavulsion, transverse, burst, and sagittal fractures. The results of treatment in these types were retrospectively analyzed. In all of nine cases of avulsion fracture and two cases of transverse fracture, bone union was obtained by nonoperative treatment. All three cases of burst fracture healed, one by nonoperative treatment, and the remaining two by C2/3 anterior interbody fusion. Bone union was also obtained in all of the 17 cases of sagittal fracture, which included nonoperative treatment in 15 cases, and transoral atlanto-axial fusion in the remaining two cases. Because many axis body fractures are inherently stable injuries, the authors normally select nonoperative treatment as initial therapy. However, in sagittal fractures, eight patients had sequelae of nuchal pain caused by osteoarthrosis of the atlanto-axial joint. As a result of these findings, the authors deem it appropriate to utilize atlanto-axial fusion when severe malalignment of the atlanto-axial joint is recognized. |
| doi_str_mv | 10.1097/00005131-199611000-00005 |
| format | Article |
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The results of treatment in these types were retrospectively analyzed. In all of nine cases of avulsion fracture and two cases of transverse fracture, bone union was obtained by nonoperative treatment. All three cases of burst fracture healed, one by nonoperative treatment, and the remaining two by C2/3 anterior interbody fusion. Bone union was also obtained in all of the 17 cases of sagittal fracture, which included nonoperative treatment in 15 cases, and transoral atlanto-axial fusion in the remaining two cases. Because many axis body fractures are inherently stable injuries, the authors normally select nonoperative treatment as initial therapy. However, in sagittal fractures, eight patients had sequelae of nuchal pain caused by osteoarthrosis of the atlanto-axial joint. As a result of these findings, the authors deem it appropriate to utilize atlanto-axial fusion when severe malalignment of the atlanto-axial joint is recognized.</description><identifier>ISSN: 0890-5339</identifier><identifier>EISSN: 1531-2291</identifier><identifier>DOI: 10.1097/00005131-199611000-00005</identifier><identifier>PMID: 8915915</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Adult ; Aged ; Axis, Cervical Vertebra - diagnostic imaging ; Axis, Cervical Vertebra - injuries ; Axis, Cervical Vertebra - surgery ; Biological and medical sciences ; Female ; Fracture Fixation - methods ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Middle Aged ; Quadriplegia - etiology ; Radiography ; Retrospective Studies ; Spinal Fractures - classification ; Spinal Fractures - complications ; Spinal Fractures - therapy ; Spinal Fusion - methods ; Traumas. Diseases due to physical agents ; Treatment Outcome</subject><ispartof>Journal of orthopaedic trauma, 1996-01, Vol.10 (8), p.536-540</ispartof><rights>Lippincott-Raven Publishers</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4795-8705210cfb631d0bf058d40eb0ff4989c2702b3c4b483bb1d5212b0bc9cf40573</citedby><cites>FETCH-LOGICAL-c4795-8705210cfb631d0bf058d40eb0ff4989c2702b3c4b483bb1d5212b0bc9cf40573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2479977$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8915915$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fujimura, Yoshikazu</creatorcontrib><creatorcontrib>Nishi, Yukimi</creatorcontrib><creatorcontrib>Kobayashi, Keiji</creatorcontrib><title>Classification and Treatment of Axis Body Fractures</title><title>Journal of orthopaedic trauma</title><addtitle>J Orthop Trauma</addtitle><description>SUMMARYWe have classified 31 cases of axis body fracture by the type of bony injury depicted in radiographic images into the following four typesavulsion, transverse, burst, and sagittal fractures. The results of treatment in these types were retrospectively analyzed. In all of nine cases of avulsion fracture and two cases of transverse fracture, bone union was obtained by nonoperative treatment. All three cases of burst fracture healed, one by nonoperative treatment, and the remaining two by C2/3 anterior interbody fusion. Bone union was also obtained in all of the 17 cases of sagittal fracture, which included nonoperative treatment in 15 cases, and transoral atlanto-axial fusion in the remaining two cases. Because many axis body fractures are inherently stable injuries, the authors normally select nonoperative treatment as initial therapy. However, in sagittal fractures, eight patients had sequelae of nuchal pain caused by osteoarthrosis of the atlanto-axial joint. As a result of these findings, the authors deem it appropriate to utilize atlanto-axial fusion when severe malalignment of the atlanto-axial joint is recognized.</description><subject>Adult</subject><subject>Aged</subject><subject>Axis, Cervical Vertebra - diagnostic imaging</subject><subject>Axis, Cervical Vertebra - injuries</subject><subject>Axis, Cervical Vertebra - surgery</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Fracture Fixation - methods</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Quadriplegia - etiology</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Spinal Fractures - classification</subject><subject>Spinal Fractures - complications</subject><subject>Spinal Fractures - therapy</subject><subject>Spinal Fusion - methods</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><issn>0890-5339</issn><issn>1531-2291</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV1PwyAUhonRzDn9CSa9MN5V-Vzhci5OTZZ4M68JUMiqtJ3QRvfvZbbuTkJCeM9zOOe8AJAheIegKO5hWgwRlCMh5gilW_4rnYApYknGWKBTMIVcwJwRIs7BRYzvieAQ4wmYcIFY2lNAll7FWLnKqK5qm0w1ZbYJVnW1bbqsddniu4rZQ1vus1VQpuuDjZfgzCkf7dV4zsDb6nGzfM7Xr08vy8U6N7QQLOcFZBhB4_ScoBJqBxkvKbQaOkcFFwYXEGtiqKacaI3KRGMNtRHGUcgKMgO3w7u70H72NnayrqKx3qvGtn2UBU-jcioSyAfQhDbGYJ3chapWYS8RlAe_5J9f8ujXIKXU67FGr2tbHhNHg1L8ZoyraJR3QTWmikcMp0lFcWiVDthX6zsb4ofvv2yQW6t8t5X__Rb5AU9Vf_M</recordid><startdate>19960101</startdate><enddate>19960101</enddate><creator>Fujimura, Yoshikazu</creator><creator>Nishi, Yukimi</creator><creator>Kobayashi, Keiji</creator><general>Lippincott-Raven Publishers</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960101</creationdate><title>Classification and Treatment of Axis Body Fractures</title><author>Fujimura, Yoshikazu ; Nishi, Yukimi ; Kobayashi, Keiji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4795-8705210cfb631d0bf058d40eb0ff4989c2702b3c4b483bb1d5212b0bc9cf40573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Axis, Cervical Vertebra - diagnostic imaging</topic><topic>Axis, Cervical Vertebra - injuries</topic><topic>Axis, Cervical Vertebra - surgery</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Fracture Fixation - methods</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Quadriplegia - etiology</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Spinal Fractures - classification</topic><topic>Spinal Fractures - complications</topic><topic>Spinal Fractures - therapy</topic><topic>Spinal Fusion - methods</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fujimura, Yoshikazu</creatorcontrib><creatorcontrib>Nishi, Yukimi</creatorcontrib><creatorcontrib>Kobayashi, Keiji</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of orthopaedic trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fujimura, Yoshikazu</au><au>Nishi, Yukimi</au><au>Kobayashi, Keiji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Classification and Treatment of Axis Body Fractures</atitle><jtitle>Journal of orthopaedic trauma</jtitle><addtitle>J Orthop Trauma</addtitle><date>1996-01-01</date><risdate>1996</risdate><volume>10</volume><issue>8</issue><spage>536</spage><epage>540</epage><pages>536-540</pages><issn>0890-5339</issn><eissn>1531-2291</eissn><abstract>SUMMARYWe have classified 31 cases of axis body fracture by the type of bony injury depicted in radiographic images into the following four typesavulsion, transverse, burst, and sagittal fractures. The results of treatment in these types were retrospectively analyzed. In all of nine cases of avulsion fracture and two cases of transverse fracture, bone union was obtained by nonoperative treatment. All three cases of burst fracture healed, one by nonoperative treatment, and the remaining two by C2/3 anterior interbody fusion. Bone union was also obtained in all of the 17 cases of sagittal fracture, which included nonoperative treatment in 15 cases, and transoral atlanto-axial fusion in the remaining two cases. Because many axis body fractures are inherently stable injuries, the authors normally select nonoperative treatment as initial therapy. However, in sagittal fractures, eight patients had sequelae of nuchal pain caused by osteoarthrosis of the atlanto-axial joint. As a result of these findings, the authors deem it appropriate to utilize atlanto-axial fusion when severe malalignment of the atlanto-axial joint is recognized.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>8915915</pmid><doi>10.1097/00005131-199611000-00005</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of orthopaedic trauma, 1996-01, Vol.10 (8), p.536-540 |
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| language | eng |
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| subjects | Adult Aged Axis, Cervical Vertebra - diagnostic imaging Axis, Cervical Vertebra - injuries Axis, Cervical Vertebra - surgery Biological and medical sciences Female Fracture Fixation - methods Humans Injuries of the limb. Injuries of the spine Male Medical sciences Middle Aged Quadriplegia - etiology Radiography Retrospective Studies Spinal Fractures - classification Spinal Fractures - complications Spinal Fractures - therapy Spinal Fusion - methods Traumas. Diseases due to physical agents Treatment Outcome |
| title | Classification and Treatment of Axis Body Fractures |
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