Spine · 2005
Chance-type fractures of the axis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Korres Demetrios S, Papagelopoulos Panayiotis J, Mavrogenis Andreas F, Benetos Ioannis S, Kyriazopoulos Petros, Psycharis Ioannis
Аннотация
STUDY DESIGN: A retrospective study was performed to identify horizontal fractures of the body of the axis, with special attention to their pattern, prevalence, and clinical outcome.
OBJECTIVE: The prevalence of this type of injury and the long-term clinical behavior are examined.
SUMMARY OF BACKGROUND DATA: Although isolated cases have been reported, horizontal Chance-type fractures of the body of the axis are not common cervical spine injuries.
METHODS: The medical records of 674 consecutive patients with fractures of the cervical spine admitted to the authors' institute from 1970 to 2002 were reviewed. Of them, 2 (0.3%) had a horizontal Chance-type fracture of the body of the axis. Neurologic deficits were not diagnosed at admission. Mechanism of injury, treatment, and long-term follow-up were evaluated.
RESULTS: Both patients were treated nonoperatively. At the latest follow-up, 3 and 12 years, respectively, both patients had a satisfactory clinical outcome.
CONCLUSION: Horizontal fractures of the Chance-type of the body of the axis are rare. Conservative treatment proved to be effective.
OBJECTIVE: The prevalence of this type of injury and the long-term clinical behavior are examined.
SUMMARY OF BACKGROUND DATA: Although isolated cases have been reported, horizontal Chance-type fractures of the body of the axis are not common cervical spine injuries.
METHODS: The medical records of 674 consecutive patients with fractures of the cervical spine admitted to the authors' institute from 1970 to 2002 were reviewed. Of them, 2 (0.3%) had a horizontal Chance-type fracture of the body of the axis. Neurologic deficits were not diagnosed at admission. Mechanism of injury, treatment, and long-term follow-up were evaluated.
RESULTS: Both patients were treated nonoperatively. At the latest follow-up, 3 and 12 years, respectively, both patients had a satisfactory clinical outcome.
CONCLUSION: Horizontal fractures of the Chance-type of the body of the axis are rare. Conservative treatment proved to be effective.