Journal article
Upper Cervical Trauma
The Orthopedic clinics of North America, Vol.52(4), pp.451-479
10/2021
DOI: 10.1016/j.ocl.2021.05.013
PMID: 34538354
Abstract
Craniocervical injuries (CCJs) account for 10% to 30% of all cervical spine trauma. An increasing number of patients are surviving these injuries due to advancements in automobile technology, resuscitation techniques, and diagnostic modalities. The leading injury mechanisms are motor vehicle crashes, falls from height, and sports-related events. Current treatment with urgent rigid posterior fixation of the occiput to the cervical spine has resulted in a substantial reduction in management delays expedites treatment of CCJ injuries. Within CCJ injuries, there is a spectrum of instability, ranging from isolated nondisplaced occipital condyle fractures treated nonoperatively to highly unstable injuries with severely distracted craniocervical dissociation. Despite the evolution of understanding and improvement in the management of cases regarding catastrophic failure to diagnose, subsequent neurologic deterioration still occurs even in experienced trauma centers. The purpose of this article is to review the injuries that occur at the CCJ with the accompanying anatomy, presentation, imaging, classification, management, and outcomes.
Details
- Title: Subtitle
- Upper Cervical Trauma
- Creators
- Catherine Olinger - Harborview Medical CenterRichard Bransford - University of Washington
- Resource Type
- Journal article
- Publication Details
- The Orthopedic clinics of North America, Vol.52(4), pp.451-479
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.ocl.2021.05.013
- PMID
- 34538354
- ISSN
- 0030-5898
- eISSN
- 1558-1373
- Language
- English
- Date published
- 10/2021
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984303978602771
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