Abstract:
STUDY DESIGN:Acute respiratory compromise is occasionally observed in a subgroup of patients with upper spinal injuries involving the C2 vertebrae. A retrospective review was performed to identify fracture types and risk factors for early respiratory deterioration following injury to the upper cervical spine. OBJECTIVES:To examine the frequency of respiratory complications encountered following traction manipulation of specific upper cervical spinal injuries involving the C2 vertebrae. SUMMARY OF BACKGROUND DATA:Major complications related to cervical skeletal traction are uncommon. Respiratory compromise with occasional mortality has been observed. Risk factors for acute respiratory failure are unknown. METHODS:The medical records of 166 consecutive patients with fractures of the C2 vertebrae admitted between January 1994 and July 1998 to a regional spinal cord injury center were examined. Demographic data, injury subtype, fracture displacement, respiratory status, treatment method, and outcome at discharge were examined. Patients with comorbidities compromising respiratory function were excluded. RESULTS:One hundred fifty-five patients met the inclusion criteria of this study. Sixty-one patients had Type II odontoid fractures of which 53 were displaced (32 posteriorly and 21 anteriorly). In addition, there were 21 patients with Type III odontoid fractures, 33 with axis C2 body fractures, 32 with Hangman's fractures, and eight patients with an os odontoideum. Thirteen of 32 patients with posteriorly displaced odontoid fractures experienced acute respiratory compromise following reduction with cervical skeletal traction and immobilization, while only three of the remaining 123 patients had respiratory difficulties. Respiratory distress as a consequence of cervical spine fractures resulted in three deaths. Two of these patients had posteriorly displaced Type II odontoid fractures whose airway could not be emergently intubated. CONCLUSION:Frequent respiratory deterioration (40% of patients) during acute management of posteriorly displaced Type II odontoid fractures after reduction was observed. Physicians must be aware that cervical flexion in the treatment of posteriorly displaced odontoid fractures may significantly increase the risk of airway obstruction due to the presence of acute retropharyngeal swelling. This may be avoided with elective nasotracheal intubation in this upper cervical spine fracture subtype.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Harrop JS,Vaccaro A,Przybylski GJdoi
10.1097/00007632-200102150-00004keywords:
subject
Has Abstractpub_date
2001-02-15 00:00:00pages
E50-4issue
4eissn
0362-2436issn
1528-1159journal_volume
26pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:An experimental animal study. OBJECTIVE:To study if antitumor necrosis factor-alpha (TNF-alpha) antibody, which is administered at different times, reduces the pain behavior induced by application of nucleus pulposus (NP) to the nerve root. SUMMARY OF BACKGROUND DATA:Treatment with TNF-alpha inhibitor re...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000255097.18246.bc
更新日期:2007-02-15 00:00:00
abstract::This article presents the content and the application criteria of a questionnaire intended for the study of spinal disorders in workers and the results of an investigation, carried out via this questionnaire, in a group of 1205 male workers not exposed to occupational risks for the spine either currently or in the pas...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199307000-00006
更新日期:1993-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective database study. OBJECTIVE:We sought to identify trends in demographics, comorbidities, and postoperative complications among patients undergoing ACDF and PLF. SUMMARY OF BACKGROUND DATA:As demand for anterior cervical discectomy and fusion (ACDF) and posterior lumbar fusion (PLF) surgery co...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003280
更新日期:2020-09-15 00:00:00
abstract:STUDY DESIGN:Analysis of a prospective, multicenter cohort study. OBJECTIVE:The aim of our study was to compare thresholds of published minimal clinically important differences (MCID) for the three-level EuroQol-5D health survey (EQ-5D-3L) summary index (range -0.53 to 1.00) with our anchor-based estimate and evaluate...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0000000000003501
更新日期:2020-09-15 00:00:00
abstract:STUDY DESIGN:Radiology of the sacroiliac joint was investigated by obtaining different and multiple radiographs of cadaveric pelves marked with solder metal wire and radiopaque paint. OBJECTIVES:To demonstrate the orientation of the sacroiliac joint on various, radiographic views. SUMMARY OF BACKGROUND DATA:Interpret...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199704150-00009
更新日期:1997-04-15 00:00:00
abstract:STUDY DESIGN:Retrospective cross-sectional study. OBJECTIVE:To evaluate the degree of postoperative pain and patients' satisfaction after lumbar fusion from a nationwide survey in Korea. SUMMARY OF BACKGROUND DATA:There have been few studies that investigated the factors related to patients' satisfaction after spinal...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181c49fd0
更新日期:2010-07-01 00:00:00
abstract::The Perdriolle torsionmeter assesses vertebral rotation on a spinal radiograph. It is frequently used to measure improvement in spinal derotation following Cotrel-Dubousset instrumentation for scoliosis. In this study, intraobserver and interobserver measurement error was examined during use of the torsionmeter. Intra...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199205000-00008
更新日期:1992-05-01 00:00:00
abstract:STUDY DESIGN:Measurement of the kinematics of the lumbar spine after insertion of an interspinous spacer in vitro. OBJECTIVES:To understand the kinematics of the instrumented and adjacent levels due to the insertion of this interspinous implant. SUMMARY OF BACKGROUND DATA:An interspinous spacer (X Stop, SFMT, Concord...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000084877.88192.8E
更新日期:2003-10-01 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:To describe a rare case of tenosynovial giant cell tumor, diffuse type/pigmented villonodular synovitis (PVNS) in a pars defect in a patient with lumbar spondylolysis. SUMMARY OF BACKGROUND DATE:PVNS rarely occurred in lumbar spine, and no studies in the English literature have rep...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000923
更新日期:2015-06-15 00:00:00
abstract:STUDY DESIGN:Prospective longitudinal study of patients attending a back pain triage clinic with night pain. OBJECTIVE:To assess the importance of the symptom of night pain in patients attending a back pain triage clinic. SUMMARY OF BACKGROUND DATA:The 1994 US Agency for Health Care Policy and Research guidelines sug...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000176313.02258.5e
更新日期:2005-09-01 00:00:00
abstract:STUDY DESIGN:Effectiveness of a pre-employment worker fitness evaluation in a sample of grocery warehouse order selectors was studied retrospectively. Implementation of the program began in March 1990 and as of September 10, 1993, 1100 prospective employees have been tested. OBJECTIVES:Identification of prospective em...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199409150-00001
更新日期:1994-09-15 00:00:00
abstract:STUDY DESIGN:Literature review. OBJECTIVE:To describe the state of the literature regarding the performance of lumbar fusion for low back pain due to degenerative disease of the spine. SUMMARY OF BACKGROUND DATA:The effectiveness and costs associated with spinal surgery have been a topic of significant debate in both...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e318053d4b4
更新日期:2007-05-15 00:00:00
abstract:STUDY DESIGN:A weight-drop device based on a displacement transducer and feedback detection circuitry was designed to produce consistent experimental spinal cord injuries in a rat model. The device was characterized and evaluated based on biomechanical parameters, quantitative histology, and neurologic behavior. OBJEC...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199601010-00025
更新日期:1996-01-01 00:00:00
abstract::Almost 20% of joint replacement implants fail at 15 to 20 years. Reports suggest that systemic effects of metal-on-metal implants and local effects of total joint arthroplasty implants contributing to implant failure are immune system based. Sometimes implant wear debris can cause implant failure resulting from bone f...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001436
更新日期:2016-04-01 00:00:00
abstract:STUDY DESIGN:Twenty-five formaldehyde solution-fixed, paraffin-embedded tissue blocks from vertebral biopsy specimen materials with presumptive diagnosis of tuberculous spondylitis and nonspecific vertebral osteomyelitis were studied. OBJECTIVES:To evaluate the sensitivity and specificity of polymerase chain reaction ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199609010-00011
更新日期:1996-09-01 00:00:00
abstract:STUDY DESIGN:Retrospective radiographical review. OBJECTIVE:To evaluate the outcome of selective thoracic fusion (STF) by using the Guan-Din method for the treatment of major thoracic compensatory lumbar (MTCL) curves. SUMMARY OF BACKGROUND DATA:Performing STF for MTCL curves is to minimize the loss of lumbar motion ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000111
更新日期:2014-02-15 00:00:00
abstract:OBJECTIVES:To elucidate the cause of late operative site pain in six cases of scoliosis managed with Isola posterior instrumentation that required removal of the implants. METHOD:Microbiologic examination of wound swabs and enriched culture of operative tissue specimens was undertaken in all cases. Histologic study of...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200103010-00027
更新日期:2001-03-01 00:00:00
abstract::Records of 41 patients were reviewed for early complications resulting from reduction of high-grade spondylolisthesis. Blood loss averaged 1,427 ml. There were no cases of infection, dural tears, or bladder or bowel dysfunction. Two cases of transient foot drop and one case of permanent foot drop developed. A lumbar p...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199106001-00025
更新日期:1991-06-01 00:00:00
abstract:STUDY DESIGN:Randomized controlled trial. OBJECTIVE:To assess whether monitoring increases brace-wearing compliance in patients with adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA:Noncompliance is a barrier to brace treatment of AIS. Studies have demonstrated that monitoring improves medication com...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0b013e31822f4306
更新日期:2012-04-20 00:00:00
abstract:STUDY DESIGN:The effects on nerve root structure, vasculature, and function after incision of the adjacent disc was studied in a dog model. OBJECTIVES:To see if only incision of the disc per se is sufficient for inducing similar changes. SUMMARY OF BACKGROUND DATA:It is well known that nucleus pulposus will induce ne...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199611150-00002
更新日期:1996-11-15 00:00:00
abstract:STUDY DESIGN:Case-control observational study. OBJECTIVE:Determination of dimensional changes in the lumbar spines of athletes between supine and stand-up position in MRI, concerning the lordosis, spinal canal cross-sectional area (SCCA), dural sac cross-sectional area (DSCA), sagittal dural sac diameter (SDSD), the l...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181bdb2d3
更新日期:2010-04-20 00:00:00
abstract:STUDY DESIGN:A fully randomized experiment was conducted in a laboratory with a breath-by-breath monitor to control accurately the two factors of breathing maneuvers: breathholding duration and air volume within the thoracic cavity. OBJECTIVES:To resolve the controversy in previous reports about the effect of breathho...
journal_title:Spine
pub_type:
doi:10.1097/00007632-200210010-00014
更新日期:2002-10-01 00:00:00
abstract:STUDY DESIGN:A consecutive series of 22 giant cell tumor (GCTs) of the cervical spine which underwent surgical treatment was observed from 1990-2003. OBJECTIVE:This study reviews the clinical patterns and follow-up data of (GCT) of bone arising in the cervical spine which underwent surgical treatment. We attempt to co...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318162454f
更新日期:2008-02-01 00:00:00
abstract::The posture of nineteen subjects under two conditions of footwear was analyzed for differences in the location of the line of gravity of the body with respect to anatomical landmarks. Intrasubject comparison of barefoot and high-heeled stance showed that the wearing of high heels caused lumbar flattening, a backward t...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198805000-00018
更新日期:1988-05-01 00:00:00
abstract:STUDY DESIGN:Spine proprioception and postural control in unstable sitting were compared in 18 chronic low back pain patients using a repeated measures design. OBJECTIVE:The study objective was to determine if stochastic resonance (SR) stimulation of the paraspinal muscles improves spine proprioception and trunk postu...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181971e09
更新日期:2009-02-15 00:00:00
abstract:STUDY DESIGN:Systematic Review. OBJECTIVES:To assess the effects of massage therapy for nonspecific low back pain. SUMMARY OF BACKGROUND DATA:Low back pain is one of the most common and costly musculoskeletal problems in modern society. Proponents of massage therapy claim it can minimize pain and disability, and spee...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181ad7bd6
更新日期:2009-07-15 00:00:00
abstract:STUDY DESIGN:Pragmatic randomized clinical trial. OBJECTIVE:This study investigated differences in the clinical outcomes of public physiotherapy (public PT) versus private physiotherapy (private PT) for general practitioner-referred patients with acute and chronic low back pain (LBP). SUMMARY OF BACKGROUND DATA:Healt...
journal_title:Spine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/BRS.0b013e3182127457
更新日期:2012-01-15 00:00:00
abstract::This study performed a thorough review of the pertinent thoracic spine anatomy to determine the appropriate landmarks for extrapedicular screw placement and indentified the anatomic structures at risk; assessed the safety and accuracy of the newly proposed screw insertion technique; determined the stability and streng...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199309000-00018
更新日期:1993-09-15 00:00:00
abstract:STUDY DESIGN:Anulus fibrosus (AF) cells obtained from patients undergoing surgery were cocultured with macrophage-like cells and production of inflammatory mediators was analyzed by quantitative assay. OBJECTIVE:To investigate the role of macrophages in AF cell production of inflammatory mediators by cytokines stimula...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318182c35f
更新日期:2008-10-01 00:00:00
abstract:STUDY DESIGN:Laboratory/animal-based proof of principle study. OBJECTIVE:To validate the accuracy of a magnetic resonance imaging (MRI)-guided stereotactic system for intraspinal electrode targeting and demonstrate the feasibility of such a system for controlling implantation of intraspinal electrodes. SUMMARY OF BAC...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001397
更新日期:2016-07-01 00:00:00