Axis fractures resulting from motor vehicle accidents. The need for occupant restraints.

Abstract:

:A total of 625 patients who sustained acute cervical spine fractures were evaluated by the Spinal Cord Injury Service at Barrow Neurological Institute, Phoenix, Arizona, between January 1976 and January 1984. Of them, 107 had fractures of the second cervical vertebra. In a retrospective review, motor vehicle accidents were found to be the most common mechanism of injury, resulting in 73 (68%) of the 107 axis fractures. All axis fracture types were encountered in this subgroup: hangman's (27%), Odontoid Type II (39%), Odontoid Type III (15%), and miscellaneous fractures (19%). Only one of the 30 patients with complete medical records and detailed information about the accident was wearing a seat belt. Equally remarkable is that 15 of the 30 accidents were single car mishaps, where occupant restraints might theoretically provide the most protection. Sixteen of the 30 patients were thrown from their vehicles, another five were found in the backseat, which leads to the conclusion that a significant of the driving population does not wear seat belts or shoulder restraints. Patients with axis fractures from an automobile accident had a high rate of associated severe head injuries or other cervical spine fractures, three times that of patients with C-2 fractures from other causes. Motorists who are thrown from their vehicles suffer the most severe trauma and have the highest rates of morbidity and mortality. As many as 25% to 40% of individuals who sustain high cervical fractures in motor vehicle accidents die as a result of their injuries.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Hadley MN,Sonntag VK,Grahm TW,Masferrer R,Browner C

doi

10.1097/00007632-198611000-00002

subject

Has Abstract

pub_date

1986-11-01 00:00:00

pages

861-4

issue

9

eissn

0362-2436

issn

1528-1159

journal_volume

11

pub_type

杂志文章

相关文献

SPINE文献大全
  • The incidence and mortality of thromboembolic events in lumbar spine surgery.

    abstract:STUDY DESIGN:Retrospective database analysis. OBJECTIVE:A population-based database was analyzed to identify the incidence, risk factors, and mortality associated with thromboembolic events after lumbar spine surgery. SUMMARY OF BACKGROUND DATA:Pulmonary embolism (PE) and deep vein thrombosis (DVT) are potential comp...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318286b7c0

    authors: Fineberg SJ,Oglesby M,Patel AA,Pelton MA,Singh K

    更新日期:2013-06-01 00:00:00

  • The impact of cervical pedicle screws for primary stability in multilevel posterior cervical stabilizations.

    abstract:STUDY DESIGN:A total of 12 human cervical spines were tested in vitro in a biomechanical nondestructive set-up to compare the primary stability of different posterior cervical instrumentations after a bilevel corpectomy. OBJECTIVE:To evaluate the primary 3-dimensional stability with special focus on the impact of cerv...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181e6bc59

    authors: Schmidt R,Koller H,Wilke HJ,Brade J,Zenner J,Meier O,Ferraris L,Mayer M

    更新日期:2010-10-15 00:00:00

  • The magnitude of mechanical allodynia in a rodent model of lumbar radiculopathy is dependent on strain and sex.

    abstract:STUDY DESIGN:This study examined the differences in tactile hypersensitivity across 6 different strains of male mice, and between male and female rats of 3 different strains in a rodent model of low back pain associated with lumbar radiculopathy. OBJECTIVE:We investigated the possibility that differences in tactile al...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000174122.63291.38

    authors: LaCroix-Fralish ML,Rutkowski MD,Weinstein JN,Mogil JS,Deleo JA

    更新日期:2005-08-15 00:00:00

  • Simulated lift testing using computerized isokinetics.

    abstract::Eighty-four volunteer asymptomatic men between 18 and 40 years of age were evaluated as to their ability to lift. An innovative isokinetic device was used to measure lifting force. This device does not isolate any specific body part, yet it measures the muscular force of lifting an object whose speed of ascent is cont...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198709000-00008

    authors: Porterfield JA,Mostardi RA,King S,Ariki P,Moats E,Noe D

    更新日期:1987-09-01 00:00:00

  • Urgent surgical decompression compared to methylprednisolone for the treatment of acute spinal cord injury: a randomized prospective study in beagle dogs.

    abstract:STUDY DESIGN:Experimental dog model of acute spinal cord injury. OBJECTIVE:To compare the relative value of methylprednisolone, surgical decompression, or both for the treatment of traumatic spinal cord injury. SUMMARY OF BACKGROUND DATA:Acute spinal cord injury results from both primary damage to the spinal cord at ...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e31818786db

    authors: Rabinowitz RS,Eck JC,Harper CM Jr,Larson DR,Jimenez MA,Parisi JE,Friedman JA,Yaszemski MJ,Currier BL

    更新日期:2008-10-01 00:00:00

  • A system for surgical staging and management of spine tumors. A clinical outcome study of giant cell tumors of the spine.

    abstract:STUDY DESIGN:This study developed and independently applied a spine tumor classification system, referred to as the Weinstein-Boriani-Biagini system, in a retrospective analysis of a series of patients with spinal giant cell tumors from three institutions. OBJECTIVE:To evaluate factors of potential prognostic signific...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199708010-00018

    authors: Hart RA,Boriani S,Biagini R,Currier B,Weinstein JN

    更新日期:1997-08-01 00:00:00

  • Comparison between the outer table and intracortical methods of obtaining autogenous bone graft from the iliac crest.

    abstract:STUDY DESIGN:A prospective study in two groups of patients selected randomly. OBJECTIVES:To determine whether keeping the outer and inner cortices of the ilium intact, while obtaining bone graft, would result in reduced postoperative bleeding and less postoperative pain. SUMMARY OF BACKGROUND DATA:Donor site complica...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007632-200007010-00018

    authors: Mirovsky Y,Neuwirth MG

    更新日期:2000-07-01 00:00:00

  • Thoracic and lumbar fractures associated with femoral shaft fractures in the multiple trauma patient. Occult presentations and implications for femoral fracture stabilization.

    abstract::Two-hundred-and-one patients with femoral shaft fractures were identified in a 5 year period at three institutions. Seven patients (3.5%) were found to have associated thoracic or lumbar fractures of various types. All resulted from high-velocity trauma. Four (57%) of these patients had thoracic or lumbar fractures th...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199403000-00011

    authors: Rupp RE,Ebraheim NA,Chrissos MG,Jackson WT

    更新日期:1994-03-01 00:00:00

  • A prospective study of centralization of lumbar and referred pain. A predictor of symptomatic discs and anular competence.

    abstract:STUDY DESIGN:The presence or absence of rapidly centralizing, peripheralizing, or abolishing low back and radiating pain, as identified during a McKenzie mechanical lumbar assessment of patients with chronic lumbar pain, was compared prospectively with discographic pain provocation and anular competency. OBJECTIVES:To...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199705150-00011

    authors: Donelson R,Aprill C,Medcalf R,Grant W

    更新日期:1997-05-15 00:00:00

  • The mechanical function of the lumbar apophyseal joints.

    abstract::Experiments were carried out on cadaveric lumbar spines to determine the mechanical function of the apophyseal joints. It was found that they resist most of the intervertebral shear force and share in resisting the intervertebral compressive force, but only in lordotic postures. They prevent excessive movement from da...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198304000-00017

    authors: Adams MA,Hutton WC

    更新日期:1983-04-01 00:00:00

  • The Relationship Between MRI Signal Intensity Changes, Clinical Presentation, and Surgical Outcome in Degenerative Cervical Myelopathy: Analysis of a Global Cohort.

    abstract:STUDY DESIGN:Retrospective analysis of prospective data. OBJECTIVE:To assess the relationship between MRI signal intensity changes, clinical presentation, and surgical outcome in degenerative cervical myelopathy (DCM). SUMMARY OF BACKGROUND DATA:Several studies have sought to assess the extent of spinal cord dysfunct...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0000000000002234

    authors: Nouri A,Martin AR,Kato S,Reihani-Kermani H,Riehm LE,Fehlings MG

    更新日期:2017-12-15 00:00:00

  • Torulopsis glabrata spinal osteomyelitis involving two contiguous vertebrae. A case report.

    abstract:STUDY DESIGN:A case report and literature review of the five previous case reports. OBJECTIVES:To outline the features of Torulopsis glabrata spinal osteomyelitis, including its risk factors, diagnosis, and recommended treatments. SUMMARY OF BACKGROUND DATA:Fungal infections in general and Torulopsis glabrata in part...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-199604010-00019

    authors: Curran MP,Lenke LG

    更新日期:1996-04-01 00:00:00

  • Psychometric Validation of the Adapted Traditional Chinese (Hong Kong) Version of the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ).

    abstract:STUDY DESIGN:A prospective questionnaire translation and validation. OBJECTIVE:The aim of this study was to translate and cross-culturally adapt the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ) into Traditional Chinese (Hong Kong) and to assess its validity, reliability, and ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002287

    authors: Cheung PWH,Wong CKH,Lau ST,Cheung JPY

    更新日期:2018-02-15 00:00:00

  • Comparing Nonrandomized Observational Studies With Randomized Controlled Trials in Cervical Disc Arthroplasty: A Meta-analysis.

    abstract:STUDY DESIGN:Systematic review and meta-analysis. OBJECTIVE:To compare the treatment effects of observational studies versus randomized controlled trials (RCTs) in cervical disc arthroplasty. SUMMARY OF BACKGROUND DATA:RCTs can be logistically challenging and sometimes insufficiently generalizable; well-designed obse...

    journal_title:Spine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/BRS.0000000000001377

    authors: Jee YM,Bak JS,Weinlander E,Anderson PA

    更新日期:2016-03-01 00:00:00

  • Assessment of pedicle screw placement utilizing conventional radiography and computed tomography: a proposed systematic approach to improve accuracy of interpretation.

    abstract:STUDY DESIGN:This was a human cadaver study to determine the accuracy of conventional radiography and computed radiography in the evaluation of pedicle screw placement and to identify methodology for more precise reading of these examinations. OBJECTIVES:To determine the accuracy of conventional radiography and comput...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000112071.69448.a1

    authors: Learch TJ,Massie JB,Pathria MN,Ahlgren BA,Garfin SR

    更新日期:2004-04-01 00:00:00

  • The reliability of measurements of the lumbar spine using ultrasound B-scan.

    abstract::Diagnostic ultrasound is used in research and clinical settings to determine the size of the lumbar spinal canal. When the technique was first introduced, measurements were obtained directly from an A-scan while concurrently viewing a B-scan. However, measurements obtained directly from a B-scan are now commonly used ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198603000-00008

    authors: Battié MC,Hansson TH,Engel JM,Zeh J,Bigos SJ,Spengler DM

    更新日期:1986-03-01 00:00:00

  • Continuous irrigation in pyogenic spondylitis accompanied by iliopsoas abscess.

    abstract:STUDY DESIGN:A retrospective assessment of 12 patients with pyogenic spondylitis accompanied by iliopsoas abscess treated by continuous irrigation with our new method between March 2003 and July 2005. OBJECTIVES:To present our method of treatment and to evaluate outcomes of 12 patients undergoing it. SUMMARY OF BACKG...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318067e35e

    authors: Tofuku K,Koga H,Yone K,Komiya S

    更新日期:2007-06-15 00:00:00

  • Repair of failed transpedicle screw fixation. A biomechanical study comparing polymethylmethacrylate, milled bone, and matchstick bone reconstruction.

    abstract::In a random, controlled laboratory study, pedicle screws placed in human cadaveric vertebrae were axially loaded to failure. Three repair methods were tested. Use of low pressure polymethylmethacrylate yielded 149% of the original pullout strength, milled bone yielded 70% of the initial pullout strength, and matchstic...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199402000-00017

    authors: Pfeifer BA,Krag MH,Johnson C

    更新日期:1994-02-01 00:00:00

  • The relevant anatomy of the approach for axial lumbar interbody fusion.

    abstract:STUDY DESIGN:Prospective trial. OBJECTIVE:To perform a precise anatomical study of the presacral space and to examine the approach safety of AxiaLIF (axial lumbar interbody fusion) in an anatomical aspect. SUMMARY OF BACKGROUND DATA:AxiaLIF is a novel, minimally invasive surgery. Though there were a few clinical repo...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31821b8f6d

    authors: Li X,Zhang Y,Hou Z,Wu T,Ding Z

    更新日期:2012-02-15 00:00:00

  • The effect of muscle relaxant on the paraspinal muscle blood flow: a randomized controlled trial in patients with chronic low back pain.

    abstract:STUDY DESIGN:A randomized controlled trial. OBJECTIVE:To investigate the effect of muscle relaxant for muscle blood flow at the trunk muscle in patients with chronic low back pain (LBP). SUMMARY OF BACKGROUND DATA:Paraspinal muscle function is widely believed to play a role and considered to be of etiologic significa...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e318166e051

    authors: Sakai Y,Matsuyama Y,Nakamura H,Katayama Y,Imagama S,Ito Z,Okamoto A,Ishiguro N

    更新日期:2008-03-15 00:00:00

  • Confirmation of the posterolateral technique to decompress and fuse thoracolumbar spine burst fractures.

    abstract::A posterolateral technique to decompress retropulsed bone from the spinal canal has been employed in nine patients, confirmed with intraoperative canal inspection and pre- and postoperative computed axial tomographic (CAT) evaluation. This technique has allowed reduction of retropulsed bony elements from the spinal ca...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198504000-00005

    authors: Garfin SR,Mowery CA,Guerra J Jr,Marshall LF

    更新日期:1985-04-01 00:00:00

  • Differentiation of intervertebral notochordal cells through live automated cell imaging system in vitro.

    abstract:STUDY DESIGN:We demonstrated the differentiation of notochordal cells by direct observation using a live automated cell imaging system. We also hypothesized that notochordal cells have characteristics of chondrocyte-like cells. OBJECTIVE:To determine characteristics of notochordal cells by matrix protein expression an...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181b26ed1

    authors: Kim JH,Deasy BM,Seo HY,Studer RK,Vo NV,Georgescu HI,Sowa GA,Kang JD

    更新日期:2009-11-01 00:00:00

  • Safety of sublaminar wires with Isola instrumentation for the treatment of idiopathic scoliosis.

    abstract:STUDY DESIGN:To investigate the incidence of acute neurologic complications of use of sublaminar wires with third-generation spine instrumentation for the treatment of idiopathic scoliosis. OBJECTIVES:To assess the safety of sublaminar wires in the surgical treatment of idiopathic scoliosis. SUMMARY OF BACKGROUND DAT...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200003150-00007

    authors: Girardi FP,Boachie-Adjei O,Rawlins BA

    更新日期:2000-03-15 00:00:00

  • Pressure changes within the cauda equina following constriction of the dural sac. An in vitro experimental study.

    abstract::In order to register pressure changes within the cauda equina, a highly sensitive pressure measuring catheter was inserted through a hole in the dural sac. Its tip was placed among the nerve roots of the cauda equina at levels L2, L3, and L4 in seven freshly removed human specimens. The cross-sectional area of the dur...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198409000-00011

    authors: Schönström N,Bolender NF,Spengler DM,Hansson TH

    更新日期:1984-09-01 00:00:00

  • Annulus fissures are mechanically and chemically conducive to the ingrowth of nerves and blood vessels.

    abstract:STUDY DESIGN:Mechanical and biochemical analyses of cadaveric and surgically removed discs. OBJECTIVE:To test the hypothesis that fissures in the annulus of degenerated human discs are mechanically and chemically conducive to the ingrowth of nerves and blood vessels. SUMMARY OF BACKGROUND DATA:Discogenic back pain is...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318263ba59

    authors: Stefanakis M,Al-Abbasi M,Harding I,Pollintine P,Dolan P,Tarlton J,Adams MA

    更新日期:2012-10-15 00:00:00

  • The effect of dilation of immature pedicles on pullout strength of the screws: Part 2: In vivo study.

    abstract:STUDY DESIGN:Experimental study. OBJECTIVE:To evaluate the biomechanical stability of screws placed in expanded pedicles, and to compare those with the screws placed in the nonexpanded pedicles in an in vivo model. SUMMARY OF BACKGROUND DATA:Pullout strength of a pedicle screw increases as the diameter of the screw g...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181b0bb9b

    authors: Yilmaz G,Demirkiran G,Ozkan C,Daglioglu K,Pekmezci M,Alanay A,Yazici M

    更新日期:2009-10-15 00:00:00

  • Magnetic resonance imaging of the spinal cord in cervical ossification of the posterior longitudinal ligament. Can it predict surgical outcome?

    abstract:STUDY DESIGN:Magnetic resonance imaging findings of an increased signal in the cervical cord in patients undergoing surgery for ossification of the posterior longitudinal ligament were analyzed to determined whether an increased signal on T2-weighted images correlated with a poorer outcome. OBJECTIVES:To clarify wheth...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199801010-00008

    authors: Nakamura M,Fujimura Y

    更新日期:1998-01-01 00:00:00

  • Characterizing the shape of the lumbar spine using an active shape model: reliability and precision of the method.

    abstract:STUDY DESIGN:Analysis of positional magnetic resonance images of normal volunteers. OBJECTIVE:To compare the reliability and precision of an active shape model to that of conventional lordosis measurements. SUMMARY OF BACKGROUND DATA:Characterization of lumbar lordosis commonly relies on measurement of angles; these ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31816949e6

    authors: Meakin JR,Gregory JS,Smith FW,Gilbert FJ,Aspden RM

    更新日期:2008-04-01 00:00:00

  • Coccygeal retroversion.

    abstract:STUDY DESIGN:A retrospective review of a case of coccygodynia caused by a previously unreported coccygeal morphology. OBJECTIVES:To draw attention to a previously undiagnosed pathology. BACKGROUND:This case adds to the recently described variants of coccygeal anatomy. METHODS:The authors present the case of a 42-yea...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000127194.97062.17

    authors: Dennell LV,Nathan S

    更新日期:2004-06-15 00:00:00

  • Articular tropism and stability of the lumbar spine.

    abstract::Lumbar intervertebral joints were subjected to compressive and shear forces calculated to simulate walking with a heavy pack on the back. The joints with articular tropism were found to rotate toward the side of the more oblique facet. The mechanics relating the orientation of the articular facets with joint forces an...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198003000-00011

    authors: Cyron BM,Hutton WC

    更新日期:1980-03-01 00:00:00