Abstract:
INTRODUCTION:Cervical spine metastases are relatively rare entities. Only about 10 % of all spinal metastases can be found in this localization. Magnetic resonance imaging and computed tomography are routinely used for early detection. The initial, clinical examination and patients' complaints may not always be very prominent. Treatment of such lesions is very challenging and needs to consider patient's comorbidities, quality of life and life expectation. Surgery for these lesions should always be performed in specialized spine units. CASE PRESENTATION:We present here a clinical history of a 67-year-old male with acutely occurring neck pain and some neck discomfort for last 2 weeks. No previous neck pain history or trauma. There were no neurological symptoms, only a slight tremor in the left upper extremity. The detailed past medical history of the patient revealed chronic obstructive pulmonary disease (COPD), diabetes mellitus (DM type II), and smoking 30-pack-year. The first cervical spine X-ray did not demonstrate any pathological findings. We performed a CT scan, which demonstrated a lytic lesion involving the vertebral body of C2 with collapse of odontoid process and subsequent C1-C2 instability. In the next step, because of no medical history of cancer, we performed CT scan of the chest and abdomen, and found a suspicious mass in the right main bronchus and liver. We suggested a bronchial biopsy of the mass but the patient refused this procedure and requested only surgery for the C2 lesion. The patient underwent the described surgical procedure through high anterior cervical approach. We collected the tissue for histology, and performed radiofrequency thermoablation, cement augmentation, and odontoid screw fixation. The patient made an uneventful recovery and 2 weeks after surgery he was able to start his palliative chemotherapy for bronchial carcinoma, which was diagnosed based on biopsy acquired during this procedure. DISCUSSION:There are no specific guidelines regarding treatment of secondary lesions of C2 with instability at C1-C2 level. We describe here an interesting approach for the management of lytic lesions of C2 which may be used also at other levels of cervical spine. We did not observe any leakage of cement into the spinal canal. This procedure allows for fast recovery of patients, with early unrestricted range of motion, and beginning of early chemotherapy.
journal_name
Arch Orthop Trauma Surgjournal_title
Archives of orthopaedic and trauma surgeryauthors
Zwolak P,Kröber Mdoi
10.1007/s00402-015-2266-ysubject
Has Abstractpub_date
2015-09-01 00:00:00pages
1211-5issue
9eissn
0936-8051issn
1434-3916journal_volume
135pub_type
杂志文章abstract:OBJECTIVES:To evaluate orthopedic surgeon referral of trauma patients to PT. DESIGN:Cross-sectional survey. SETTING:Alberta, Canada. PARTICIPANTS:Orthopedic surgeons and residents. METHODS:A web-based survey was utilized to poll orthopedic surgeons and residents on referral practices. Statistical analysis using Kru...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-013-1706-9
更新日期:2013-05-01 00:00:00
abstract:INTRODUCTION:We aim to review the incidence and risk factors for the development of intraoperative periprosthetic femur fractures while performing a bipolar hemiarthroplasty for displaced neck of femur fractures. Our secondary aim is to characterize the types of intraoperative periprosthetic fractures, the steps leadin...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-018-2952-7
更新日期:2018-09-01 00:00:00
abstract:INTRODUCTION:Comparative data to guide implant choice for radial head replacements are lacking. Here, we compared the clinical results achieved using two different types of radial head prostheses. METHODS:Data from patients with comminuted radial head fractures (n = 66), who underwent radial head arthroplasty with eit...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-020-03534-z
更新日期:2020-07-27 00:00:00
abstract:INTRODUCTION:Ring fixation of C1 can be performed using pedicle screws and a rod in case of unstable Jefferson or lateral mass fractures of C1. MATERIALS AND METHODS:In a case series of three patients, we stabilized C1 fractures surgically using a modified technique of C1 ring fixation by using monoaxial instead of po...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-017-2737-4
更新日期:2017-09-01 00:00:00
abstract:PURPOSE:Pelvic ring fractures are challenging injuries and require effective treatment due to the frequently compromised patient condition. The aim of this study was to evaluate the outcome of unstable pelvic ring injuries treated with a minimally invasive pedicle screw-rod system. METHODS:Retrospective analysis was p...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-018-3094-7
更新日期:2019-04-01 00:00:00
abstract::A patient who had had been treated by surgery for spinal echinococcosis in a Mediterranean country emigrated to northern Europe. After surgery, the echinococcosis disseminated and he developed chronic lytic and sinus-draining hydatid disease of the left hip and neuromuscular weakness of the left lower extremity. Seven...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/pl00021231
更新日期:2000-01-01 00:00:00
abstract::One hundred sixty-two neonates with sonographically diagnosed developmental dysplasia of the hip (200 hips) according to the method of Graf were treated with a Pavlik harness until sonographic maturation was reached. Eight patients (12 hips) treated with closed reduction and retention in a bilateral hip spica cast wer...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/BF00443818
更新日期:1994-01-01 00:00:00
abstract::The influence of transient circulatory arrest on the healing of closed tibial fractures was investigated in rats by the use of a hindlimb tourniquet technique. Twenty-four animals were randomly divided into three groups. In all animals, the left lower leg was fractured and fixed with an intramedullary nail system. In ...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s004020050245
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:In an alumina-on-alumina total hip arthroplasty (THA), recommended with a small inclination angle <45°, the acetabular component (cup) may be positioned more medially to be covered almost completely by host bone. The purpose of this study was to identify the correlating factors and to evaluate the outcomes of m...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-012-1661-x
更新日期:2013-03-01 00:00:00
abstract:INTRODUCTION:Porcine flexor tendons, bovine extensor tendons, and human (semitendinosus) tendons are frequently used as substitutes for human ACL grafts in biomechanical in vitro studies. This study compares the biomechanical properties and structural differences of these tendons. MATERIALS AND METHODS:In this biomech...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-016-2529-2
更新日期:2016-10-01 00:00:00
abstract:INTRODUCTION:There is a great deal of controversy about the effect of tourniquets on development of deep vein thrombosis (DVT) after total knee arthroplasty (TKA). PATIENTS AND METHODS:We investigated the incidence of postoperative DVT after TKA with or without the use of a tourniquet. The patients were 48 consecutive...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-006-0244-0
更新日期:2007-10-01 00:00:00
abstract:INTRODUCTION:Although degenerative osteoarthritis of the acromioclavicular joint is a common finding on technical investigations, not every patient experiences pain or function loss. The difference between symptomatic and asymptomatic patients is currently not elucidated. Therefore, we want to investigate the acromiocl...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章,评审
doi:10.1007/s00402-019-03258-9
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Patients suffering from ankylosing spondylitis are prone to injuries of the cervical spine even with minor trauma. Although the fractures are markedly unstable, nonsurgical treatment using a halo-thoracic plaster or jacket is a common approach. METHODS:We present three patients with cervicothoracic fracture...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-003-0488-x
更新日期:2003-04-01 00:00:00
abstract:INTRODUCTION:Venous thromboembolism (VTE) is an important problem in orthopedic trauma patients. An association between VTE and upper extremity injury has not been reported. The purpose of this investigation was to determine whether upper extremity trauma is an independent risk factor for lower extremity VTE. This stud...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-010-1094-3
更新日期:2011-01-01 00:00:00
abstract:PURPOSE AND OBJECTIVE:Bone resection regarding adequate surgical margins is the treatment of choice for malignant bone tumors. In the case of metastasis-related complications, so-called skeletal-related events, it is highly important to achieve pain relief and a stable joint situation to re-mobilize the patients immedi...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章,评审
doi:10.1007/s00402-016-2584-8
更新日期:2017-02-01 00:00:00
abstract::The aim of the present study was to assess whether the presence of polymorphonuclear leukocytes in the first stage of fracture repair was of any importance. In anesthetized male Wistar rats, a transverse osteotomy was performed at midshaft in one femur and immediately stabilized by an intramedullary Kirschner nail. Th...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/BF00419942
更新日期:1990-01-01 00:00:00
abstract:INTRODUCTION:Computed tomography-based three-dimensional models may allow the accurate determination of the center of rotation, lateral and anterior femoral offsets, and the required implant size in total hip arthroplasty. In this cadaver study, the accuracy of anatomical reconstruction was evaluated using a three-dime...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-020-03394-7
更新日期:2020-06-01 00:00:00
abstract:PURPOSE:Safety and efficacy of unicompartmental knee arthroplasty (UKA) in unicompartmental osteoarthritis (OA) has been shown in large patient series. It has been matter of discussion whether or not spontaneous osteonecrosis of the knee (SONK) can successfully be treated with UKA. PATIENTS AND METHODS:A retrospective...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-010-1177-1
更新日期:2011-05-01 00:00:00
abstract:INTRODUCTION:The purpose of this investigation was to compare clinical outcome, component loosening, polyethylene cup wear and periprosthetic bone mineral density between "cup first" navigated and conventional cementless total hip arthroplasty (THA) 5-7 years after surgery. MATERIALS AND METHODS:Fifty patients who rec...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-015-2201-2
更新日期:2015-05-01 00:00:00
abstract::Spondylitis/spondylodiscitis is still an uncommon diagnosis often with a delay in diagnosis and treatment due to the uncharacteristic symptoms. The aim of this study is to increase the awareness and outline a pattern of investigation and treatment. We present six children with an average age of 23 months (19-33 months...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-007-0316-9
更新日期:2007-08-01 00:00:00
abstract::Complete transection of the median nerve associated with minimally displaced fractures of forearm bones is described in a 20-year-old woman. An end-to-end epineural repair was performed. There was good sensory and motor recovery of the median nerve in the hand. ...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s004020100292
更新日期:2001-10-01 00:00:00
abstract:PURPOSE:In the present study, we aimed to evaluate the impact of two-dimensional multi-planar computed tomography (2D-MP-CT) scans and three-dimensional surface rendering computed tomography reconstruction (3D-SR-CT) on the inter- and intra-observer reliability of four commonly used classification systems for tibial pi...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-019-03259-8
更新日期:2020-02-01 00:00:00
abstract::Bladder herniation associated with pubic symphysis diastasis is a very rare condition. We report a case with bladder herniation after traumatic pubic symphysis disruption. The patient was treated with open reduction of the bladder and definitive internal fixation of the pubis. We used a bone allograft for closure of t...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-007-0290-2
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND:The aim of this study was to prospectively investigate the adherence to the American College of Cardiology (ACC) and the American Heart Association guidelines for perioperative assessment of patients with hip fracture in daily clinical practice and how this might affect outcome. METHODS:This prospective coh...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-019-03270-z
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Anterior knee pain (AKP) is a major complication that occurs after anterior cruciate ligament reconstruction (ACLR), even when hamstring tendon (HT) grafts are used. Damage to the infrapatellar fat pad (IPFP) during arthroscopy can cause AKP. The purpose of this study was to evaluate the influence of IPFP pr...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-020-03520-5
更新日期:2020-11-01 00:00:00
abstract:INTRODUCTION:The different cartilage layers vary in synthesis of proteoglycan and of the distinct types of collagen with the predominant collagen Type II with its associated collagens, e.g. types IX and XI, produced by normal chondrocytes. It was demonstrated that proteoglycan decreases in degenerative tissue and a swi...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-009-0981-y
更新日期:2010-04-01 00:00:00
abstract::From 1984 to 1991 20 multiple trauma patients with pelvic fractures and retroperitoneal bleeding from pelvic vessels underwent angiographic localization and embolization of massively bleeding arterial vessels. Nine patients survived (multiple trauma index grade III, Hanover polytrauma index), three patients with very ...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/BF00420059
更新日期:1992-01-01 00:00:00
abstract::An 18-month-old girl with lesions in the cortex of the bilateral tibiae and ulnae and right fibula is reported. The lesion in the right tibia disappeared after curettage and xenogeneic bone grafting, and the other lesions disappeared spontaneously by the age of 12 years. All lesions involved the bone cortex. The right...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/BF00440594
更新日期:1993-01-01 00:00:00
abstract:INTRODUCTION:Efforts are recently focused on the management of shoulder impingement syndrome (SIS) with a conservative and targeted approach because of its psychosocial impact, reduction in the quality of life, the cost to the economy and its negative effect on daily activities. Therefore, many studies have been design...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-020-03455-x
更新日期:2020-04-30 00:00:00
abstract:INTRODUCTION:Internal fixation of the traumatic diastasis of symphysis pubis is an integral part of the definitive management of pelvic ring injuries. Both functional outcome and long term physiological effects of plate retention have not been clearly addressed and no specific indications regarding implant removal have...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-007-0429-1
更新日期:2008-03-01 00:00:00