Reporte de un caso. Multiple cervical spine fractures. Case report. E-mail: rodrigovargasmena hotmail. Reincorporado a su trabajo habitual y con movilidad aceptable en la columna cervical.

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Decision making for the treatment of odontoid fractures. Nos pacientes tratados conservadoramente, optou-se pelo halo-gesso ou colar cervical tipo Philadelphia. METHODS: a retrospective and comparative study of conservative versus surgical treatment for odontoid was carried out with 24 patients who suffered odontoid fracture due to trauma.

None type I fracture was found, 17 patients had type II fractures Decision making for surgical or conservative treatment occurred depending on reduction and instability criteria.

Surgical treatment was carried out by Southwick-Robinson technique, by one cannulated screw for assuring odontoid fixation. Conservative treatment was performed with halo-vest or Philadelphia cervical collar.

Independently on the fracture type, the consolidation occurred within three months for patients treated surgically and within five months for patients treated conservatively. Em , Hadley et al. Apfelbaum et al. Consideraram-se pacientes com seguimento maior que um ano.

Dois casos apresentaram parestesias envolvendo membros superiores. Entre as fraturas do tipo III, nenhum caso apresentou desvio significativo. Todos os pacientes apresentaram melhora dos sintomas locais e retorno da mobilidade. As altas taxas de falhas no tratamento conservador levou diversos autores a tratarem estas fraturas cirurgicamente 8, Recentemente, Grauer et al.

Henry et al. Blaskiewicz e Fountas et al. Jaiswal et al. Concordamos com o algoritmo proposto por Grauer et al. E Jaiswal et al. Cervical spine trauma: upper and lower. Principles and practice of spine surgery. New York: Mosby; Acute odontoid fractures: anterior odontoid fixation. Operative Tech Orthop. Proposal of a modified, treatment-oriented classification of odontoid fractures. Spine J. Blaskiewicz D. Anterior odontoid screw fixation for the management of type II odontoid fractures.

Proposal of a new method for treating type II odontoid fractures: odontoid process prosthetic Ti. Studies by Undergraduate Researchers at Guelph. Anatomy of the C2 vertebra and odontoid process with relation to odontoid screw placement: a cadaveric study of 3, adult specimens. Odontoid fractures. Review of cases and practical application for treatment. Eur Spine J. Fixation of odontoid fractures by anterior screw. J Bone Joint Surg Br. Seimon LP. Fracture of the odontoid process in young children.

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Fractures of the dens. A multicenter study. Progressive myelopathy secondary to odontoid fractures: clinical, radiological, and surgical features. J Neurosurg. Direct anterior screw fixation for recent and remote odontoid fractures.

Anterior screw fixation of posteriorly displaced type II odontoid fractures. Odontoid fractures treated by odontoid anterior screw fixation. Sung J-K. Anterior screw fixation using Herbert screw for type II odontoid process fractures. J Korean Neurosurg Soc. Motor classification of spinal cord injuries with mobility, morbidily and recovery indices.

Am Surg. The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia. Acute fractures of odontoid process. Internal fixation for the odontoid fracture.

Orthop Trans. Bohler J. Anterior stabilization for acute fractures and nonunion of the dens. Surgical approaches to the vertebral bodies in the cervical and lumbar regions. Defino HLA. Rev Bras Ortop. Fractures of the atlas and odontoid process. Orthop Clin North Am. In: Clark CR. The cervical spine. Lippincott-Raven; Odontoid fracture: management with early mobilization using the halo device. Fractures of the odontoid process: conservative and operative treatment. Prognostic factors. Acta Orthop Belg.

Complications of the halo fixation. Castro MG. Althoff B, Goldie IF. The arterial supply of the odontoid process of the axis. Acta Orthop Scand. Management of acute fractures with single screw anterior fixation. Verheggen R, Jansen J. Fractures of the odontoid process: analysis of the functional results after surgery.

Arq Neuro-Psiquitr. Treatment in fractures of the odontoid process. Cannulated screw for odontoid fixation and atlantoaxial transarticular screw fixation: technical note. The interspinous method of posterior atlantoaxial arthrodese. Current management of odontoid fractures. Indian J Neurotrauma. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Services on Demand Journal.

Lorena, cj. How to cite this article.


Fractura vertebral

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Descritores: Fraturas da coluna vetebral. O mecanismo de trauma mais prevalente foi queda de altura. Rev Bras Ortop. Odontoid fractures: evaluation and management. J Am Acad Orthop Surg.

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