Book contents
- Postgraduate Orthopaedics
- Postgraduate Orthopaedics
- Copyright page
- Contents
- Contributors
- Preface
- Acknowledgements
- Abbreviations
- Interactive website
- Section 1 The FRCS (Tr & Orth) Oral Examination
- Section 2 Adult Elective Orthopaedics and Spine
- Section 3 Trauma
- Chapter 9 General principles and fracture biomechanics
- Chapter 10 Lower limb trauma I
- Chapter 11 Lower limb trauma II
- Chapter 12 Upper limb trauma I
- Chapter 13 Upper limb trauma II
- Chapter 14 Pelvic trauma
- Chapter 15 Spinal trauma
- Chapter 16 Paediatric trauma
- Section 4 Children’s Orthopaedics/Hand and Upper Limb
- Section 5 Applied Basic Sciences
- Section 6 Drawings for the FRCS (Tr & Orth)
- Index
- References
Chapter 15 - Spinal trauma
from Section 3 - Trauma
Published online by Cambridge University Press: 15 November 2019
Book contents
- Postgraduate Orthopaedics
- Postgraduate Orthopaedics
- Copyright page
- Contents
- Contributors
- Preface
- Acknowledgements
- Abbreviations
- Interactive website
- Section 1 The FRCS (Tr & Orth) Oral Examination
- Section 2 Adult Elective Orthopaedics and Spine
- Section 3 Trauma
- Chapter 9 General principles and fracture biomechanics
- Chapter 10 Lower limb trauma I
- Chapter 11 Lower limb trauma II
- Chapter 12 Upper limb trauma I
- Chapter 13 Upper limb trauma II
- Chapter 14 Pelvic trauma
- Chapter 15 Spinal trauma
- Chapter 16 Paediatric trauma
- Section 4 Children’s Orthopaedics/Hand and Upper Limb
- Section 5 Applied Basic Sciences
- Section 6 Drawings for the FRCS (Tr & Orth)
- Index
- References
Summary
A 53-year-old man was involved in a road traffic accident. He was driving the car and was wearing a seat belt. This is the radiograph obtained in casualty (Figure 15.1a). What does it show?
This is a plain lateral radiograph of the cervical spine that shows anterior translation of the C6 vertebra on C7. This translation is more than 25% so this is likely a bifacet dislocation. The inferior facets of C6 can be seen to lie anterior to the superior facets of C7. This is a bifacet dislocation. The C7/T1 border is not clearly seen and therefore this is an inadequate radiograph.
- Type
- Chapter
- Information
- Postgraduate OrthopaedicsViva Guide for the FRCS (Tr & Orth) Examination, pp. 311 - 331Publisher: Cambridge University PressPrint publication year: 2019
References
Arnold, PM, Brodke, DS, Rempersaud, YR, et al. Differences between neurosurgeons and orthopaedic surgeons in classifying cervical dislocation injures and making assessment and treatment decisions: a multicenter reliability study. Am J Orthop. 2009;38:E156–E161.Google Scholar
Vaccaro, AR, Falatyn, SP, Flanders, AE, et al. Magnetic resonance evaluation of the intervertebral disc, spinal ligaments and spinal cord before and after closed traction reduction of cervical spine dislocations. Spine. 1999;24:1210–1218.CrossRefGoogle ScholarPubMed
Grant, GA, Mirza, SK, Chapman, JR, et al. Risk of early closed reduction in cervical spine subluxation injuries. J Neurosurg (Spine). 1999;90:13–18.CrossRefGoogle ScholarPubMed
Hart, RA, Vaccaro, AR, Nachwalter, RS. Cervical facet dislocation: when is magnetic resonance imaging indicated? Spine. 2002;27:116–118.CrossRefGoogle ScholarPubMed
Samuel, AM, Grant, RA, Bohl, DD, et al. Delayed surgery after acute traumatic central cord syndrome is associated with reduced mortality. Spine. 2015;40:349–356.CrossRefGoogle ScholarPubMed
Fehlings, MG, Vaccaro, A, Wilson, JR, et al. Early versus delayed decompression for traumatic cervical spinal cord injury: results of the Surgical Timing in Acute Spinal Cord Injury Study (STASCIS). PLoS ONE. 2012;7: e32037.CrossRefGoogle ScholarPubMed
Anderson, KK, Tetreault, L, Shamji, MF, et al. Optimal timing of surgical decompression for acute traumatic central cord syndrome: a systematic review of the literature. Neurosurgery. 2015 77:s15–s32.CrossRefGoogle ScholarPubMed
Wood, K, Butterman, G, Garvey, T, et al. Operative compared with non-operative treatment of a thoracolumbar burst fracture without neurological deficit. A prospective, randomized study. J Bone Joint Surg Am. 2003;5:773–781.Google Scholar
Siebenga, J, Leferink, VJM, Segers, MJM, et al. Treatment of traumatic thoracolumbar spine fractures: a multicenter prospective randomized study of operative versus nonsurgical treatment. Spine. 2006;25:2881–2890.Google Scholar
Koivikko, MP, Kiuru, MJ, Koskinen, SK, Myllynen, P, Santavirta, S, Kivisaari, L. Factors associated with non-union in conservatively treated type II fractures of the odontoid process. J Bone Joint Surg Br. 2004;86(8):1146–1151.Google Scholar
Kuntz, C IV, Mirza, SK, Jarell, AD, Chapmen, JR, Shaffrey, CI, Newell, DW. Type II odontoid fractures in the elderly: early failure of non-surgical management.Neurosurg Focus. 2000;8(6):e7.Google Scholar
Anderson, LD, D’Alonzo, RT. Fractures of the odontoid process of the axis. J Bone Joint Surg Am. 1974;56:1663–1674.Google Scholar
Grauer, JN, Shafi, B, Hilibrand, AS, et al. Proposal of a modified, treatment-oriented classification of odontoid fractures. Spine J. 2005;5:123–129.Google Scholar
Li, XF, Dai, LY, Lu, H, Chen, XD. A systematic review of the management of hangman’s fractures. Eur Spine J. 2006;15(3):257–269.CrossRefGoogle ScholarPubMed
Greene, KA, Dickman, CA, Marciano, FF, Drabier, JB, Hadley, MN, Sonntag, VK. Acute axis fractures: analysis of management and outcome in 340 consecutive cases. Spine. 1997;22(16):1843–1852.CrossRefGoogle ScholarPubMed
Chapman, JR, Agel, J, Jurkovich, GJ, Bellabarba, C. Thoracolumbar flexion–distraction injuries: associated morbidity and neurological outcomes. Spine. 2008;33(6):648–657.CrossRefGoogle ScholarPubMed
Groves, CJ, Cassar-Pullicino, VN, Tins, BJ, Tyrrell, PN, McCall, IW. Chance-type flexion–distraction injuries in the thoracolumbar spine: MR imaging characteristics. Radiology. 2005;236(2):601–608.CrossRefGoogle ScholarPubMed
Bernstein, MP, Mirvis, SE, Shanmuganathan, K. Chance-type fractures of the thoracolumbar spine: imaging analysis in 53 patients. AJR Am J Roentgenol. 2006;187(4):859–868.CrossRefGoogle ScholarPubMed
Ramieri, A, Domenicucci, M, Cellocco, P, Raco, A, Costanzo, G. Effectiveness of posterior tension band fixation in the thoracolumbar seat-belt type injuries of the young population. Eur Spine J. 2009;18(Suppl 1):89–94.Google Scholar
Sethi, MK, Schoenfeld, AJ, Bono, CM, Harris, MB. The evolution of thoracolumbar injury classification systems. Spine J. 2009;9(9):780–788.Google Scholar
Botte, MJ, Byrne, TP, Abrams, RA, et al. Halo skeletal fixation: techniques of application and prevention of complications. J Am Acad Orthop Surg. 1996;4:44–53.CrossRefGoogle ScholarPubMed
Garfin, SR, Botte, MJ, Waters, RL, et al. Complications in the use of the halo fixation device. J Bone Joint Surg Am. 1986;68:320–325.CrossRefGoogle ScholarPubMed
Ahn, UM, Ahn, NU, Buchowski, JM, Garrett, ES, Sieber, AN, Kostuik, JP. Cauda equina syndrome secondary to lumbar disc herniation – a meta-analysis of surgical outcomes. Spine. 2000;25(12):1515–1522.CrossRefGoogle ScholarPubMed
Gleave, JRW, Macfarlane, R. Cauda equina syndrome: what is the relationship between timing of surgery and outcome? Br J Neurosurg. 2002;16(4):325–328.CrossRefGoogle ScholarPubMed
Dodwad, SN, Dodwad, SJ, Wisneski, R, Khan, SN. Retrospective analysis of thoracolumbar junction injuries using the thoracolumbar injury severity and classification score, American Spinal Injury Association class, injury severity score, age, sex, and length of hospitalization. Clin Spine Surg. 2015;28(7):E410–416.Google Scholar