Fractures of the cervical spine

Show simple item record

dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author MARCON, Raphael Martus FMUSP-HC
CRISTANTE, Alexandre Fogaca FMUSP-HC
TEIXEIRA, William Jacobsen FMUSP-HC
NARASAKI, Douglas Kenji
OLIVEIRA, Reginaldo Perilo FMUSP-HC
BARROS FILHO, Tarcisio Eloy Pessoa de FMUSP-HC
dc.date.issued 2013
dc.identifier.citation CLINICS, v.68, n.11, p.1455-1461, 2013
dc.identifier.issn 1807-5932
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/5150
dc.description.abstract OBJECTIVES: The aim of this study was to review the literature on cervical spine fractures. METHODS: The literature on the diagnosis, classification, and treatment of lower and upper cervical fractures and dislocations was reviewed. RESULTS: Fractures of the cervical spine may be present in polytraumatized patients and should be suspected in patients complaining of neck pain. These fractures are more common in men approximately 30 years of age and are most often caused by automobile accidents. The cervical spine is divided into the upper cervical spine (occiput-C2) and the lower cervical spine (C3-C7), according to anatomical differences. Fractures in the upper cervical spine include fractures of the occipital condyle and the atlas, atlanto-axial dislocations, fractures of the odontoid process, and hangman's fractures in the C2 segment. These fractures are characterized based on specific classifications. In the lower cervical spine, fractures follow the same pattern as in other segments of the spine; currently, the most widely used classification is the SLIC (Subaxial Injury Classification), which predicts the prognosis of an injury based on morphology, the integrity of the disc-ligamentous complex, and the patient's neurological status. It is important to correctly classify the fracture to ensure appropriate treatment. Nerve or spinal cord injuries, pseudarthrosis or malunion, and postoperative infection are the main complications of cervical spine fractures. CONCLUSIONS: Fractures of the cervical spine are potentially serious and devastating if not properly treated. Achieving the correct diagnosis and classification of a lesion is the first step toward identifying the most appropriate treatment, which can be either surgical or conservative.
dc.language.iso eng
dc.publisher HOSPITAL CLINICAS, UNIV SAO PAULO
dc.relation.ispartof Clinics
dc.rights openAccess
dc.subject Cervical Atlas; Cervical Vertebrae; Spinal Fractures; Therapeutics
dc.subject.other occipital condyle; odontoid process; classification; axis; dislocations; management; vertebra; injuries; lesions
dc.title Fractures of the cervical spine
dc.type article
dc.rights.holder Copyright HOSPITAL CLINICAS, UNIV SAO PAULO
dc.description.group LIM/41
dc.identifier.doi 10.6061/clinics/2013(11)12
dc.type.category review
dc.type.version publishedVersion
hcfmusp.author MARCON, Raphael Martus:HC:IOT
hcfmusp.author CRISTANTE, Alexandre Fogaca:FM:MOT
hcfmusp.author TEIXEIRA, William Jacobsen:FM:
hcfmusp.author OLIVEIRA, Reginaldo Perilo:HC:IOT
hcfmusp.author BARROS FILHO, Tarcisio Eloy Pessoa de:FM:MOT
hcfmusp.author.external · NARASAKI, Douglas Kenji:Inst Canc Estado Sao Paulo ICESP, Spine Div, Sao Paulo, Brazil
hcfmusp.origem.id 2-s2.0-84887557758
hcfmusp.origem.id WOS:000329984600012
hcfmusp.origem.id SCIELO:S1807-59322013001101455
hcfmusp.publisher.city SAO PAULO
hcfmusp.publisher.country BRAZIL
hcfmusp.relation.reference · AEBI M, 1987, ORTHOPADE, V16, P27
· AHLGREN P, 1962, Fortschr Geb Rontgenstr Nuklearmed, V97, P655
· AHLGREN P, 1964, Fortschr Geb Rontgenstr Nuklearmed, V101, P202
· ALLEN BL, 1982, SPINE, V7, P1, DOI 10.1097/00007632-198200710-00001
· ANDERSON LD, 1974, J BONE JOINT SURG AM, VA 56, P1663
· ANDERSON PA, 1988, SPINE, V13, P731, DOI 10.1097/00007632-198807000-00004
· Astolfi RS, 2012, ACTA ORTOP BRAS, V20, P207, DOI 10.1590/S1413-78522012000400002
· Barros Filho TEP, 2002, COLUNA-COLUMNA, V1, P83
· Barros Filho TEP, 2006, ACTA ORTOP BRAS, V14, P75
· Bell C, 1817, MIDDLESEX HOSP J, V4, P469
· Blackmore CC, 1999, RADIOLOGY, V211, P759
· BOLENDER N, 1978, AM J ROENTGENOL, V131, P729
· CLARK CR, 1985, J BONE JOINT SURG AM, V67A, P1340
· Cristante AF, 2012, CLINICS, V67, P1219, DOI 10.6061/clinics/2012(10)16
· Cristante AF, 2010, SPINE, V35, pE140, DOI 10.1097/BRS.0b013e3181ba023e
· Cristante AF, 2012, NEUROSURGERY, V70, P835, DOI 10.1227/NEU.0b013e3182367417
· Cristante AF, 2012, NEUROSURGERY, V70, P838
· Cristante AF, 2002, COLUNA-COLUMNA, V1, P15
· DUNN ME, 1986, NEUROSURGERY, V18, P306
· DVORAK J, 1987, SPINE, V12, P183, DOI 10.1097/00007632-198703000-00016
· Dvorak MF, 2007, SPINE, V32, P2620
· Fehlings MG, 2012, PLOS ONE, V7, DOI 10.1371/journal.pone.0032037
· Ferro FP, 2012, ACTA ORTOP BRAS, V20, P84, DOI 10.1590/S1413-78522012000200005
· Jefferson G, 1920, BRIT J SURG, V7, P407
· Kissinger P, 1900, ZENTRALBL CHIR, V37, P933
· Kool Digna R, 2007, Emerg Radiol, V14, P135, DOI 10.1007/s10140-007-0633-x
· KRAUS JF, 1975, J CHRON DIS, V28, P471, DOI 10.1016/0021-9681(75)90057-0
· Letaif Olavo Biraghi, 2010, Coluna/Columna, V9, P358, DOI 10.1590/S1808-18512010000400003
· LEVINE AM, 1989, CLIN ORTHOP RELAT R, P53
· Lozorio AR, 2012, ACTA ORTOP BRAS, V20, P180, DOI 10.1590/S1413-78522012000300009
· Meyer Guilherme Pereira Corrêa, 2011, Coluna/Columna, V10, P127, DOI 10.1590/S1808-18512011000200009
· Miranda TAB, 2012, CLINICS, V67, P799, DOI 10.6061/clinics/2012(07)16
· Pontin PA, 2011, ACTA ORTOP BRAS, V19, P189, DOI 10.1590/S1413-78522011000400003
· Schliack H, 1965, Nervenarzt, V36, P362
· SPENCER JA, 1984, NEUROSURGERY, V15, P101
· Wackenheim A, 1974, ROENTGEN DIAGNOSIS C
· Wright NM, 1998, J NEUROSURG, V88, P634, DOI 10.3171/jns.1998.88.4.0634
dc.description.index MEDLINE
dc.identifier.eissn 1980-5322
hcfmusp.citation.scopus 19
hcfmusp.citation.wos 17
hcfmusp.affiliation.country Brasil


Files in this item

This item appears in the following Collection(s)

Show simple item record

Search DSpace



Browse

My Account

Statistics