Traumatic spondylolisthesis of the axis: epidemiology, management and outcome

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFERRO, Fernando Portilho
dc.contributor.authorBORGO, Gustavo Dias
dc.contributor.authorLETAIF, Olavo Biraghi
dc.contributor.authorCRISTANTE, Alexandre Fogaca
dc.contributor.authorMARCON, Raphael Martus
dc.contributor.authorLUTAKA, Alexandre Sadao
dc.date.accessioned2013-07-30T15:13:13Z
dc.date.available2013-07-30T15:13:13Z
dc.date.issued2012
dc.description.abstractObjective: To evaluate cases of traumatic spondylolisthesis of the axis and describe them in relation to epidemiology, classification, neurological deficit, healing time and treatment method. Method: A retrospective analysis of the medical records of patients treated between 2002 and 2010 at IOT-FMUSP. Inclusion criteria: pars interarticularis fracture of C2. Results: 68% were male patients, with a mean age of 39.1 years. We used the classification by Effendi, modified by Levine-Edwards. Type I fractures were observed in five patients (31.2%) and type II in eight patients (50%). Only three patients (18%) had type IIa fracture. There were no cases of type III. Mechanism: Eight car accidents and four falls. Other mechanisms: being run over, and diving accidents. Treatment with halo traction was used in eleven patients, using minerva cast and halo-cast. Healing time: 3.6 months. Follow-up time: 9.6 months. Discussion: In general, hangman fracture has a good prognosis, which is confirmed by our results. There was no need for surgery in any of the cases. The incidence of neurological deficit is low. No patient had unstable fracture (type III). Conclusion: This paper suggests that traumatic spondylolisthesis of the axis continues to be an injury that is successfully treated by conservative treatment in most cases. Level of Evidence IV, Case series.
dc.description.abstractObjetivo: Avaliar casos de espondilolistese traumática do áxis e descrevê-los com relação à epidemiologia, classificação, déficit neurológico, tempo de consolidação e tratamento. Método: Análise retrospectiva dos prontuários dos pacientes tratado de 2002 a 2010 no IOT-HCFMUSP. Critério de inclusão: fratura da pars interarticularis de C2. Resultados: 68% dos pacientes do sexo masculino com idade média de 39,1 anos. Utilizamos a classificação de Effendi, modificada por Levine-Edwards. Observamos fratura do tipo I em cinco pacientes (31,2%) e tipo II em oito pacientes (50%). Apenas três pacientes (18%) apresentaram fratura do tipo IIa. Não houve casos do tipo III. Mecanismo: Oito acidentes automobilísticos e quatro quedas. Outros mecanismos: atropelamento e mergulho. Tratamento: tração com halocraniano em onze pacientes. Foram usados gesso minerva e halo-gesso. Tempo de consolidação: 3,6 meses. Tempo de seguimento:9,6 meses. Discussão: Nossos resultados confirmam que fratura do enforcado apresenta bom prognóstico. Não houve necessidade de cirurgia em nenhum caso. A incidência de déficit neurológico é baixa. Nenhum paciente apresentou fratura instável, tipo III. Conclusão: Este trabalho sugere que a espondilolistese traumática do áxis continua sendo uma lesão satisfatoriamente tratada de forma conservadora na maioria dos casos. Nível de Evidência IV, Série de casos.
dc.description.indexWoS
dc.identifier.citationACTA ORTOPEDICA BRASILEIRA, v.20, n.2, p.84-87, 2012
dc.identifier.doi10.1590/S1413-78522012000200005
dc.identifier.issn1413-7852
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/858
dc.language.isoeng
dc.language.isopor
dc.publisherATHA COMUNICACAO & EDITORA
dc.relation.ispartofActa Ortopedica Brasileira
dc.rightsopenAccess
dc.rights.holderCopyright ATHA COMUNICACAO & EDITORA
dc.subjectAxis
dc.subjectSpondylolisthesis
dc.subjectSpine
dc.subjectImmobilization
dc.subjectÁxis
dc.subjectEspondilolistese
dc.subjectColuna Vertebral
dc.subjectImobilização
dc.subject.otherhangmans fractures
dc.subject.otherc-2
dc.subject.wosOrthopedics
dc.titleTraumatic spondylolisthesis of the axis: epidemiology, management and outcome
dc.title.alternativeEspondilolistese traumática do áxis: epidemiologia, conduta e evolução
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus21
hcfmusp.contributor.author-fmusphcFERNANDO PORTILHO FERRO
hcfmusp.contributor.author-fmusphcGUSTAVO DIAS BORGO
hcfmusp.contributor.author-fmusphcOLAVO BIRAGHI LETAIF
hcfmusp.contributor.author-fmusphcALEXANDRE FOGACA CRISTANTE
hcfmusp.contributor.author-fmusphcRAPHAEL MARTUS MARCON
hcfmusp.contributor.author-fmusphcALEXANDRE SADAO IUTAKA
hcfmusp.description.beginpage84
hcfmusp.description.endpage87
hcfmusp.description.issue2
hcfmusp.description.volume2012
hcfmusp.lim.ref2012
hcfmusp.origemWOS
hcfmusp.origem.pubmed24453586
hcfmusp.origem.scieloSCIELO:S1413-78522012000200005
hcfmusp.origem.scopus2-s2.0-84865298523
hcfmusp.origem.wosWOS:000304576000005
hcfmusp.publisher.citySAO PAULO SP
hcfmusp.publisher.countryBRAZIL
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hcfmusp.scopus.lastupdate2024-05-17
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