Management of isolated fractures of the Axis in Adults

Timothy C. Ryken; Mark N. Hadley; Bizhan Aarabi; Sanjay S. Dhall; Daniel E. Gelb; R. John Hurlbert; Curtis J. Rozzelle; Nicholas Theodore; Beverly C. Walters

doi:10.1227/NEU.0b013e318276ee40

Management of isolated fractures of the Axis in Adults

Timothy C. Ryken, Mark N. Hadley, Bizhan Aarabi, Sanjay S. Dhall, Daniel E. Gelb, R. John Hurlbert, Curtis J. Rozzelle, Nicholas Theodore, Beverly C. Walters

Research output: Contribution to journal › Article › peer-review

66 Scopus citations

Abstract

Combination fractures of the atlas and axis occur relatively frequently and are associated with an increased incidence of neurological deficit compared with either isolated C1 or isolated C2 fractures. C1-type II odontoid combination fractures are the most commonC1-C2 combination fracture injury pattern, followed by C1-miscellaneous axis body fractures, C1-type III odontoid fractures, and C1-Hangman combination fractures. Class III medical evidence addressing the management of patients with acute traumatic combination atlas and axis fractures describes a variety of treatment strategies for these unique fracture injuries based primarily on the specific characteristics of the axis fracture injury subtype..

Original language	English (US)
Pages (from-to)	132-150
Number of pages	19
Journal	Neurosurgery
Volume	72
Issue number	SUPPL.2
DOIs	https://doi.org/10.1227/NEU.0b013e318276ee40
State	Published - Mar 2013
Externally published	Yes

Keywords

Axis fractures
Hangman fractures
Odontoid fractures

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.1227/NEU.0b013e318276ee40

Cite this

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title = "Management of isolated fractures of the Axis in Adults",

abstract = "Combination fractures of the atlas and axis occur relatively frequently and are associated with an increased incidence of neurological deficit compared with either isolated C1 or isolated C2 fractures. C1-type II odontoid combination fractures are the most commonC1-C2 combination fracture injury pattern, followed by C1-miscellaneous axis body fractures, C1-type III odontoid fractures, and C1-Hangman combination fractures. Class III medical evidence addressing the management of patients with acute traumatic combination atlas and axis fractures describes a variety of treatment strategies for these unique fracture injuries based primarily on the specific characteristics of the axis fracture injury subtype..",

keywords = "Axis fractures, Hangman fractures, Odontoid fractures",

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T1 - Management of isolated fractures of the Axis in Adults

AU - Ryken, Timothy C.

AU - Hadley, Mark N.

AU - Aarabi, Bizhan

AU - Dhall, Sanjay S.

AU - Gelb, Daniel E.

AU - Hurlbert, R. John

AU - Rozzelle, Curtis J.

AU - Theodore, Nicholas

AU - Walters, Beverly C.

PY - 2013/3

Y1 - 2013/3

N2 - Combination fractures of the atlas and axis occur relatively frequently and are associated with an increased incidence of neurological deficit compared with either isolated C1 or isolated C2 fractures. C1-type II odontoid combination fractures are the most commonC1-C2 combination fracture injury pattern, followed by C1-miscellaneous axis body fractures, C1-type III odontoid fractures, and C1-Hangman combination fractures. Class III medical evidence addressing the management of patients with acute traumatic combination atlas and axis fractures describes a variety of treatment strategies for these unique fracture injuries based primarily on the specific characteristics of the axis fracture injury subtype..

AB - Combination fractures of the atlas and axis occur relatively frequently and are associated with an increased incidence of neurological deficit compared with either isolated C1 or isolated C2 fractures. C1-type II odontoid combination fractures are the most commonC1-C2 combination fracture injury pattern, followed by C1-miscellaneous axis body fractures, C1-type III odontoid fractures, and C1-Hangman combination fractures. Class III medical evidence addressing the management of patients with acute traumatic combination atlas and axis fractures describes a variety of treatment strategies for these unique fracture injuries based primarily on the specific characteristics of the axis fracture injury subtype..

KW - Axis fractures

KW - Hangman fractures

KW - Odontoid fractures

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Management of isolated fractures of the Axis in Adults

Abstract

Keywords

ASJC Scopus subject areas

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