Recommendations for Diagnosis and Treatment of Fractures of the Ring of Axis

Standard

Recommendations for Diagnosis and Treatment of Fractures of the Ring of Axis : Axisringfrakturen. / Scholz, Matti; Schleicher, Philipp; Kandziora, Frank; Badke, Andreas; Dreimann, Marc; Gebhard, Harry; Gercek, Erol; Gonschorek, Oliver; Hartensuer, René; Jarvers, Jan-Sven Gilbert; Katscher, Sebastian; Kobbe, Philipp; Koepp, Holger; Korge, Andreas; Matschke, Stefan; Mörk, Sven; Müller, Christian W; Osterhoff, Georg; Pécsi, Ferenc; Pishnamaz, Miguel; Reinhold, Maximilian; Schmeiser, Gregor; Schnake, Klaus John; Schneider, Kristian; Spiegl, Ulrich Josef Albert; Ullrich, Bernhard.

in: Z ORTHOP UNFALLCHIR, Jahrgang 156, Nr. 6, 12.2018, S. 662-671.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

Harvard

Scholz, M, Schleicher, P, Kandziora, F, Badke, A, Dreimann, M, Gebhard, H, Gercek, E, Gonschorek, O, Hartensuer, R, Jarvers, J-SG, Katscher, S, Kobbe, P, Koepp, H, Korge, A, Matschke, S, Mörk, S, Müller, CW, Osterhoff, G, Pécsi, F, Pishnamaz, M, Reinhold, M, Schmeiser, G, Schnake, KJ, Schneider, K, Spiegl, UJA & Ullrich, B 2018, 'Recommendations for Diagnosis and Treatment of Fractures of the Ring of Axis: Axisringfrakturen', Z ORTHOP UNFALLCHIR, Jg. 156, Nr. 6, S. 662-671. https://doi.org/10.1055/a-0620-9170

APA

Scholz, M., Schleicher, P., Kandziora, F., Badke, A., Dreimann, M., Gebhard, H., Gercek, E., Gonschorek, O., Hartensuer, R., Jarvers, J-S. G., Katscher, S., Kobbe, P., Koepp, H., Korge, A., Matschke, S., Mörk, S., Müller, C. W., Osterhoff, G., Pécsi, F., ... Ullrich, B. (2018). Recommendations for Diagnosis and Treatment of Fractures of the Ring of Axis: Axisringfrakturen. Z ORTHOP UNFALLCHIR, 156(6), 662-671. https://doi.org/10.1055/a-0620-9170

Vancouver

Bibtex

@article{fb1b0750e3fa47649b7fe137eee83796,
title = "Recommendations for Diagnosis and Treatment of Fractures of the Ring of Axis: Axisringfrakturen",
abstract = "In a consensus process with four sessions in 2017, the working group {"}upper cervical spine{"} of the German Society for Orthopaedics and Trauma Surgery (DGOU) formulated {"}Therapeutic Recommendations for the Diagnosis and Treatment of Upper Cervical Fractures{"}, taking their own experience and the current literature into consideration. The following article describes the recommendations for axis ring fractures (traumatic spondylolysis C2). About 19 to 49% of all cervical spine injuries include the axis vertebra. Traumatic spondylolysis of C2 may include potential discoligamentous instability C2/3. The primary aim of the diagnostic process is to detect the injury and to determine potential disco-ligamentous instability C2/3. For classification purposes, the Josten classification or the modified Effendi classification may be used. The Canadian C-spine rule is recommended for clinical screening for C-spine injuries. CT is the preferred imaging modality and an MRI is needed to determine the integrity of the discoligamentous complex C2/3. Conservative treatment is appropriate in case of stable fractures with intact C2/3 motion segment (Josten type 2 and 2). Patients should be closely monitored, in order to detect secondary dislocation as early as possible. Surgical treatment is recommended in cases of primary severe fracture dislocation or discoligamentous instability C2/3 (Josten 3 and 4) and/or secondary fracture dislocation. Anterior cervical decompression and fusion (ACDF) C2/3 is the treatment of choice. However, in case of facet joint luxation C2/3 with looked facet (Josten 4), a primary posterior approach may be necessary.",
author = "Matti Scholz and Philipp Schleicher and Frank Kandziora and Andreas Badke and Marc Dreimann and Harry Gebhard and Erol Gercek and Oliver Gonschorek and Ren{\'e} Hartensuer and Jarvers, {Jan-Sven Gilbert} and Sebastian Katscher and Philipp Kobbe and Holger Koepp and Andreas Korge and Stefan Matschke and Sven M{\"o}rk and M{\"u}ller, {Christian W} and Georg Osterhoff and Ferenc P{\'e}csi and Miguel Pishnamaz and Maximilian Reinhold and Gregor Schmeiser and Schnake, {Klaus John} and Kristian Schneider and Spiegl, {Ulrich Josef Albert} and Bernhard Ullrich",
note = "Georg Thieme Verlag KG Stuttgart · New York.",
year = "2018",
month = dec,
doi = "10.1055/a-0620-9170",
language = "English",
volume = "156",
pages = "662--671",
journal = "Z ORTHOP UNFALLCHIR",
issn = "1864-6697",
publisher = "Georg Thieme Verlag KG",
number = "6",

}

RIS

TY - JOUR

T1 - Recommendations for Diagnosis and Treatment of Fractures of the Ring of Axis

T2 - Axisringfrakturen

AU - Scholz, Matti

AU - Schleicher, Philipp

AU - Kandziora, Frank

AU - Badke, Andreas

AU - Dreimann, Marc

AU - Gebhard, Harry

AU - Gercek, Erol

AU - Gonschorek, Oliver

AU - Hartensuer, René

AU - Jarvers, Jan-Sven Gilbert

AU - Katscher, Sebastian

AU - Kobbe, Philipp

AU - Koepp, Holger

AU - Korge, Andreas

AU - Matschke, Stefan

AU - Mörk, Sven

AU - Müller, Christian W

AU - Osterhoff, Georg

AU - Pécsi, Ferenc

AU - Pishnamaz, Miguel

AU - Reinhold, Maximilian

AU - Schmeiser, Gregor

AU - Schnake, Klaus John

AU - Schneider, Kristian

AU - Spiegl, Ulrich Josef Albert

AU - Ullrich, Bernhard

N1 - Georg Thieme Verlag KG Stuttgart · New York.

PY - 2018/12

Y1 - 2018/12

N2 - In a consensus process with four sessions in 2017, the working group "upper cervical spine" of the German Society for Orthopaedics and Trauma Surgery (DGOU) formulated "Therapeutic Recommendations for the Diagnosis and Treatment of Upper Cervical Fractures", taking their own experience and the current literature into consideration. The following article describes the recommendations for axis ring fractures (traumatic spondylolysis C2). About 19 to 49% of all cervical spine injuries include the axis vertebra. Traumatic spondylolysis of C2 may include potential discoligamentous instability C2/3. The primary aim of the diagnostic process is to detect the injury and to determine potential disco-ligamentous instability C2/3. For classification purposes, the Josten classification or the modified Effendi classification may be used. The Canadian C-spine rule is recommended for clinical screening for C-spine injuries. CT is the preferred imaging modality and an MRI is needed to determine the integrity of the discoligamentous complex C2/3. Conservative treatment is appropriate in case of stable fractures with intact C2/3 motion segment (Josten type 2 and 2). Patients should be closely monitored, in order to detect secondary dislocation as early as possible. Surgical treatment is recommended in cases of primary severe fracture dislocation or discoligamentous instability C2/3 (Josten 3 and 4) and/or secondary fracture dislocation. Anterior cervical decompression and fusion (ACDF) C2/3 is the treatment of choice. However, in case of facet joint luxation C2/3 with looked facet (Josten 4), a primary posterior approach may be necessary.

AB - In a consensus process with four sessions in 2017, the working group "upper cervical spine" of the German Society for Orthopaedics and Trauma Surgery (DGOU) formulated "Therapeutic Recommendations for the Diagnosis and Treatment of Upper Cervical Fractures", taking their own experience and the current literature into consideration. The following article describes the recommendations for axis ring fractures (traumatic spondylolysis C2). About 19 to 49% of all cervical spine injuries include the axis vertebra. Traumatic spondylolysis of C2 may include potential discoligamentous instability C2/3. The primary aim of the diagnostic process is to detect the injury and to determine potential disco-ligamentous instability C2/3. For classification purposes, the Josten classification or the modified Effendi classification may be used. The Canadian C-spine rule is recommended for clinical screening for C-spine injuries. CT is the preferred imaging modality and an MRI is needed to determine the integrity of the discoligamentous complex C2/3. Conservative treatment is appropriate in case of stable fractures with intact C2/3 motion segment (Josten type 2 and 2). Patients should be closely monitored, in order to detect secondary dislocation as early as possible. Surgical treatment is recommended in cases of primary severe fracture dislocation or discoligamentous instability C2/3 (Josten 3 and 4) and/or secondary fracture dislocation. Anterior cervical decompression and fusion (ACDF) C2/3 is the treatment of choice. However, in case of facet joint luxation C2/3 with looked facet (Josten 4), a primary posterior approach may be necessary.

U2 - 10.1055/a-0620-9170

DO - 10.1055/a-0620-9170

M3 - SCORING: Journal article

C2 - 29933496

VL - 156

SP - 662

EP - 671

JO - Z ORTHOP UNFALLCHIR

JF - Z ORTHOP UNFALLCHIR

SN - 1864-6697

IS - 6

ER -