[Recommendations for Diagnosis and Treatment of Fractures of the Ring of Axis].

[Recommendations for Diagnosis and Treatment of Fractures of the Ring of Axis]. Z Orthop Unfall. 2018 Jun 22;: Authors: Scholz M, Schleicher P, Kandziora F, Badke A, Dreimann M, Gebhard H, Gercek E, Gonschorek O, Hartensuer R, Jarvers JG, 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 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 discoligamento...
Source: Zeitschrift fur Orthopadie und Unfallchirurgie - Category: Orthopaedics Tags: Z Orthop Unfall Source Type: research