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Related Experiment Videos

Multiple fractures of the axis.

Demetrios S Korres1, Panayiotis J Papagelopoulos, Andreas F Mavrogenis

  • 1First Department of Orthopedics, Athens University Medical School, Athens, Greece.

Orthopedics
|November 24, 2004
PubMed
Summary

Multiple axis fractures are rare spinal injuries. Conservative treatment yielded excellent outcomes in a 12-year follow-up, highlighting computed tomography

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Radiology

Background:

  • Multiple fractures of the axis (second cervical vertebra) are uncommon spinal injuries.
  • Understanding their patterns and long-term outcomes is crucial for effective management.

Observation:

  • A retrospective review of 674 cervical spine fractures identified nine cases (1%) of multiple axis fractures.
  • The most frequent pattern involved traumatic spondylolisthesis combined with odontoid process or axis body (teardrop) fractures.
  • Mean patient age was 48 years, with a 2:1 male-to-female ratio.

Findings:

  • All nine patients with multiple axis fractures were managed conservatively.
  • Computed tomography (CT) was essential for accurate diagnosis of these complex fractures.

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  • Long-term follow-up (mean 12 years) demonstrated excellent or good outcomes for all conservatively treated patients.

    • Implications:

    • Conservative management appears effective for multiple axis fractures, challenging traditional surgical approaches.
    • CT imaging is vital for diagnosing these rare and complex injuries.
    • Further research into specific fracture subtypes and optimal conservative treatment protocols is warranted.