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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Management of acute traumatic atlas fractures
Egidijus Kontautas1, Kazys Vytautas Ambrozaitis, Romas Jonas Kalesinskas
1Department of Orthopaedics and Traumatology, Kaunas University of Medicine Hospital, Kaunas, Lithuania.
Objective:
A prospective review of a clinical series was performed. The treatment features of atlas fractures with and without associated axis injuries were investigated.
Methods:
Twenty-nine patients were investigated.
Results:
No displaced fractures were treated with a cervical orthosis. Patients with displaced fractures were managed with a halo vest immobilization; 96.4% patients had a solid fusion at their last follow-up evaluations.
Conclusions:
Isolated not displaced or combined with not displaced axis fractures atlas fractures can be treated effectively with a rigid cervical collar alone. Isolated displaced fractures or not displaced but with concurrent displaced axis fractures require immobilization by the halo vest.
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