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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Related Experiment Video

Updated: Oct 27, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

702

Surgically Treated C1 Fractures: A Population-Based Study.

Henri Ylönen1, Nils Danner2, Henna-Kaisa Jyrkkänen2

  • 1Faculty of Health Sciences, School of Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, North Savo, Finland.

World Neurosurgery
|July 20, 2021
PubMed
Summary

Surgical treatment of C1 fractures is safe and effective, particularly for unstable injuries. Some initially stable fractures may require surgery if instability develops during follow-up.

Keywords:
AtlasC1 fractureCervical spine fractureInstabilitySurgeryUpper cervical spine

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Trauma Surgery

Background:

  • C1 fractures, often associated with other cervical spine injuries, require careful management.
  • Understanding treatment outcomes for C1 fractures in a population-based setting is crucial for optimizing patient care.

Purpose of the Study:

  • To characterize the surgical treatment and outcomes of C1 fractures.
  • To evaluate the effectiveness of different treatment strategies for C1 fractures.

Main Methods:

  • Retrospective analysis of 47 patients with C1 fractures treated between 1996 and 2017.
  • Classification of C1 fractures using AO Spine Upper Cervical and Gehweiler systems.
  • Grouping patients based on primary surgery, secondary surgery, surgery for concomitant fractures, or nonoperative treatment.

Main Results:

  • 89.4% of patients had concomitant cervical spine fractures, commonly at C2.
  • Three of five initially nonoperatively treated fractures showed instability requiring secondary surgery.
  • Good C1 fracture alignment was achieved in most surgically treated groups; residual pain was common, but neurologic symptoms were rare.

Conclusions:

  • Surgery is a safe and effective treatment for unstable C1 fractures.
  • Follow-up imaging is essential as initially stable fractures may necessitate surgery.
  • Magnetic resonance imaging (MRI) can improve the detection of unstable C1 fractures.