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Fractures: Bone Repair

Fractures: Bone Repair

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...

Cranial Bones: Superior and Posterior View

Cranial Bones: Superior and Posterior View

The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...

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Related Experiment Video

Updated: Jun 3, 2025

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

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

Published on: November 8, 2024

Four-Point C2 Fixation for Unstable Atlas Fractures: Technical Note.

Paul S Page¹, Seung Lee², William Clifton¹

¹Neurological Surgery, Cleveland Clinic Foundation, Cleveland, USA.

|January 10, 2025

Summary

This summary is machine-generated.

This study introduces a novel four-point axis fixation technique for treating unstable atlas fractures, particularly in patients with poor bone quality. This method offers a new surgical option for complex cervical spine injuries.

Keywords:

atlas fracture biomechanics cervical spine trauma jefferson fracture spine construct spine trauma

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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Area of Science:

Neurosurgery
Orthopedic Surgery
Spinal Surgery

Background:

Traumatic atlas burst fractures often result from axial loading.
Nonsurgical management is common, but severe cases require internal fixation.
Poor bone quality complicates atlanto-axial fixation, potentially necessitating occipital fusion.

Purpose of the Study:

To describe a novel four-point axis fixation technique for unstable atlas fractures.
To address surgical challenges in patients with poor bone quality.
To present a case study of this innovative surgical approach.

Main Methods:

A 63-year-old male patient with osteoporosis, HIV, and Parkinson's disease presented with an unstable C1 burst fracture.
Imaging confirmed C1 burst fracture with lateral mass displacement.
A novel four-point C2 fixation technique was employed for fracture reduction and stabilization.

Main Results:

The four-point C2 fixation technique successfully reduced the unstable atlas fracture.
The construct provided stability in the setting of poor bone quality.
This technique avoided the need for occipital fusion, preserving range of motion.

Conclusions:

The four-point axis fixation is a viable and novel technique for managing unstable atlas fractures.
This method is particularly beneficial for patients with compromised bone quality.
This approach represents a significant advancement in surgical options for complex cervical spine injuries.