Primary internal fixation of unilateral C1 lateral mass sagittal split fractures: a series of 3 cases

Journal of Spinal Disorders & Techniques
Richard BransfordCarlo Bellabarba

Abstract

Retrospective case review of adult patients who sustained C1 lateral mass sagittal split fractures treated with primary internal fixation. To present the outcomes of patients treated with primary C1 open reduction and internal fixation of this previously described injury. The majority of C1 fractures can be effectively treated nonoperatively with external immobilization unless there is an injury to the transverse atlantal ligament. We have previously described an uncommon fracture variant involving a unilateral sagittal split of the C1 lateral mass with high propensity for late deformity and pain, despite lack of compromise to the transverse atlantal ligament. A retrospective review of all patients with C1 fractures between September 2002 and October 2008 identified 3 consecutive patients from a level I trauma center (Harborview Medical Center, Seattle, WA) with this unique C1 lateral mass fracture treated with primary internal fixation without fusion. Patients' charts and radiographs were reviewed. One patient died within 2 weeks of injury owing to associated injuries. The 2 survivors had follow-up averaging 14 months. Both went on to stable healing with satisfactory alignment. Rotational range of motion averaged an arc of 120...Continue Reading

Citations

Apr 18, 2014·Indian Journal of Orthopaedics·Yong HuWei-Xin Dong
Aug 10, 2013·Neurosurgical Review·Alberto DebernardiMarco Cenzato
Dec 15, 2015·The Spine Journal : Official Journal of the North American Spine Society·Joshua ShatskyRichard J Bransford
Oct 26, 2014·The Journal of the American Academy of Orthopaedic Surgeons·Richard J BransfordCarlo Bellabarba
Jul 1, 2016·Current Reviews in Musculoskeletal Medicine·Loren B MeadAlexander R Vaccaro
Jan 28, 2014·Journal of Spinal Disorders & Techniques·Yong HuZhen-Shan Yuan
Aug 18, 2017·Journal of Orthopaedic Trauma·Frank KandzioraMatti Scholz
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Feb 7, 2018·Journal of Craniovertebral Junction and Spine·Semih KeskilUlas Yüksel
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