Spine
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Comparative Study Clinical Trial
Management of type II dens fractures: a case-control study.
A case-control study of patients with isolated type II dens fractures treated with halo vest immobilization. ⋯ Surgical intervention should be considered in those patients aged 50 years or more who have a type II dens fracture, if it can be accomplished with acceptable risk of morbidity and death.
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A radiographic study of the sagittal sacral deformity in spondylolisthesis. ⋯ The entire sacrum in spondylolisthesis can develop a significant kyphotic deformity in the sagittal plane, and this is associated with other abnormalities found in the lumbosacral spine. Sacral deformity is a significant factor in the assessment of the sagittal contour of the patient with L5-S1 spondylolisthesis.
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Population-based, cross-sectional mailed survey. ⋯ This study suggests that important associations exist between comorbidities, a past history of neck injury resulting from a motor vehicle collision, and graded neck pain. Importantly, individuals who are significantly disabled by neck pain also have comorbidities that have a moderate or severe impact on their health, suggesting that chronic disorders tend to cluster in some individuals.
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A retrospective study of vertebral artery injury diagnosed during the last 6 years in our institution. ⋯ Vertebral artery injury should be suspected in cervical trauma patients with facet joint dislocation or transverse foramen fracture. Magnetic resonance imaging/magnetic resonance angiography is a helpful test to rule out vascular injury. Vertebral artery injury affects the extracranial segment at the same level as the cervical fracture. This is a retrospective review that did not permit drawing conclusions about the effects of early surgical stabilization in the treatment of cervical spine injuries with associated vertebral artery injury; however, surgical stabilization may avoid propagation and embolization of the clot located at the site of the lesion.