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Seminars in Neurosurgery 2002; 13(2): 173-178
DOI: 10.1055/s-2002-35814
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

C2 Trauma

Rebekah C. Austin, Joseph T. Alexander
  • Department of Neurosurgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, and North Carolina Baptist Hospital, Winston-Salem, North Carolina
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Publication History

Publication Date:
28 November 2002 (online)

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ABSTRACT

Traumatic fractures of the axis account for 17 to 25% of cervical fractures. A comprehensive review of contemporary literature was undertaken with emphasis on traumatic C2 fracture categorization, causative biomechanical mechanisms, and current treatment options. Initial clinical and radiographic algorithms are discussed with reference to recently available guidelines. Anomalous anatomy is discussed as well as the special considerations given to both pediatric and elderly patients with C2 injuries.

KEYWORDS

C2 - axis - upper cervical spine trauma - hangman's fractures - odontoid fractures - dens fractures

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