Biomechanics of upper cervical spine and peculiarities of treatment of patients with odontoid process fractures

Cover Page

Cite item

Full Text

Abstract

In transdental injuries of atlantoaxial region the indications for conservative treatment and author’s bipolar Halo-traction method were worked out on the base of spine biomechanical peculiarities (anterior shifting moment and extensor conditionality of the posterior cervical muscles) as well as depending on the mechanism of the development of plane fracture of C2 odontoid process. In flexion fracture of the odontoid process without dislocation as well as in extension fracture with dislocation within the limits of 1/3 of its diameter the successful conservative treatment with plaster thoracocranial bandage was possible. In the rest of cases the author’s method of bipolar Halo-traction was indicated. The experience of treatment of 32 patients was used in the work.

About the authors

V. A. Moiseenko

Penza Institute of Advanced Medical Training

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Penza

References

  1. Бродская З.Л. //Нейрохирургическое лечение последствий атлантоаксиальных дислокаций /Под ред. А.И. Осны. — Л., 1978. — С. 57—85.
  2. Задворнов Ю.Н. //Ортопед. травматол. — 1977. — N 10. — С. 35—39.
  3. Моисеенко В.А., Цодыкс В.М., Крапивин М.Ю. //Травма позвоночника и спинного мозга (опасности, ошибки и осложнения). — Новокузнецк, 1994. — С. 102—106.
  4. Раткин И.К. //Повреждения позвоночника и спинного мозга: Вопросы диагностики и лечения. — Новокузнецк, 1993. -— С. 40—43.
  5. Румянцева А.А., Евсеев В.И. //Ортопед. травматол. — 1977. — N 7. — С. 22—26.
  6. Селиванов В.П., Никитин М.Н. Диагностика и лечение вывихов шейных позвонков. — М., 1971.
  7. Цивьян Я.Л. Повреждения позвоночника. — М., 1971.

Copyright (c) 1996 Eco-Vector



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies