Mitchell F. Bowers , Mason W. Young , Byron F. Stephens (Associate Professor) , Julian G. Lugo-Pico (Assisstant Professor)
{"title":"Atlantoaxial trauma","authors":"Mitchell F. Bowers , Mason W. Young , Byron F. Stephens (Associate Professor) , Julian G. Lugo-Pico (Assisstant Professor)","doi":"10.1016/j.semss.2024.101098","DOIUrl":null,"url":null,"abstract":"<div><p>The craniocervical junction (CCJ) protects critical neurovascular structures while allowing for a significant amount of head and neck motion.<span><sup>1</sup></span><sup>,</sup><span><sup>2</sup></span> Traumatic injuries at the CCJ are not uncommon, mainly occurring secondary to high-energy mechanisms in the young or low-energy mechanisms in the elderly.<span><sup>3</sup></span> Unlike the subaxial spine, neurological deficits are less common with CCJ trauma, however neurological injuries in this area can be devastating.<span><sup>4</sup></span> Given the complex bony, neurologic, and vascular anatomy at the CCJ, it is imperative that spine surgeons understand the diagnosis and management of C1 and C2 fractures.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 2","pages":"Article 101098"},"PeriodicalIF":0.0000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Spine Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1040738324000212","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
The craniocervical junction (CCJ) protects critical neurovascular structures while allowing for a significant amount of head and neck motion.1,2 Traumatic injuries at the CCJ are not uncommon, mainly occurring secondary to high-energy mechanisms in the young or low-energy mechanisms in the elderly.3 Unlike the subaxial spine, neurological deficits are less common with CCJ trauma, however neurological injuries in this area can be devastating.4 Given the complex bony, neurologic, and vascular anatomy at the CCJ, it is imperative that spine surgeons understand the diagnosis and management of C1 and C2 fractures.
期刊介绍:
Seminars in Spine Surgery is a continuing source of current, clinical information for practicing surgeons. Under the direction of a specially selected guest editor, each issue addresses a single topic in the management and care of patients. Topics covered in each issue include basic anatomy, pathophysiology, clinical presentation, management options and follow-up of the condition under consideration. The journal also features "Spinescope," a special section providing summaries of articles from other journals that are of relevance to the understanding of ongoing research related to the treatment of spinal disorders.