C1 Lateral Mass Displacement and Transverse Atlantal Ligament Failure in Jefferson's Fracture: A Biomechanical Study of the 'Rule of Spence'

Woods Rafeek O.; Inceoglu Serkan; Akpolat Yusuf T.; Cheng Wayne K.; Jabo Brice; Danisa Olumide

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C1 Lateral Mass Displacement and Transverse Atlantal Ligament Failure in Jefferson's Fracture: A Biomechanical Study of the 'Rule of Spence'

机译：杰斐逊骨折中的C1横向肿块位移和横向寰枢轴失效：对“浇口规则”的生物力学研究

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摘要

BACKGROUND: Jefferson's fracture, first described in 1927, represents a bursting fracture of the C1 ring with lateral displacement of the lateral masses. It has been determined that if the total lateral mass displacement (LMD) exceeds 6.9 mm, there is high likelihood of transverse atlantal ligament (TAL) rupture, and if LMD is less than 5.7 mm TAL injury is unlikely. Several recent radiographic studies have questioned the accuracy and validity of the "rule of Spence" and it lacks biomechanical support.

机译：背景：Jefferson的骨折是1927年首次描述的，表示C1环的突破骨折，具有横向块的横向位移。已经确定，如果总横向质量位移（LMD）超过6.9mm，则横向寰枢轴（TAL）破裂的可能性很高，如果LMD小于5.7mm，则不太可能。最近几个射线照相研究质疑“威盛规则”的准确性和有效性，缺乏生物力学支持。

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来源
《Neurosurgery》 |2018年第2期|共6页
作者
Woods Rafeek O.; Inceoglu Serkan; Akpolat Yusuf T.; Cheng Wayne K.; Jabo Brice; Danisa Olumide;
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作者单位

Loma Linda Univ Med Ctr Dept Neurol Surg Loma Linda CA 92354 USA;

Loma Linda Univ Med Ctr Dept Orthoped Surg 11406 Lona Linda Dr Suite 218 Loma Linda CA 92354;

Loma Linda Univ Med Ctr Dept Orthoped Surg 11406 Lona Linda Dr Suite 218 Loma Linda CA 92354;

Loma Linda Univ Med Ctr Dept Orthoped Surg 11406 Lona Linda Dr Suite 218 Loma Linda CA 92354;

Loma Linda Univ Sch Publ Hlth Dept Epidemiol &

Biostat Loma Linda CA 92354 USA;

Loma Linda Univ Med Ctr Dept Neurol Surg Loma Linda CA 92354 USA;

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原文格式 PDF
正文语种 eng
中图分类头部及神经外科学;
关键词
Atlantoaxial instability; Atlas fracture; C1 fracture; Jefferson's fracture; Lateral mass overhang; Rule of Spence; Transverse atlantal ligament;

机译：atlantoaxial不稳定性;atlas骨折;c1骨折;杰斐逊的骨折;横向肿块悬垂;血迹规则;横向寰枢曲面韧带;

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外文文献

1. C1 Lateral Mass Displacement and Transverse Atlantal Ligament Failure in Jefferson's Fracture: A Biomechanical Study of the "Rule of Spence" [J] . Woods Rafeek O., Inceoglu Serkan, Akpolat Yusuf T., Neurosurgery . 2018,第2期

机译：杰斐逊骨折中的C1横向肿块位移和横向寰枢轴失效：对“浇口规则”的生物力学研究
2. A biomechanical rationale for C1-ring osteosynthesis as treatment for displaced Jefferson burst fractures with incompetency of the transverse atlantal ligament. [J] . Koller H, Resch H, Tauber M, European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society . 2010,第8期

机译：C1环骨合成的生物力学原理可用于治疗移位的Jefferson爆裂性骨折，并伴有横寰韧带功能不全。
3. A biomechanical rationale for C1-ring osteosynthesis as treatment for displaced Jefferson burst fractures with incompetency of the transverse atlantal ligament [J] . Heiko Koller, Herbert Resch, Mark Tauber, European Spine Journal . 2010,第8期

机译：C1环骨合成的生物力学原理，用于治疗移位性杰弗逊爆发性骨折并伴有寰椎横韧带无力
4. The Comparative Study on Analytical Solutions and Numerical Solutions of Displacement in Transversely Isotropic Rock Mass [C] . Zhizeng Zhang, Zhao Zhao, Yongtao Li International Conference of Numerical Analysis and Applied Mathematics . 2016

机译：横向各向同性岩体位移分析解决方案和数值解的比较研究
5. Radiologic criteria to predict injury of the transverse atlantal ligament in unilateral sagittal split fractures of the C1 lateral mass [O] . Heui-Jeon Park, Dong-Gune Chang, Jong-Beom Park, -1

机译：放射学标准可预测C1侧块的单侧矢状劈裂骨折中横韧带的损伤
6. A biomechanical rationale for C1-ring osteosynthesis as treatment for displaced Jefferson burst fractures with incompetency of the transverse atlantal ligament [O] . Koller, Heiko, Resch, Herbert, Tauber, Mark, 2010

机译：C1环骨合成的生物力学原理，用于治疗移位性杰弗逊爆发性骨折并伴有横韧带不足的骨折

C1 Lateral Mass Displacement and Transverse Atlantal Ligament Failure in Jefferson's Fracture: A Biomechanical Study of the 'Rule of Spence'

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