对 C2 骨折进行多种分类后的处理,叙述性综述。

IF 1.9 Q3 CLINICAL NEUROLOGY Brain & spine Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI:10.1016/j.bas.2024.102928
Michael McDermott, Guisela Quinteros, Federico Landriel, Chase Stastny, Daniel Raskin, Guillermo Ricciardi, Andrei Fernandes Joaquim, Charles Carazzo, Amna Hussein, Jahangir Asghar, Alfredo Guiroy
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引用次数: 0

摘要

导言:分类对外科医生很有帮助,因为它们可以作为决策的资源,通常可以提供认为有必要进行手术的个别指标。然而,当存在多种分类时,决策可能会受到影响。C2 骨折就是这种情况。因此,本研究旨在回顾轴突骨折的不同分类:研究问题:C2骨折最常用的分类方法是什么?按照《系统综述和荟萃分析首选报告项目》(PRISMA)指南进行了系统性文献综述。进行了三次不同的Pub-med检索(https://pubmed.ncbi.nlm.nih.gov/),以分离出最常见的C2骨折分类:蝶骨突骨折、轴后部骨折和轴体骨折:结果:搜索共分离出 530 篇论文。根据纳入和排除标准,得出了七篇关于轴体骨折的论文、六篇关于蝶骨骨折的论文和十篇关于 "刽子手骨折 "的论文。提出的大多数分类方法都是经典分类方法的改进版:Benzel 的分类法适用于轴体骨折,Anderson 和 D'Alonzo 的分类法适用于蝶骨骨折,Effendi 的分类法适用于 "绞刑架骨折"。AO Spine 提出的另一种分类方法似乎很有前途,在观察者之间和观察者内部的一致性方面取得了良好的早期结果:目前,还没有一种分类方法被普遍接受或广泛使用。AO 脊柱上颈椎损伤分类系统的出现似乎很有希望,因为它包含了放射学和临床要素。
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Management of C2 fractures following multiple classifications, a narrative review.

Introduction: Classifications are helpful for surgeons as they can be a resource for decision-making, often providing the individual indicators that may deem a case necessary for surgery. However, when there are multiple classifications, the decision-making might be compromised. That is the case with C2 fractures. For this reason, this study was designed to review the different classifications of axis fractures.

Research question: What are the most commonly used classifications for C2 fractures, and how do these classifications compare in terms of clinical utility?

Methods: A systematic literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Guidelines was performed. Three different Pub-med searches (https://pubmed.ncbi.nlm.nih.gov/) were done to isolate the most common C2 fracture classifications of odontoid process fractures, the posterior element of the axis and axis body fractures.

Results: The search isolated 530 papers. Applying the inclusion and exclusion criteria yielded seven papers on axis body fractures, six on odontoid fractures, and ten on "hangman's fractures." Most of the classifications proposed are modified versions of the classic ones: Benzel's for body fractures, Anderson and D'Alonzo's for odontoid fractures, and Effendi's for "hangman's fractures." The proposal by AO Spine of a different classification seems promising and had good early results of interobserver and intraobserver agreement.

Discussion and conclusion: Currently, no classification is universally accepted or widely used. The emergence of the AO Spine Upper Cervical Injury Classification system seems promising as it encompasses radiological and clinical elements.

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来源期刊
Brain & spine
Brain & spine Surgery
CiteScore
1.10
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审稿时长
71 days
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