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Unilateral C1 Sagittal Split Fractures: An Unusual Entity Revisited.

MedStar author(s):

Citation: World Neurosurgery. 109:263-270, 2018 JanPMID: 29030230Institution: MedStar Washington Hospital CenterDepartment: NeurosurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Cervical Atlas/in [Injuries] | *Cervical Atlas/su [Surgery] | *Fracture Fixation, Internal | *Spinal Fractures/su [Surgery] | Aged | Cervical Atlas/dg [Diagnostic Imaging] | Humans | Male | Middle Aged | Spinal Fractures/dg [Diagnostic Imaging] | Tomography, X-Ray Computed | Treatment OutcomeYear: 2017 ISSN:

1878-8750

Name of journal: World neurosurgeryAbstract: BACKGROUND: An isolated, unilateral fracture of the C1 lateral mass is a rare condition that has been only minimally described in the literature. Historically, these fractures have predominantly been managed conservatively with either external immobilization or traction.CASE DESCRIPTION: We review the literature and present two patients that presented after failing conservative management, but demonstrated excellent clinical outcomes following surgical treatment.CONCLUSIONS: After failure of conservative management, unilateral sagittal split fractures may be safely and effectively managed with unilateral open reduction and placement of a lag screw.Copyright (c) 2017 Elsevier Inc. All rights reserved.All authors: Felbaum DR, Gill WH, Sandhu FA, Stewart JJ, Suskin ZDFiscal year: FY2018Digital Object Identifier:

https://dx.doi.org/10.1016/j.wneu.2017.09.206

Date added to catalog: 2017-11-10

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Title notes ( 5 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	29030230	Available		29030230

BACKGROUND: An isolated, unilateral fracture of the C1 lateral mass is a rare condition that has been only minimally described in the literature. Historically, these fractures have predominantly been managed conservatively with either external immobilization or traction.

CASE DESCRIPTION: We review the literature and present two patients that presented after failing conservative management, but demonstrated excellent clinical outcomes following surgical treatment.

CONCLUSIONS: After failure of conservative management, unilateral sagittal split fractures may be safely and effectively managed with unilateral open reduction and placement of a lag screw.

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