Evidence-based guideline for clinical diagnosis and treatment of acute combination fractures of the atlas and axis in adults (version 2023)
- VernacularTitle:成人急性寰枢椎联合骨折临床诊疗循证指南（2023版）
- Author:
Yukun DU
1
;
Dageng HUANG
;
Wei TIAN
;
Dingjun HAO
;
Yongming XI
;
Baorong HE
;
Bohua CHEN
;
Tongwei CHU
;
Jian DONG
;
Jun DONG
;
Haoyu FENG
;
Shunwu FAN
;
Shiqing FENG
;
Yanzheng GAO
;
Zhong GUAN
;
Yong HAI
;
Lijun HE
;
Yuan HE
;
Dianming JIANG
;
Jianyuan JIANG
;
Weiqing KONG
;
Bin LIN
;
Bin LIU
;
Baoge LIU
;
Chunde LI
;
Fang LI
;
Feng LI
;
Guohua LYU
;
Li LI
;
Qi LIAO
;
Weishi LI
;
Xiaoguang LIU
;
Yong LIU
;
Zhongjun LIU
;
Shibao LU
;
Fei LUO
;
Jianyi LI
;
Yong QIU
;
Limin RONG
;
Yong SHEN
;
Huiyong SHEN
;
Jun SHU
;
Yueming SONG
;
Tiansheng SUN
;
Jiang SHAO
;
Jiwei TIAN
;
Yan WANG
;
Zhe WANG
;
Zheng WANG
;
Xiangyang WANG
;
Hong XIA
;
Jinglong YAN
;
Liang YAN
;
Wen YUAN
;
Jie ZHAO
;
Jianguo ZHANG
;
Yue ZHU
;
Xuhui ZHOU
;
Mingwei ZHAO
Author Information
- Keywords: Cervical atlas; Axis, cervical vertebra; Spinal fractures; Guidelines
- From: Chinese Journal of Trauma 2023;39(4):299-308
- CountryChina
- Language:Chinese
- Abstract: The acute combination fractures of the atlas and axis in adults have a higher rate of neurological injury and early death compared with atlas or axial fractures alone. Currently, the diagnosis and treatment choices of acute combination fractures of the atlas and axis in adults are controversial because of the lack of standards for implementation. Non-operative treatments have a high incidence of bone nonunion and complications, while surgeries may easily lead to the injury of the vertebral artery, spinal cord and nerve root. At present, there are no evidence-based Chinese guidelines for the diagnosis and treatment of acute combination fractures of the atlas and axis in adults. To provide orthopedic surgeons with the most up-to-date and effective information in treating acute combination fractures of the atlas and axis in adults, the Spinal Trauma Group of Orthopedic Branch of Chinese Medical Doctor Association organized experts in the field of spinal trauma to develop the Evidence-based guideline for clinical diagnosis and treatment of acute combination fractures of the atlas and axis in adults ( version 2023) by referring to the "Management of acute combination fractures of the atlas and axis in adults" published by American Association of Neurological Surgeons (AANS)/Congress of Neurological Surgeons (CNS) in 2013 and the relevant Chinese and English literatures. Ten recommendations were made concerning the radiological diagnosis, stability judgment, treatment rules, treatment options and complications based on medical evidence, aiming to provide a reference for the diagnosis and treatment of acute combination fractures of the atlas and axis in adults.
