Neurospine.  2020 Dec;17(4):723-736. 10.14245/ns.2040226.113.

Upper Cervical Spine Trauma: WFNS Spine Committee Recommendations

Affiliations
  • 1Department of Neurosurgery, Centro Hospitalar de Gaia/Espinho, Vila Nova de Gaia, Portugal
  • 2Department of Neurosurgery, Hospital Lusiadas Porto, Porto, Portugal
  • 3Department of Neurosurgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea
  • 4Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russian Federation
  • 5A.I. Evdokimov Moscow Medical University, Moscow, Russian Federation
  • 6Department of Neurosurgery, Tsukazaki Hospital, Hyogo, Japan
  • 7N. N. Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation
  • 8Department of Neurosurgery, Ege University, Izmir, Turkey

Abstract

Craniovertebral junction (CVJ) trauma is a challenging clinical condition. Being a highly mobile functional unit at the junction of the skull and the vertebral column, traumatic events in this area may produce devastating neurological complications and death. Additionally, many of the CVJ traumatic injuries can be left undiagnosed or even raise difficult treatment dilemmas. We present a literature review in the format of recommendations on the diagnosis and management of different scenarios for upper cervical trauma and produce recommendations, which can be applicable to various areas of the globe.

Keyword

Cervical spine trauma; Craniovertebral junction; Odontoid fractures; Atlas fracture; Atlantoaxial dislocation
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