Le orthopedic treatment can go hand in hand with drug treatment. Orthopedic treatment of a fracture of the axis If these drugs prove insufficient against pain, an analgesic reserved for more intense pain may be prescribed. For this, the doctor usually prescribes paracetamol or nonsteroidal anti-inflammatory drugs (NSAIDs). Le medical treatment is to deal with pain. It may depend on the type of fracture, the patient's age, neurological signs, etc. Le odontoid fracture treatment may vary from patient to patient. It gives very precise images which make it possible to clearly appreciate the damage to the nervous structures and the integrity of the transverse ligament. MRI is necessary if there are signs of neurological involvement such as paralysis or numbness. In other words, it makes it possible to determine the type of fracture and to specify the extension of the fracture line. In the event of a fracture of the odontoid, it makes it possible to visualize the bone anatomy of the fracture. It makes it possible to take cross-sectional images using an X-ray beam. A scanner to assess the fracture of the odontoid To obtain these results, the doctor uses a standard frontal and profile X-ray. In the same way, it makes it possible to check the presence of dislocation of the first vertebrate cervical (C1). This technique of medical imaging uses x-rays to highlight the site of the fracture. The doctor will then prescribe different types of imaging tests to confirm the diagnosis and choose the appropriate treatment. Usually the diagnosis of this type of cervical fractures is based on a first clinical examination. How to make the diagnosis of odontoid fracture? As it is wider than that in the vertebrae of the upper dorsal region, the spinal cord is less tight. This type of neurological pathology remains rare due to the extent of the cervical vertebral canal. The diaphragm is the main muscle of respiration. If the phrenic nerve is damaged, it is possible that the patient suffers from ventilatory disorders. If you have a sliding of vertebrae or bone debris, this fracture can cause a spinal cord compression. They can cause functional disorders such as balance disorders. This can radiate to the shoulder or arm ( cervico-brachial neuralgia). Le main symptom of fracture of the odontoid is a severe localized neck pain ( acute neck pain). What are the symptoms of an axis fracture? The spinal canal may be constricted and bone fragments may injure the spinal cord in the worst case. On the other hand, if the fracture is unstable, discs, ligaments and joints are damaged. Sourceĭuring a stable fracture, soft tissues and ligaments are not affected and the Spinal canal remain intact. Type III: it is a stable fracture with a line crossing the vertebral body of the C2 or the base of the odontoid.In the elderly, this type of fracture exposes you to the risk of pseudarthrosis. Type II: it is an unstable fracture whose fracture line is located at the level of the neck of the odontoid.The fracture line is located at the level of the tip of the odontoid and gives a tearing appearance. Classification of odontoid fracturesĪccording to Anderson and Alonzo classification, we can distinguish 3 types of odontoid fractures. suicide attempts by hanging (hangman's fracture).work or traffic accidents ( whiplash ou cervical sprain).osteoporosis (progressive loss of bone density weakening the bones).In addition to falls and polytrauma, odontoid fractures can also be linked to other pathologies such as: On the other hand, in young subjects, they can follow multiple traumas. In subjects over the age of 70, they constitute fractures of the cervical spine the most common in the event of a fall. The odontoid fractures account for about 60% of fractures of the axis with a frequency that oscillates between 7 and 14%. This is what makes possible the rotation of the atlas and the head (90° left and right). The odontoid process plays a pivotal role. The particularity of the morphology of the axis gives it a very important function in the mobility of the neck. the apical ligament which allows it to be attached to the occipital bone of the head.the transverse ligament which allows it to articulate with the atlas.On its upper surface, the axis has a voluminous vertical process in pyramidal form called " axis tooth "," odontoid process " or " odontoid process ». It is important to see the anatomy of the odontoid process for better understand odontoid fracture. What are the complications of cervical fracture?.Surgical treatment of an odontoid fracture.Orthopedic treatment of a fracture of the axis.A scanner to assess the fracture of the odontoid.How to make the diagnosis of odontoid fracture?.What are the symptoms of an axis fracture?.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |