DC pole | Wartość | Język |
dc.contributor.author | Tomaszewski, Ryszard | - |
dc.contributor.author | Kler, Jacek | - |
dc.contributor.author | Pethe, Karol | - |
dc.contributor.author | Zachurzok, Agnieszka | - |
dc.date.accessioned | 2021-07-14T10:43:20Z | - |
dc.date.available | 2021-07-14T10:43:20Z | - |
dc.date.issued | 2021 | - |
dc.identifier.citation | "Journal of Orthopaedic Surgery and Research" (2021), Vol. 16, art. no. 449, s. 1-7 | pl_PL |
dc.identifier.issn | 1749-799X | - |
dc.identifier.uri | http://hdl.handle.net/20.500.12128/20633 | - |
dc.description.abstract | Background: Occipital condyle fractures (OCFs) in patients before 18 years of age are rare. Classifications of OCF
are based on the CT images of the cranio-cervical junction (CCJ) and MRI. The Anderson-Montesano and Tuli
classifications are the types which are most commonly used in these cases. Classification of OCFs allows the
implementation of OCF treatment. The aim of this study was to evaluate the effectiveness of using the OCF
classification in pediatric patients based on the analysis of our own cases.
Methods: During the years 2013–2020, 6 pediatric patients with OCFs, aged 14–18, have been treated. Two
patients with unstable fracture III according to Anderson-Montesano and IIB according to Tuli were treated with the
halo-vest. Additionally, one patient presenting neurological symptoms and with an associated C1 fracture was
qualified for the halo-vest stabilization as well. The other patients were treated with a Minerva collar. We evaluated
the results 6 months after completing the OCF treatment using the Neck Disability Index (NDI) and SF-36
questionnaires. Confidence intervals for the mean values were verified using the MeanCI function (from the R library
DescTools) for both classical and bootstrap methods.
Results: Based on NDI results, we have obtained in our patients an average of 4.33/45 points (2–11) and 9.62%
(4.4–24.4). Based on the SF-36 questionnaire, we obtained an average of 88.62% (47.41–99.44).
Conclusion: The Anderson-Montesano and Tuli’s classifications of OCF can be used to assess the stability of OCF in
adolescents, but both classifications should be used simultaneously. CT and MR imaging should be used in
diagnosing OCFs, whereas CT allows assessing therapeutic outcomes in OCF. | pl_PL |
dc.language.iso | en | pl_PL |
dc.rights | Uznanie autorstwa 3.0 Polska | * |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/pl/ | * |
dc.subject | Occipital condyle fracture (OCF) | pl_PL |
dc.subject | Children | pl_PL |
dc.subject | Treatment | pl_PL |
dc.subject | Classifications | pl_PL |
dc.subject | Cranio-cervical junction (CCJ) | pl_PL |
dc.title | Evaluation of using the Anderson-Montesano and the Tuli classifications in pediatric patients with occipital condyle fractures | pl_PL |
dc.type | info:eu-repo/semantics/article | pl_PL |
dc.identifier.doi | 10.1186/s13018-021-02463-w | - |
Pojawia się w kolekcji: | Artykuły (WNŚiT)
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