Abstract
IntroductionCervical lateral mass fractures are frequent injuries encountered in a spine trauma practice. The aim of this study was to define outcomes for operative versus non-operative management by reviewing our experience with these injuries.Material and MethodsThe design of this study was retrospective. It was conducted at University of Alabama Hospitals, USA. Institutional Review Board approval was duly obtained. We used electronic records and ICD codes to identify 34 consecutive cases, presenting to this hospital in the year 2011.ResultsThe age range was 22–88 years (mean=45). Most injuries were due to motor vehicle accidents. C7 facets were the most frequently injured (n = 22). The injuries were grouped by fracture orientation into: Coronal split fracture n = 19, sagittal split n = 8, comminuted n = 4, floating (fractured pedicle and lamina) n = 3. Surgical intervention was performed in 16 patients (47%) and non-surgical (rigid collar/halo) in 18 patients (53%). Of surgical cases, 14 received ACDF ...
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