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Traumatismes du rachis cervical
Prof Marc-Antoine Rousseau
Hocircpital Avicenne
Prise en charge initiale
Evaluation
Statut neurologique
Stabiliteacute meacutecanique
CLINIQUE
IMAGERIE
Prise en charge Retour agrave domicile Transfert SAMU vers un centre speacutecialiseacute
Urgence
Traitement fonctionnel orthopeacutedique chirurgie
collier
RCI RCS
En preacute-hospitalier
bull Immobilisation en rectitude
Eacutevaluation neurologique
bull FRANKEL
ndash A deacuteficit complet sensitif et moteur
ndash B sensibiliteacute conserveacutee deacuteficit moteur (0)
ndash C sensibiliteacute conserveacutee deacuteficit moteur partiel (12)
ndash D sensibiliteacute conserveacutee deacuteficit moteur partiel (34)
ndash E sensibiliteacute et motriciteacute normale (5)
Frankel HL Ascending cord lesion in the early stages following spinal injury Paraplegia 19697111ndash8
Eacutevaluation neurologique score ASIA
Terminologie
bull La racine porte le nom de la vertegravebre SOUS jacente
ndash C5 est entre C4 et C5
bull Niveau = le premier niveau deacuteficitaire sous leacutesionnel (litteacuterature franccedilaise)
ndash C6 peut fleacutechir le coude
ndash C6 franccedilais = C5 anglo-saxon
Autres manifestations neurologiques
bull Systegraveme nerveux autonomie
ndash Arret cardiaque
ndash Syndrome confusionnel
ndash Vasopleacutegie
ndash Ileacuteus
ndash Priapisme
bull Reacutechauffeacute
bull Perfuseacute
bull Monitoreacute
bull Precirct agrave ecirctre intubeacute
bull Transport SAMU
Prise en charge hospitaliegravere
bull Radiographies standard
Tirer sur les eacutepaules
Charniegravere Cervico-Thoracique
Imagerie compleacutementaire
bull Scanner ndash Drsquoembleacutee
ndash Si doute
ndash Injecter (systeacutematique pour RCS)
bull IRM ssi neuro SANS leacutesion scanner ndash Hernie
ndash Heacutematome peacuteri intra meacutedullaire
ndash Contusion (sur CCCE)
SCIWORA Spinal cord injury without radiolographic abnormality
Argenson C De Peretti F Boileau P Chirurgie des trau-matismes du rachis cervical EMC (Elsevier Masson SAS Paris) Techniques chirurgicales-Orthopeacutedie-Traumatologie 44-176 1994
Rachis cervical infeacuterieur C3 ndash C7
Type A compression
Type B flexion
Rachis cervical entorse
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Prise en charge initiale
Evaluation
Statut neurologique
Stabiliteacute meacutecanique
CLINIQUE
IMAGERIE
Prise en charge Retour agrave domicile Transfert SAMU vers un centre speacutecialiseacute
Urgence
Traitement fonctionnel orthopeacutedique chirurgie
collier
RCI RCS
En preacute-hospitalier
bull Immobilisation en rectitude
Eacutevaluation neurologique
bull FRANKEL
ndash A deacuteficit complet sensitif et moteur
ndash B sensibiliteacute conserveacutee deacuteficit moteur (0)
ndash C sensibiliteacute conserveacutee deacuteficit moteur partiel (12)
ndash D sensibiliteacute conserveacutee deacuteficit moteur partiel (34)
ndash E sensibiliteacute et motriciteacute normale (5)
Frankel HL Ascending cord lesion in the early stages following spinal injury Paraplegia 19697111ndash8
Eacutevaluation neurologique score ASIA
Terminologie
bull La racine porte le nom de la vertegravebre SOUS jacente
ndash C5 est entre C4 et C5
bull Niveau = le premier niveau deacuteficitaire sous leacutesionnel (litteacuterature franccedilaise)
ndash C6 peut fleacutechir le coude
ndash C6 franccedilais = C5 anglo-saxon
Autres manifestations neurologiques
bull Systegraveme nerveux autonomie
ndash Arret cardiaque
ndash Syndrome confusionnel
ndash Vasopleacutegie
ndash Ileacuteus
ndash Priapisme
bull Reacutechauffeacute
bull Perfuseacute
bull Monitoreacute
bull Precirct agrave ecirctre intubeacute
bull Transport SAMU
Prise en charge hospitaliegravere
bull Radiographies standard
Tirer sur les eacutepaules
Charniegravere Cervico-Thoracique
Imagerie compleacutementaire
bull Scanner ndash Drsquoembleacutee
ndash Si doute
ndash Injecter (systeacutematique pour RCS)
bull IRM ssi neuro SANS leacutesion scanner ndash Hernie
ndash Heacutematome peacuteri intra meacutedullaire
ndash Contusion (sur CCCE)
SCIWORA Spinal cord injury without radiolographic abnormality
Argenson C De Peretti F Boileau P Chirurgie des trau-matismes du rachis cervical EMC (Elsevier Masson SAS Paris) Techniques chirurgicales-Orthopeacutedie-Traumatologie 44-176 1994
Rachis cervical infeacuterieur C3 ndash C7
Type A compression
Type B flexion
Rachis cervical entorse
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
En preacute-hospitalier
bull Immobilisation en rectitude
Eacutevaluation neurologique
bull FRANKEL
ndash A deacuteficit complet sensitif et moteur
ndash B sensibiliteacute conserveacutee deacuteficit moteur (0)
ndash C sensibiliteacute conserveacutee deacuteficit moteur partiel (12)
ndash D sensibiliteacute conserveacutee deacuteficit moteur partiel (34)
ndash E sensibiliteacute et motriciteacute normale (5)
Frankel HL Ascending cord lesion in the early stages following spinal injury Paraplegia 19697111ndash8
Eacutevaluation neurologique score ASIA
Terminologie
bull La racine porte le nom de la vertegravebre SOUS jacente
ndash C5 est entre C4 et C5
bull Niveau = le premier niveau deacuteficitaire sous leacutesionnel (litteacuterature franccedilaise)
ndash C6 peut fleacutechir le coude
ndash C6 franccedilais = C5 anglo-saxon
Autres manifestations neurologiques
bull Systegraveme nerveux autonomie
ndash Arret cardiaque
ndash Syndrome confusionnel
ndash Vasopleacutegie
ndash Ileacuteus
ndash Priapisme
bull Reacutechauffeacute
bull Perfuseacute
bull Monitoreacute
bull Precirct agrave ecirctre intubeacute
bull Transport SAMU
Prise en charge hospitaliegravere
bull Radiographies standard
Tirer sur les eacutepaules
Charniegravere Cervico-Thoracique
Imagerie compleacutementaire
bull Scanner ndash Drsquoembleacutee
ndash Si doute
ndash Injecter (systeacutematique pour RCS)
bull IRM ssi neuro SANS leacutesion scanner ndash Hernie
ndash Heacutematome peacuteri intra meacutedullaire
ndash Contusion (sur CCCE)
SCIWORA Spinal cord injury without radiolographic abnormality
Argenson C De Peretti F Boileau P Chirurgie des trau-matismes du rachis cervical EMC (Elsevier Masson SAS Paris) Techniques chirurgicales-Orthopeacutedie-Traumatologie 44-176 1994
Rachis cervical infeacuterieur C3 ndash C7
Type A compression
Type B flexion
Rachis cervical entorse
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Eacutevaluation neurologique
bull FRANKEL
ndash A deacuteficit complet sensitif et moteur
ndash B sensibiliteacute conserveacutee deacuteficit moteur (0)
ndash C sensibiliteacute conserveacutee deacuteficit moteur partiel (12)
ndash D sensibiliteacute conserveacutee deacuteficit moteur partiel (34)
ndash E sensibiliteacute et motriciteacute normale (5)
Frankel HL Ascending cord lesion in the early stages following spinal injury Paraplegia 19697111ndash8
Eacutevaluation neurologique score ASIA
Terminologie
bull La racine porte le nom de la vertegravebre SOUS jacente
ndash C5 est entre C4 et C5
bull Niveau = le premier niveau deacuteficitaire sous leacutesionnel (litteacuterature franccedilaise)
ndash C6 peut fleacutechir le coude
ndash C6 franccedilais = C5 anglo-saxon
Autres manifestations neurologiques
bull Systegraveme nerveux autonomie
ndash Arret cardiaque
ndash Syndrome confusionnel
ndash Vasopleacutegie
ndash Ileacuteus
ndash Priapisme
bull Reacutechauffeacute
bull Perfuseacute
bull Monitoreacute
bull Precirct agrave ecirctre intubeacute
bull Transport SAMU
Prise en charge hospitaliegravere
bull Radiographies standard
Tirer sur les eacutepaules
Charniegravere Cervico-Thoracique
Imagerie compleacutementaire
bull Scanner ndash Drsquoembleacutee
ndash Si doute
ndash Injecter (systeacutematique pour RCS)
bull IRM ssi neuro SANS leacutesion scanner ndash Hernie
ndash Heacutematome peacuteri intra meacutedullaire
ndash Contusion (sur CCCE)
SCIWORA Spinal cord injury without radiolographic abnormality
Argenson C De Peretti F Boileau P Chirurgie des trau-matismes du rachis cervical EMC (Elsevier Masson SAS Paris) Techniques chirurgicales-Orthopeacutedie-Traumatologie 44-176 1994
Rachis cervical infeacuterieur C3 ndash C7
Type A compression
Type B flexion
Rachis cervical entorse
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Eacutevaluation neurologique score ASIA
Terminologie
bull La racine porte le nom de la vertegravebre SOUS jacente
ndash C5 est entre C4 et C5
bull Niveau = le premier niveau deacuteficitaire sous leacutesionnel (litteacuterature franccedilaise)
ndash C6 peut fleacutechir le coude
ndash C6 franccedilais = C5 anglo-saxon
Autres manifestations neurologiques
bull Systegraveme nerveux autonomie
ndash Arret cardiaque
ndash Syndrome confusionnel
ndash Vasopleacutegie
ndash Ileacuteus
ndash Priapisme
bull Reacutechauffeacute
bull Perfuseacute
bull Monitoreacute
bull Precirct agrave ecirctre intubeacute
bull Transport SAMU
Prise en charge hospitaliegravere
bull Radiographies standard
Tirer sur les eacutepaules
Charniegravere Cervico-Thoracique
Imagerie compleacutementaire
bull Scanner ndash Drsquoembleacutee
ndash Si doute
ndash Injecter (systeacutematique pour RCS)
bull IRM ssi neuro SANS leacutesion scanner ndash Hernie
ndash Heacutematome peacuteri intra meacutedullaire
ndash Contusion (sur CCCE)
SCIWORA Spinal cord injury without radiolographic abnormality
Argenson C De Peretti F Boileau P Chirurgie des trau-matismes du rachis cervical EMC (Elsevier Masson SAS Paris) Techniques chirurgicales-Orthopeacutedie-Traumatologie 44-176 1994
Rachis cervical infeacuterieur C3 ndash C7
Type A compression
Type B flexion
Rachis cervical entorse
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Terminologie
bull La racine porte le nom de la vertegravebre SOUS jacente
ndash C5 est entre C4 et C5
bull Niveau = le premier niveau deacuteficitaire sous leacutesionnel (litteacuterature franccedilaise)
ndash C6 peut fleacutechir le coude
ndash C6 franccedilais = C5 anglo-saxon
Autres manifestations neurologiques
bull Systegraveme nerveux autonomie
ndash Arret cardiaque
ndash Syndrome confusionnel
ndash Vasopleacutegie
ndash Ileacuteus
ndash Priapisme
bull Reacutechauffeacute
bull Perfuseacute
bull Monitoreacute
bull Precirct agrave ecirctre intubeacute
bull Transport SAMU
Prise en charge hospitaliegravere
bull Radiographies standard
Tirer sur les eacutepaules
Charniegravere Cervico-Thoracique
Imagerie compleacutementaire
bull Scanner ndash Drsquoembleacutee
ndash Si doute
ndash Injecter (systeacutematique pour RCS)
bull IRM ssi neuro SANS leacutesion scanner ndash Hernie
ndash Heacutematome peacuteri intra meacutedullaire
ndash Contusion (sur CCCE)
SCIWORA Spinal cord injury without radiolographic abnormality
Argenson C De Peretti F Boileau P Chirurgie des trau-matismes du rachis cervical EMC (Elsevier Masson SAS Paris) Techniques chirurgicales-Orthopeacutedie-Traumatologie 44-176 1994
Rachis cervical infeacuterieur C3 ndash C7
Type A compression
Type B flexion
Rachis cervical entorse
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Autres manifestations neurologiques
bull Systegraveme nerveux autonomie
ndash Arret cardiaque
ndash Syndrome confusionnel
ndash Vasopleacutegie
ndash Ileacuteus
ndash Priapisme
bull Reacutechauffeacute
bull Perfuseacute
bull Monitoreacute
bull Precirct agrave ecirctre intubeacute
bull Transport SAMU
Prise en charge hospitaliegravere
bull Radiographies standard
Tirer sur les eacutepaules
Charniegravere Cervico-Thoracique
Imagerie compleacutementaire
bull Scanner ndash Drsquoembleacutee
ndash Si doute
ndash Injecter (systeacutematique pour RCS)
bull IRM ssi neuro SANS leacutesion scanner ndash Hernie
ndash Heacutematome peacuteri intra meacutedullaire
ndash Contusion (sur CCCE)
SCIWORA Spinal cord injury without radiolographic abnormality
Argenson C De Peretti F Boileau P Chirurgie des trau-matismes du rachis cervical EMC (Elsevier Masson SAS Paris) Techniques chirurgicales-Orthopeacutedie-Traumatologie 44-176 1994
Rachis cervical infeacuterieur C3 ndash C7
Type A compression
Type B flexion
Rachis cervical entorse
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
bull Reacutechauffeacute
bull Perfuseacute
bull Monitoreacute
bull Precirct agrave ecirctre intubeacute
bull Transport SAMU
Prise en charge hospitaliegravere
bull Radiographies standard
Tirer sur les eacutepaules
Charniegravere Cervico-Thoracique
Imagerie compleacutementaire
bull Scanner ndash Drsquoembleacutee
ndash Si doute
ndash Injecter (systeacutematique pour RCS)
bull IRM ssi neuro SANS leacutesion scanner ndash Hernie
ndash Heacutematome peacuteri intra meacutedullaire
ndash Contusion (sur CCCE)
SCIWORA Spinal cord injury without radiolographic abnormality
Argenson C De Peretti F Boileau P Chirurgie des trau-matismes du rachis cervical EMC (Elsevier Masson SAS Paris) Techniques chirurgicales-Orthopeacutedie-Traumatologie 44-176 1994
Rachis cervical infeacuterieur C3 ndash C7
Type A compression
Type B flexion
Rachis cervical entorse
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Prise en charge hospitaliegravere
bull Radiographies standard
Tirer sur les eacutepaules
Charniegravere Cervico-Thoracique
Imagerie compleacutementaire
bull Scanner ndash Drsquoembleacutee
ndash Si doute
ndash Injecter (systeacutematique pour RCS)
bull IRM ssi neuro SANS leacutesion scanner ndash Hernie
ndash Heacutematome peacuteri intra meacutedullaire
ndash Contusion (sur CCCE)
SCIWORA Spinal cord injury without radiolographic abnormality
Argenson C De Peretti F Boileau P Chirurgie des trau-matismes du rachis cervical EMC (Elsevier Masson SAS Paris) Techniques chirurgicales-Orthopeacutedie-Traumatologie 44-176 1994
Rachis cervical infeacuterieur C3 ndash C7
Type A compression
Type B flexion
Rachis cervical entorse
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Imagerie compleacutementaire
bull Scanner ndash Drsquoembleacutee
ndash Si doute
ndash Injecter (systeacutematique pour RCS)
bull IRM ssi neuro SANS leacutesion scanner ndash Hernie
ndash Heacutematome peacuteri intra meacutedullaire
ndash Contusion (sur CCCE)
SCIWORA Spinal cord injury without radiolographic abnormality
Argenson C De Peretti F Boileau P Chirurgie des trau-matismes du rachis cervical EMC (Elsevier Masson SAS Paris) Techniques chirurgicales-Orthopeacutedie-Traumatologie 44-176 1994
Rachis cervical infeacuterieur C3 ndash C7
Type A compression
Type B flexion
Rachis cervical entorse
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
SCIWORA Spinal cord injury without radiolographic abnormality
Argenson C De Peretti F Boileau P Chirurgie des trau-matismes du rachis cervical EMC (Elsevier Masson SAS Paris) Techniques chirurgicales-Orthopeacutedie-Traumatologie 44-176 1994
Rachis cervical infeacuterieur C3 ndash C7
Type A compression
Type B flexion
Rachis cervical entorse
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Argenson C De Peretti F Boileau P Chirurgie des trau-matismes du rachis cervical EMC (Elsevier Masson SAS Paris) Techniques chirurgicales-Orthopeacutedie-Traumatologie 44-176 1994
Rachis cervical infeacuterieur C3 ndash C7
Type A compression
Type B flexion
Rachis cervical entorse
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Type A compression
Type B flexion
Rachis cervical entorse
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Type B flexion
Rachis cervical entorse
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Rachis cervical entorse
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Critegraveres drsquoentorse grave (35)
bull Anteacutelistheacutesis gt agrave 3 mm
bull Angulation des plateaux verteacutebraux gt 10deg
bull Perte du des apophyses articulaires
bull Deacutecouverte articulaire gt 50
bull Eacutecart inter-eacutepineux anormal
Louis R [Cervical sprains and cervical herniated discs (authors transl)] Nouv Presse Med 1979 May 198(22)1843-9
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Luxation bi-articulaire
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Type C extension
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Type D rotation
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Fracture seacuteparation du massif articulaire FSMA
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Orientation theacuterapeutique
bull Neuro = URGENCE ndash deacutecompression + arthrodegravese
bull Corticoiumldes NASCIS III
bull Non neuro = pas drsquourgence ndash Stabiliteacute
bull Traitement orthopeacutedique
bull Traitement chirurgical
Socieacuteteacute Franccedilaise drsquoAnestheacutesie Reacuteanimation Prise en charge drsquoun blesseacute adulte preacutesentant un traumatisme verteacutebro-meacutedullaire (CE 2003) 2003 derniegravere modification 27 janvier 2010 httpwwwsfarorg
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Rousseau MA Pascal-Moussellard H Lazennec JY Catonneacute Y Eacutevaluation et orientation theacuterapeutique devant un traumatisme du rachis cervical EMC Traiteacute de Meacutedecine Akos 20120(0)1-7 [Article 2-0608
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
bull Reacuteduction progressive consciente
bull Immobilisation
Mise en traction
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Rachis cervical supeacuterieur
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Atlas
bull Fracture isoleacutee de lrsquoarc anteacuterieur ou posteacuterieur
bull Fracture en compression drsquoune masse lateacuterale
bull Fracture seacuteparation des masses lateacuterale de C1 laquo fracture de Jefferson raquo
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
fracture de Jefferson
bull Instable si
ndash Rupture du ligament transverse
bull Eacutecartement des masses lateacuterales gt 7 mm
bull ADI gt 4mm
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Fractures de lrsquoodontoiumlde classification drsquoAnderson et drsquoAlonzo
Anderson LD DAlonzo RT Fractures of the odontoid process of the axis 1974 J Bone Joint Surg Am 2004 Sep86-A(9)2081
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Fractures de lrsquoodontoiumlde classification de Roy Camille
HTAL
OBAV
OBAR
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Fracture des peacutedicules de C2 classification drsquoEffendi
laquo Hangsman fracture raquo
Effendi B Roy D Cornish B Dussault RG Laurin CA Fractures of the ring of the axis A classification based on the analysis of 131 cases J Bone Joint Surg Br 198163-B(3)319-27
(disque) (Disque + articulaires) ( )
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Luxations verticales
Pissonnier ML Lazennec JY Renoux J Rousseau MA Trauma of the upper cervical spine focus on vertical atlantoaxial dislocation Eur Spine J 2013 Oct22(10)2167-75
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Impression basilaire
Ligne de Wackenheim
Ligne Chamberlain
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Odontoiumlde arbre deacutecisionnel
Steltzlen C Lazennec JY Catonneacute Y Rousseau MA Unstable odontoid fracture surgical strategy in a 22-case series and literature review Orthop Traumatol Surg Res 2013 Sep99(5)615-23
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Spondylarthrite ankylosante
Lazennec JY1 dAstorg H2 Rousseau MA3 Cervical spine surgery in ankylosing spondylitis Review and current concept Orthop Traumatol Surg Res 2015 Jun101(4)507-13
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
CCE
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Whiplash
[Whiplash injury of the neck from concepts to facts] Revel M Ann Readapt Med Phys 2003 Apr46(3)158-70 Review French
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Instables
bull Rachis cervical infeacuterieur ndash Rotation Lux Frac uniarticulaire FSMA
ndash Flexion extension entorse grave Lux Frac Biarticulaire
ndash Compression tear drop
bull Rachis cervical supeacuterieur ndash Ondontoide type 2
ndash Peacutedicules C2 + disque C2C3
ndash Frac Seacuteparation Masses C1 + ligt transverse
ndash Lux atlo-axoidienne
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
Radios dynamiques
bull Secondaire
bull Recherche de leacutesion ligamentaires
Bombart M Roy-Camille R Castaing J Derlon JY Galibert P Louis R et al Recent injuries of the lower cervical spine Rev Chir Orthop Reparatrice Appar Mot 198470501ndash59
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