ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2018
Spinal movement and dural sac compression during airway management in a cadaveric model with atlanto-occipital instability.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 22 citations in OpenAlex.
- Analysis of spine motion during prehospital extrication procedures in motorsport.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Airway management in patients with suspected or confirmed traumatic spinal cord injury: a narrative review of current evidence.Anaesthesia · 2022Review
- [The position of the head during treatment in the emergency room-an explorative analysis of immobilization of the cervical spine].Der Anaesthesist · 2021Article
- Analysis of remaining motion using one innovative upper airway opening cervical collar and two traditional cervical collars.Scientific reports · 2021Article
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- Cervical Spine Immobilization in Patients With a Geriatric Facial Structure: The Influence of a Geriatric Mandible Structure on the Immobilization Quality Using a Cervical Collar.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- The Influence of Cervical Spine Angulation on Symptoms Associated With Wearing a Rigid Neck Collar.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- [Development and first application testing of a new protocol for preclinical spinal immobilization in children : Assessment of indications based on the E.M.S. IMMO Protocol Pediatric].Der Unfallchirurg · 2020Article
- Letter to the Editor concerning "Spinal movement and dural sac compression during airway management in a cadaveric model with atlanto-occipital instability" by Liao S, Schneider NRE, Weilbacher F, et al. (2017) Eur Spine J; doi:10.1007/s00586-017-5416-9.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo analyze the compression of the dural sac and the cervical spinal movement during performing different airway interventions in case of atlanto-occipital dislocation.
methodsIn six fresh cadavers, atlanto-occipital dislocation was performed by distracting the opened atlanto-occipital joint capsule and sectioning the tectorial membrane. Airway management was done using three airway devices (direct laryngoscopy, video laryngoscopy, and insertion of a laryngeal tube). The change of dural sac's width and intervertebral angulation in stable and unstable atlanto-occipital conditions were recorded by video fluoroscopy with myelography. Three-dimensional overall movement of cervical spine was measured in a wireless human motion track system.
resultsCompared with a mean dural sac compression of - 0.5 mm (- 0.7 to - 0.3 mm) in stable condition, direct laryngoscopy caused an increased dural sac compression of - 1.6 mm (- 1.9 to - 0.6 mm, p = 0.028) in the unstable atlanto-occipital condition. No increased compression on dural sac was found using video laryngoscopy or the laryngeal tube. Moreover, direct laryngoscopy caused greater overall extension and rotation of cervical spine than laryngeal tube insertion in both stable and unstable conditions. Among three procedures, the insertion of a laryngeal tube took the shortest time.
conclusionIn case of atlanto-occipital dislocation, intubation using direct laryngoscopy exacerbates dural sac compression and may cause damage to the spinal cord.
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