Evidence map›Paper›PMID 40252150›Full record

ArticleArchives of orthopaedic and trauma surgery2025

Concept for direct reduction of large-sized cervical tear-drop fractures through a single anterior approach with follow up of five cases.

Samuel Haupt, Sabrina Weber, Christoph Zindel, Ivan Broger, Veit Schoenborn

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Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Samuel Haupt *Department of Orthopaedics, Kantonsspital Graubünden, Chur, 7000, Switzerland. samuelhaupt@gmail.com.ORCID http://orcid.org/0000-0002-8419-2489
Sabrina Weber *Department of Orthopaedics, Kantonsspital Graubünden, Chur, 7000, Switzerland.
Christoph ZindelDepartment of Orthopaedics, Kantonsspital Graubünden, Chur, 7000, Switzerland.
Ivan BrogerDepartment of Orthopaedics, Kantonsspital Graubünden, Chur, 7000, Switzerland.
Veit SchoenbornDepartment of Orthopaedics, Kantonsspital Graubünden, Chur, 7000, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUnstable large sized tear-drop fractures of the cervical spine (LSTDF) are difficult fractures to operate and there is a lack of standard in treatment. This study introduces an innovative technique for direct tear-drop fragment osteosynthesis with anterior cervical discectomy and fusion (TDFO-ACDF) and retrospectively analyzes clinical and radiological outcomes in five patients. PATIENTS AND

methodsThrough a standardized anterior approach, the tear-drop fragment was reduced anatomically, the lower endplate restored and stabilized with lag-screws. Additionally, in four of five cases an anterior cervical discectomy and fusion (ACDF) using iliac crest bone graft was performed in combination with a VECTRA plate (DePuy Synthes, Zuchwil, Switzerland). X-ray check-up and functional outcome (neck disability index, NDI) was assessed during regular outpatient visits for at least two years postoperative.

resultsFrom 2013 until 2021 we operated five patients with the above-mentioned injury. All patients were operated the day after the accident and were hospitalized for 4 to 7 days. None of them had any neurological failures and all of them showed full clinical and radiological recovery without any clinical impairments. Median NDI was 2% ranging from 0 to 4% after a median follow up of 39 months (range 29 to 119 months).

conclusionThe presented concept for treating large-sized tear-drop fractures of the cervical spine is safe. Utilizing a standard anterior approach with fundamental fracture management principles, this method enables direct bone healing and provides excellent postoperative results.

Indexed as

Cervical VertebraeDiskectomyFracture Fixation, InternalSpinal FracturesSpinal FusionAdultAgedBone PlatesFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAnterior discectomy and cervical fusionFracture fixation, internalSpinal fusionSpine, surgerySurgical procedures, operativeTeardrop fracture

Identifiers

PMID40252150

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.