• Spine · Mar 2019

    "Rule of Spence" and Dickman's Classification of Transverse Atlantal Ligament Injury Revisited: Discrepancy of Prediction on Atlantoaxial Stability Based on Clinical Outcome of Nonoperative Treatment for Atlas Fractures.

    • Peng Liu, Jun Zhu, Zhong Wang, Yufei Jin, Yingbo Wang, Weili Fan, Mingyong Liu, and Jianhua Zhao.
    • Department of Spine Surgery, Center for Orthopedics, Daping Hospital, Army Medical University.
    • Spine. 2019 Mar 1; 44 (5): E306-E314.

    AbstractDetailed clinical information of 13 adult patients with acute atlantal fractures underwent nonoperative treatment was retrospectively studied. "Rule of Spence" was found inaccurate in predicting either integrity of transverse atlantal ligament (TAL) or atlantoaxial stability, whereas Dickman's classification of TAL injury was more superior to "rule of Spence" on both prediction.

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