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Published in: European Spine Journal 1/2010

01-03-2010 | Review Article

Basic principles of management for cervical spine trauma

Author: J. K. O’Dowd

Published in: European Spine Journal | Special Issue 1/2010

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Abstract

This article reviews the basic principles of management of cervical trauma. The technique and critical importance of careful assessment is described. Instability is defined, and the incidence of a second injury is highlighted. The concept of spinal clearance is discussed. Early reduction and stabilisation techniques are described, and the indications, and approach for surgery reviewed. The importance of the role of post-injury rehabilitation is identified.
Literature
1.
go back to reference Boerger TO, Limb D, Dickson RA (2000) Does canal clearance affect neurological outcome after thoracolumbar burst fractures. J Bone Joint Surg 85:629–635CrossRef Boerger TO, Limb D, Dickson RA (2000) Does canal clearance affect neurological outcome after thoracolumbar burst fractures. J Bone Joint Surg 85:629–635CrossRef
2.
go back to reference Fehlings MG (2001) Recommendations regarding the use of methylprednisolone in acute spine cord injury. Spine 26:S56–S57CrossRefPubMed Fehlings MG (2001) Recommendations regarding the use of methylprednisolone in acute spine cord injury. Spine 26:S56–S57CrossRefPubMed
3.
go back to reference Fehlings M, Aarabi B, Dvorak M, et al. (2008) A prospective multicenter trial to evaluate the role and timing of decompression in patients with cervical spinal cord injury: initial one-year results of the STASCIS study. Paper presented at the AANS meeting in Chicago Fehlings M, Aarabi B, Dvorak M, et al. (2008) A prospective multicenter trial to evaluate the role and timing of decompression in patients with cervical spinal cord injury: initial one-year results of the STASCIS study. Paper presented at the AANS meeting in Chicago
4.
go back to reference Kortbeek JB, Al Turki SA, Ali J et al (2008) Advanced trauma life support, 8th edition, the evidence for change. J Trauma 64:1638–1650CrossRefPubMed Kortbeek JB, Al Turki SA, Ali J et al (2008) Advanced trauma life support, 8th edition, the evidence for change. J Trauma 64:1638–1650CrossRefPubMed
5.
go back to reference Lee AS, MacLean JC, Newton DA (1994) Rapid traction for reduction of cervical spine dislocations. J Bone Joint Surg 76:352–356 Lee AS, MacLean JC, Newton DA (1994) Rapid traction for reduction of cervical spine dislocations. J Bone Joint Surg 76:352–356
6.
go back to reference Levine AM, Edwards CC (1985) The management of traumatic spondylolisthesis of the axis. J Bone Joint Surg 67A:217–226 Levine AM, Edwards CC (1985) The management of traumatic spondylolisthesis of the axis. J Bone Joint Surg 67A:217–226
7.
go back to reference Magerl F, Aebi M, Gertzbein SD, Harms J, Nazarian S (1994) A comprehensive classification of thoracic and lumbar injuries. Eur Spine J 3:184–201CrossRefPubMed Magerl F, Aebi M, Gertzbein SD, Harms J, Nazarian S (1994) A comprehensive classification of thoracic and lumbar injuries. Eur Spine J 3:184–201CrossRefPubMed
8.
go back to reference White AA, Panjabi MM (1990) Clinical biomechanics of the spine. J.B. Lippincott Co, Philadelphia White AA, Panjabi MM (1990) Clinical biomechanics of the spine. J.B. Lippincott Co, Philadelphia
Metadata
Title
Basic principles of management for cervical spine trauma
Author
J. K. O’Dowd
Publication date
01-03-2010
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue Special Issue 1/2010
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-009-1118-2

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