Dislocations of the cervical spine: closed reduction under anaesthesia

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Neurological complications of the reduction of cervical spine dislocations.

We have studied the case records of 16 patients with dislocations of the cervical spine who deteriorated neurologically during or after reduction. The dislocations were reduced by skull traction in four patients, by manipulation in four and by operation in seven. This complication was not related to age, sex, mechanism of injury, or the level and the type of dislocation. Fourteen patients made ...

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Rapid traction for reduction of cervical spine dislocations.

There is still some controversy about the reduction of unilateral and bilateral facet dislocations in the cervical spine. We have reviewed the notes and radiographs of 210 such patients; reduction was attempted by manipulation under anaesthesia (MUA) in 91, and by rapid traction under sedation in 119, using weights up to 150 lb (68 kg). Our results suggest that early reduction in patients with ...

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Fractures and dislocations of the cervical spine.

All surgeons who treat injuries of the cervical spine would agree that their aim is to produce a stable, painless neck and to diminish any risk of continued or recurrent pressure oIl the spinal cord. There is, however, a wide difference of opinion about the best way to achieve this aim. For dislocations, B#{246}hler(1933) advised infiltration with local anaesthetic at the site of dislocation fo...

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Fracture-dislocations of the cervical spine.

For centuries spinal injuries, and in particular those involving the cervical region, have been feared more than any others by the layman because they are so often associated with paralysis and death. A clinical description was recorded in the Edwin Smith papyrus (Power 1934) by a medical author who wrote in 2500 B.C. : “ One having a crushed vertebra of his neck he is unconscious of his two ar...

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Initial closed reduction of cervical spine fracture-dislocation injuries.

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ژورنال

عنوان ژورنال: Spinal Cord

سال: 1984

ISSN: 1362-4393,1476-5624

DOI: 10.1038/sc.1984.45