Discography and myelography in acute injuries of the cervical spine

1971 ◽  
Vol 35 (5) ◽  
pp. 529-535 ◽  
Author(s):  
Richard B. Raynor
Keyword(s):  
Cervical Spine ◽  
Neurological Deficit ◽  
Fracture Dislocation ◽  
Cervical Fracture ◽  
Content Type ◽  
Relative Safety ◽  
Acute Injuries ◽  
Fine Print

✓ Nineteen patients who suffered trauma to the cervical spine that resulted in moderate to severe neurological deficit were studied by discography. In 15 cases, myelography was also performed. When both tests were done there was good correlation of results. In the four cases where only discography was performed, the lesion was accurately localized. The danger of myelography in acute cervical fracture dislocation is emphasized and the relative safety, ease, and value of discography stressed.

Fracture-dislocation of the cervical spine with ankylosing spondylitis

1973 ◽  
Vol 39 (6) ◽  
pp. 764-769 ◽  
Author(s):  
Carroll Osgood ◽  
Louis G. Martin ◽  
Elliott Ackerman
Keyword(s):  
Cervical Spine ◽  
Ankylosing Spondylitis ◽  
Predisposing Factors ◽  
Neurological Deficits ◽  
Fracture Dislocation ◽  
Cervical Fracture ◽  
Review Of The Literature ◽  
Content Type ◽  
Fine Print

✓ Two cases of cervical fracture-dislocation causing neurological deficits in patients with ankylosing spondylitis are presented. Review of the literature shows that these patients have a higher incidence of neurological deficits (70%) than comparable patients without ankylosing spondylitis (44%). Predisposing factors and treatment are discussed.

Fracture dislocation of the cervical spine with gross displacement

1975 ◽  
Vol 42 (2) ◽  
pp. 209-211 ◽  
Author(s):  
Ian C. Bailey
Keyword(s):  
Cervical Spine ◽  
Vertebral Body ◽  
Cervical Spine Injury ◽  
Fracture Dislocation ◽  
Spine Injury ◽  
Content Type ◽  
Fine Print

✓ A case of cervical spine injury is presented in which complete displacement of one vertebral body was accompanied by only mild quadriparesis.

Posterior cervical fusion in children

1976 ◽  
Vol 45 (2) ◽  
pp. 211-215 ◽  
Author(s):  
Joe M. McWhorter ◽  
Eben Alexander ◽  
Courtland H. Davis ◽  
David L. Kelly
Keyword(s):  
Cervical Spine ◽  
Neurological Deficit ◽  
The Other ◽  
Congenital Absence ◽  
Cervical Fusion ◽  
Content Type ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Posterior Cervical Fusion ◽  
Fine Print

✓ Six cases of posterior cervical fusion with rib grafts in children are reported. Four of the children had sustained cervical spine injuries in accidents, and two had congenital absence of the odontoid. Three-level fusions (C1–3) were done in four children, and four-level fusions (C1–4) in two. One child died of unrelated causes 3 months after the operation. The other five children have been followed for 5 to 13 years. All are doing well and each has a remarkably supple, stable neck and no neurological deficit.

Delayed paralysis after cervical fracture-dislocation

1977 ◽  
Vol 46 (4) ◽  
pp. 512-516 ◽  
Author(s):  
James C. White ◽  
Lawrence W. Kneisley ◽  
Alain B. Rossier
Keyword(s):  
Spinal Cord ◽  
Nerve Injury ◽  
Fracture Dislocation ◽  
Sensory Loss ◽  
Late Development ◽  
Cervical Fracture ◽  
Content Type ◽  
Upper Cervical ◽  
Fine Print

✓ The authors describe the late development of ascending damage to the spinal cord after a cervicothoracic fracture-dislocation that produced no evidence of cord or nerve injury other than transient mild paresthesia in the arms. After 16 years, progressive quadriplegia developed with subsequent ascending dissociated sensory loss in the upper cervical dermatomes. The presence of a central syrinx was verified at operation 18 years after the injury.

Complete fracture-dislocation of cervical spine without permanent neurological sequelae

1983 ◽  
Vol 58 (5) ◽  
pp. 760-762 ◽  
Author(s):  
Roy P. Baker ◽  
Robert L. Grubb
Keyword(s):  
Cervical Spine ◽  
Neurological Deficits ◽  
Fracture Dislocation ◽  
Multiple Fractures ◽  
Neurological Sequelae ◽  
Content Type ◽  
Primary Mechanism ◽  
Complete Fracture ◽  
Type Of Injury ◽  
Fine Print

✓ A case of complete fracture-dislocation of the lower cervical spine in which there were no permanent neurological sequelae is presented. The absence of permanent neurological deficits with this type of injury is rare. The primary mechanism of injury in this patient was believed to be hyperextension with rupture of the ligamentous structures, allowing complete dislocation of the C-6 body while the posterior elements remained in good alignment due to multiple fractures which “decompressed” the spinal cord.

Penetrating gunshot wounds of the cervical spine in civilians

1975 ◽  
Vol 42 (5) ◽  
pp. 575-579 ◽  
Author(s):  
James S. Heiden ◽  
Martin H. Weiss ◽  
Alan W. Rosenberg ◽  
Theodore Kurze ◽  
Michael L. J. Apuzzo
Keyword(s):  
Cervical Spine ◽  
Neurological Deficit ◽  
Surgical Intervention ◽  
Gunshot Wounds ◽  
Neurological Recovery ◽  
Content Type ◽  
Initial Injury ◽  
Progressive Neurological Deficit ◽  
Nonsurgical Therapy ◽  
Fine Print

✓ The authors present a series of 38 civilian patients with cervical gunshot injuries, and compare neurological recovery in patients with complete lesions and patients with incomplete lesions according to whether therapy was surgical or nonsurgical. In patients with incomplete injury, ultimate recovery was a function of the initial injury more than surgical or nonsurgical therapy; nor did patients with complete lesions show significant change in outcome with either mode of therapy. Cord pathology at laminectomy rarely provided a clue about neurological recovery, and dural decompression did not alter neurological outcome. The authors conclude that the sole indication for routine surgical intervention appears to be progressive neurological deficit.

A portable traction device for cervical fractures

1992 ◽  
Vol 76 (3) ◽  
pp. 544-545 ◽  
Author(s):  
Ray H. Kinnaird ◽  
Richard K. Jelsma
Keyword(s):  
Cervical Spine ◽  
Radiographic Evaluation ◽  
Cervical Fracture ◽  
Content Type ◽  
Cervical Fractures ◽  
Traction Device ◽  
Fine Print

✓ A lightweight and completely self-contained traction device is described. It has been used to immobilize the cervical spine during radiographic evaluation and treatment of patients with cervical fracture, and for therapeutic traction in patients with a ruptured disc. Other applications are possible, but have not yet been investigated

Cervical spine injuries in infants

1975 ◽  
Vol 42 (2) ◽  
pp. 179-184 ◽  
Author(s):  
Lynn M. Gaufin ◽  
Stanley J. Goodman
Keyword(s):  
Cervical Spine ◽  
Fracture Dislocation ◽  
Hangman’S Fracture ◽  
Content Type ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Hangman's Fracture ◽  
Therapeutic Considerations ◽  
Fine Print ◽  
Posterior Elements

✓ The authors point out the unique anatomical and therapeutic considerations involved in injuries of the cervical spine and cord in infants. The special problems encountered in the treatment of such patients are illustrated by three cases, a “Hangman's” fracture, a C6–7 fracture-dislocation, and an acute quadriparesis associated with dysgenesis of the posterior elements of C1–3.

Spondyloptotic fracture of the cervical spine in a pregnant, anemic Jehovah's Witness: technical and ethical considerations

1997 ◽  
Vol 87 (3) ◽  
pp. 458-463 ◽  
Author(s):  
Frank Feigenbaum ◽  
Daniel P. Sulmasy ◽  
Edmund D. Pellegrino ◽  
Fraser C. Henderson
Keyword(s):  
Cervical Spine ◽  
Medical Center ◽  
Spine Fracture ◽  
Fracture Dislocation ◽  
Spine Injury ◽  
Cervical Spine Fracture ◽  
Content Type ◽  
Jehovah’S Witness ◽  
Jehovah's Witness ◽  
Fine Print

✓ The authors present the case of a 15-year-old Jehovah's Witness with a hematocrit level of 19% who was 4 months pregnant and had a two-level spondyloptotic cervical spine fracture. The patient was transferred to Georgetown University Medical Center with C-5 quadriplegia 3 weeks after having been injured in an automobile collision. The neurosurgical issues in this case included addressing a rare cervical spine injury, assessing and treating a vertebral artery injury, and performing surgery on a pregnant minor with severe anemia who held strong Jehovah's Witness beliefs. An ethics consultation was convened to determine the validity of a pregnant minor's refusal to undergo transfusion on the grounds of her religious beliefs. This case illustrates the potential benefits of thorough technical and ethical evaluations and reveals how they may contribute to the delivery of care in complex neurosurgical cases. To the authors' knowledge, this is the first two-level spondyloptotic cervical spine fracture dislocation to be reported in the literature. The added complexities of the case, given that the patient was an anemic, adolescent, pregnant Jehovah's Witness who refused blood transfusion, also appear to be unprecedented.

Hangman's fracture with complete dislocation of C-2 on C-3

1984 ◽  
Vol 60 (3) ◽  
pp. 633-635 ◽  
Author(s):  
José M. Roda ◽  
Alberto Castro ◽  
Martin G. Blázquez
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Fracture Dislocation ◽  
Hangman’S Fracture ◽  
Content Type ◽  
Hangman's Fracture ◽  
Complete Fracture ◽  
Fine Print ◽  
Complete Dislocation

✓A patient with a complete fracture-dislocation of C-2 on C-3 without dysfuncton of the spinal cord is presented. The patient was treated conservatively, and immobilization resulted in good alignment of the cervical spine and solid healing of the fracture.

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