Spine Surgery pp 269-274 | Cite as

Subaxial Cervical Trauma

  • Rodolfo Maduri
  • John M. Duff


In this chapter, we discuss two specific entities. The first is a fracture dislocation in the subaxial cervical spine, and the second is a burst fracture also of the subaxial spine. We will describe each case, its management and the rationale behind it.


  1. 1.
    Amin A, Saifuddin A. Fractures and dislocations of the cervicothoracic junction. J Spinal Disord Tech. 2005;18:499–505.CrossRefGoogle Scholar
  2. 2.
    Duff J, Hussain MM, Klocke N, Harris JA, Yandamuri SS, Bobinski L, et al. Does pedicle screw fixation of the subaxial cervical spine provide adequate stabilization in a multilevel vertebral body fracture model? An in vitro biomechanical study. Clin Biomech (Bristol, Avon). 2018;53:72–8.CrossRefGoogle Scholar
  3. 3.
    Ramieri A, Domenicucci M, Cellocco P, Lenzi J, Dugoni DE, Costanzo G. Traumatic spondylolisthesis and spondyloptosis of the subaxial cervical spine without neurological deficits: closed re-alignment, surgical options and literature review. Eur Spine J. 2014;23(Suppl 6):658–63.CrossRefGoogle Scholar
  4. 4.
    Sonntag VK. Management of bilateral locked facets of the cervical spine. Neurosurgery. 1981;8:150–2.CrossRefGoogle Scholar
  5. 5.
    Toh E, Nomura T, Watanabe M, Mochida J. Surgical treatment for injuries of the middle and lower cervical spine. Int Orthop. 2006;30:54–8.CrossRefGoogle Scholar
  6. 6.
    Vaccaro AR, Koerner JD, Radcliff KE, Oner FC, Reinhold M, Schnake KJ, et al. AOSpine subaxial cervical spine injury classification system. Eur Spine J. 2016;25:2173–84.CrossRefGoogle Scholar
  7. 7.
    Fehlings MG, Tetreault LA, Wilson JR, Kwon BK, Burns AS, Martin AR, Hawryluk G, Harrop JS. A clinical practice guideline for the management of acute spinal cord injury: introduction, rationale, and scope. Global Spine J. 2017;7(3 Suppl):84S–94S. Epub 2017 Sep 5.CrossRefGoogle Scholar
  8. 8.
    Ditunno JF, Young W, Donovan WH, Creasey G. The international standards booklet for neurological and functional classification of spinal cord injury. American Spinal Injury Association. Paraplegia. 1994;32(2):70–80. (ISSN: 0031-1758).CrossRefGoogle Scholar
  9. 9.
    Vaccaro AR, Koerner JD, Radcliff KE, et al. AOSpine subaxial cervical spine injury classification system. Eur Spine J. 2016;25(7):2173–84. [published Online First: Epub Date].CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Rodolfo Maduri
    • 1
  • John M. Duff
    • 1
  1. 1.Department of Clinical NeurosciencesUniversity Hospital of Lausanne, CHUVLausanneSwitzerland

Personalised recommendations