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Cervical Spine Fracture Dislocation

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Orthopedic Traumatology

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Abstract

MJ is a 43-year-old female who presents to the emergency department after a fall from a height. On presentation, the patient complains of severe neck pain and bilateral upper and lower extremity weakness. Her primary survey demonstrates a clear airway and hemodynamic stability. She denies any LOC and maintains a GCS of 15. Her secondary survey is negative.

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References

  1. Goldberg W, Mueller C, Panacek E, et al. Distribution and patterns of blunt traumatic cervical spine injury. Ann Emerg Med. 2001;38:17–21.

    Article  PubMed  CAS  Google Scholar 

  2. Miller CP, Brubacher JW, Biswas D, et al. The incidence of noncontiguous spinal fractures and other traumatic injuries associated with cervical spine fractures: a ten year experience at an academic medical center. Spine. 2011;36:1532–40.

    Article  PubMed  Google Scholar 

  3. McCulloch PT, France J, Jones DL, et al. Helical computed tomography alone compared with plain radiographs with adjunct computed tomography to evaluate the cervical spine after high-energy trauma. J Bone Joint Surg Am. 2005;87:2388–94.

    Article  PubMed  Google Scholar 

  4. Lee HM, Kim HS, Kim DJ, et al. Reliability of magnetic resonance imaging in detecting posterior ligament complex injury in thoracolumbar spinal fractures. Spine. 2000;25:2079–84.

    Article  PubMed  CAS  Google Scholar 

  5. Ditunno JF, Young W, Donovan WH, et al. The international standards booklet for neurological and functional classification of spinal cord injury. American Spinal Injury Association. Paraplegia. 1994;32:70–80.

    Article  PubMed  Google Scholar 

  6. Patel AA, Hurlbert RJ, Bono CM, et al. Classification and surgical decision making in acute subaxial cervical spine trauma. Spine. 2010;35:S228–34.

    Article  PubMed  Google Scholar 

  7. Vale FL, Burns J, Jackson AB, et al. Combined medical and surgical treatment after acute spinal cord injury: results of a prospective pilot study to assess the merits of aggressive medical resuscitation and blood pressure management. J Neurosurg. 1997;87:239–46.

    Article  PubMed  CAS  Google Scholar 

  8. Bracken MB, Collins WF, Freeman DF, et al. Efficacy of methylprednisolone in acute spinal cord injury. JAMA. 1984;251:45–52.

    Article  PubMed  CAS  Google Scholar 

  9. Bracken MB, Shepard MJ, Collins WF, et al. A randomized, controlled trial of methylprednisolone or naloxone in the treatment of acute spinal-cord injury. Results of the Second National Acute Spinal Cord Injury Study. N Engl J Med. 1990;322:1405–11.

    Article  PubMed  CAS  Google Scholar 

  10. Bracken MB, Shepard MJ, Holford TR, et al. Administration of methylprednisolone for 24 or 48 hours or tirilazad mesylate for 48 hours in the treatment of acute spinal cord injury. Results of the Third National Acute Spinal Cord Injury Randomized Controlled Trial. National Acute Spinal Cord Injury Study. JAMA. 1997;277:1597–604.

    Article  PubMed  CAS  Google Scholar 

  11. Nesathurai S. Steroids and spinal cord injury: revisiting the NASCIS 2 and NASCIS 3 trials. J Trauma. 1998;45:1088–93.

    Article  PubMed  CAS  Google Scholar 

  12. Hurlbert RJ. The role of steroids in acute spinal cord injury: an evidence-based analysis. Spine. 2001;26:S39–46.

    Article  PubMed  CAS  Google Scholar 

  13. Kwon BK, Mann C, Sohn HM, et al. Hypothermia for spinal cord injury. Spine J. 2008;8:859–74.

    Article  PubMed  Google Scholar 

  14. Levi AD, Casella G, Green BA, et al. Clinical outcomes using modest intravascular hypothermia after acute cervical spinal cord injury. Neurosurgery. 2010;66:670–7.

    Article  PubMed  Google Scholar 

  15. Grant GA, Mirza SK, Chapman JR, et al. Risk of early closed reduction in cervical spine subluxation injuries. J Neurosurg. 1999;90:13–8.

    PubMed  CAS  Google Scholar 

  16. Vaccaro AR, Falatyn SP, Flanders AE, et al. Magnetic resonance evaluation of the intervertebral disc, spinal ligaments, and spinal cord before and after closed traction reduction of cervical spine dislocations. Spine. 1999;24:1210–7.

    Article  PubMed  CAS  Google Scholar 

  17. Wimberley DW, Vaccaro AR, Goyal N, et al. Acute quadriplegia following closed traction reduction of a cervical facet dislocation in the setting of ossification of the posterior longitudinal ligament: case report. Spine. 2005;30:E433–8.

    Article  PubMed  Google Scholar 

  18. Hart RA. Cervical facet dislocation: when is magnetic resonance imaging indicated? Spine. 2002;27:116–7.

    Article  PubMed  CAS  Google Scholar 

  19. Beyer CA, Cabanela ME, Berquist TH. Unilateral facet dislocations and fracture-dislocations of the cervical spine. J Bone Joint Surg Br. 1991;73:977–81.

    PubMed  CAS  Google Scholar 

  20. Lifeso RM, Colucci MA. Anterior fusion for rotationally unstable cervical spine fractures. Spine. 2000;25:2028–34.

    Article  PubMed  CAS  Google Scholar 

  21. Dvorak MF, Fisher CG, Aarabi B, et al. Clinical outcomes of 90 isolated unilateral facet fractures, subluxations, and dislocations treated surgically and nonoperatively. Spine. 2007;32:3007–13.

    Article  PubMed  Google Scholar 

  22. Vaccaro AR, Hulbert RJ, Patel AA, et al. The subaxial cervical spine injury classification system: a novel approach to recognize the importance of morphology, neurology, and integrity of the disco-ligamentous complex. Spine. 2007;32:2365–74.

    Article  PubMed  Google Scholar 

  23. Wahlen BM, Gercek E. Three-dimensional cervical spine movement during intubation using the Macintosh and Bullard laryngoscopes, the bonfils fibrescope and the intubating laryngeal mask airway. Eur J Anaesthesiol. 2004;21:907–13.

    PubMed  CAS  Google Scholar 

  24. DiPaola MJ, DiPaola CP, Conrad BP, et al. Cervical spine motion in manual versus Jackson table turning methods in a cadaveric global instability model. J Spinal Disord Tech. 2008;21:273–80.

    Article  PubMed  Google Scholar 

  25. Wiedemayer H, Fauser B, Sandalcioglu IE, et al. The impact of neurophysiological intraoperative monitoring on surgical decisions: a critical analysis of 423 cases. J Neurosurg. 2002;96:255–62.

    Article  PubMed  Google Scholar 

  26. Furlan JC, Noonan V, Cadotte DW, et al. Timing of decompressive surgery of spinal cord after traumatic spinal cord injury: an evidence-based examination of pre-clinical and clinical studies. J Neurotrauma. 2011;28:1371–99.

    Article  PubMed  Google Scholar 

  27. Brodke DS, Anderson PA, Newell DW, et al. Comparison of anterior and posterior approaches in cervical spinal cord injuries. J Spinal Disord Tech. 2003;16:229–35.

    Article  PubMed  Google Scholar 

  28. Johnson M, Fisher C, Boyd M, et al. The radiographic failure of single segment anterior cervical plate fixation in traumatic cervical flexion distraction injuries. Spine. 2004;29(24): 2815–20.

    Article  PubMed  Google Scholar 

  29. Elgafy H, Fisher C, Zhao Y, et al. The radiographic failure of single segment posterior cervical instrumentation in traumatic cervical flexion distraction injuries. Topics in spinal cord injury rehabilitation. 2006;12(2):20–9.

    Google Scholar 

  30. Karam YR, Dahdaleh NS, Magnetta MJ, et al. Biomechanical comparison of anterior, posterior, and circumferential fixation after one-level anterior cervical corpectomy in the human cadaveric spine. Spine. 2011;36:E455–60.

    Article  PubMed  Google Scholar 

  31. Dvorak MF, Fisher CG, Fehlings MG, et al. The surgical approach to subaxial cervical spine injuries: an evidence-based algorithm based on the SLIC classification system. Spine. 2007;32:2620–9.

    Article  PubMed  Google Scholar 

  32. Razack N, Green BA, Levi AD. The management of traumatic cervical bilateral facet fracture-dislocations with unicortical anterior plates. J Spinal Disord. 2000;13:374–81.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery and Rehabilitation, Vanderbilt Medical Center, Suite 4200, South tower Medical Center East – 1215 21st Avenue South, Nashville, TN, 37232, USA

    Kevin R. O’Neill M.D., M.S., Jesse E. Bible M.D., M.H.S. & Clinton James Devin M.D.

Authors
  1. Kevin R. O’Neill M.D., M.S.
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  2. Jesse E. Bible M.D., M.H.S.
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  3. Clinton James Devin M.D.
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Corresponding author

Correspondence to Clinton James Devin M.D. .

Editor information

Editors and Affiliations

  1. Vanderbilt University School of Medicine, Division of Orthopedic Trauma, Vanderbilt University, MCE-South Tower Suite 4200, Nashville, 37232, Tennessee, USA

    Manish K. Sethi

  2. Vanderbilt University School of Medicine, Division of Orthopedic Trauma, Vanderbilt University, MCE-South Tower Suite 4200, Nashville, 37232, Tennessee, USA

    A. Alex Jahangir

  3. Vanderbilt University School of Medicine, Division of Orthopedic Trauma, Vanderbilt University Medical Center, MCE-South Tower Suite 4200, Nashville, 37232, Tennessee, USA

    William T. Obremskey

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O’Neill, K.R., Bible, J.E., Devin, C.J. (2013). Cervical Spine Fracture Dislocation. In: Sethi, M., Jahangir, A., Obremskey, W. (eds) Orthopedic Traumatology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3511-2_3

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  • DOI: https://doi.org/10.1007/978-1-4614-3511-2_3

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-3510-5

  • Online ISBN: 978-1-4614-3511-2

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