Diagnosis and treatment of traumatic displacement of middle and lower cervical spine
V. A. Moiseenko , V. M. Tsodyks
N.N. Priorov Journal of Traumatology and Orthopedics ›› 1997, Vol. 4 ›› Issue (3) : 12 -17.
Treatment results for 142 patients with traumatic displacement of the middle and lower cervical spine are presented. Results of the experimental study of the volume and pattern of disk-ligamentous structure injuries in correlation with the degree of vertebral elements displacement detected by the profile spondylogram were used in the course of treatment. Authors distinguish 3 types of acute traumatic disk-ligamentous instability and define the adequate treatment tacktics: 1) relative posterior ligamentous instability - conservative treatment using soft external immobilization by Shanz’s collar or a similar one; 2) absolute favorable disk-ligamentous instability - conservative treatment using stiff immobilization devices such as thoracocranial plaster bandage; 3) absolute unfavorable disk-ligamentous instability - surgical treatment, predominantly anterior corporodesis.
trauma of the cervical spine / immobilization / ligamentous instability / conservative treatment
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