Biomechanics of upper cervical spine and peculiarities of treatment of patients with odontoid process fractures

Abstract

In transdental injuries of atlantoaxial region the indications for conservative treatment and author’s bipolar Halo-traction method were worked out on the base of spine biomechanical peculiarities (anterior shifting moment and extensor conditionality of the posterior cervical muscles) as well as depending on the mechanism of the development of plane fracture of C2 odontoid process. In flexion fracture of the odontoid process without dislocation as well as in extension fracture with dislocation within the limits of 1/3 of its diameter the successful conservative treatment with plaster thoracocranial bandage was possible. In the rest of cases the author’s method of bipolar Halo-traction was indicated. The experience of treatment of 32 patients was used in the work.

References

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