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Journal of Bone and Joint Surgery, 1943;25:859-866.
© 1943 by The Journal of Bone and Joint Surgery, Inc

A METHOD OF REDUCING FRACTURE-DISLOCATIONS OF THE CERVICAL VERTEBRAE

With a Report Two Illustrative Cases

H. S. Morton F.R.C.S.1

1 Surgeon Commander, R.C.N.V.R., Consultant Surgeon, Esquimalt Naval Base, British Columbia, Canada

These two cases illustrate the reduction of fracture-dislocation at the upper and lower ends of the cervical vertebrae by the method of leverage. The distinctive feature of this method is the degree of control it affords, because the fixed support constantly steadies the neck, while leverage reduces the amount of force required to achieve reduction. The movement of the head around the fulcrum is the most direct route to the ultimate position; and elimination of all further movement before application of the cast makes the procedure simple, safe, and accurate. This method is suggested as a logical and efficacious treatment for fracture-dislocations of the cervical vertebrae.


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