This Article
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by ROGERS, W. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by ROGERS, W. A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
Journal of Bone and Joint Surgery, 1957;39:341-376.
© 1957 by The Journal of Bone and Joint Surgery, Inc

Fractures and Dislocations of the Cervical Spine

An End-Result Study

WILLIAM A. ROGERS M.D.1

1 BOSTON, MASSACHUSETTS

1 . For the dangerous period between the time of injury and definitive treatment, and while being moved about during definitive treatment, the patient should be recumbent, at all times, on a firm stretcher or bed. An adjustable traction neck brace should be worn during these times, applied in the long axis of the spine in the neutral position.

2. Skull traction is the best proved means of protectitsg the cord during definitive treatment of cervical-spine iujuries.

3. Skull tnactious will accomplish reduction and maintain it in a high pnoportion of injuries. It is comfortable and greatly facilitates nursing care.

4. Complete neductious is ideal; satisfactory reductions may include those in which there is less than 0.3 centimeter of decrease us the anteroposterior diameter of the vertebral camsal. Open reductious was accomplished in seven patients, in six of whom skull traction had failed.

5. Internal fixation and surgical fusion provide reliable stabilization of the injured vertebrae. They appear to protect the cord against attritin in patients with a vertebralcanal diameter of less than tsormal.

6. The treatment of cervical-spine injuries is highly specialized; technical errors its treatment may be fatal. A trained autd experienced operatiuig team is essential.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 RadiologyHome page
G. J. Hogan, S. E. Mirvis, K. Shanmuganathan, and T. M. Scalea
Exclusion of Unstable Cervical Spine Injury in Obtunded Patients with Blunt Trauma: Is MR Imaging Needed when Multi-Detector Row CT Findings Are Normal?
Radiology, October 1, 2005; 237(1): 106 - 113.
[Abstract] [Full Text] [PDF]

Home page
 radtechHome page
J. MINIGH
Traumatic Injuries to the Cervical Spine
Radiol. Technol., September 1, 2005; 77(1): 53 - 68.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
J. S. Torg, J. T. Guille, and S. Jaffe
Injuries to the Cervical Spine in American Football Players
J. Bone Joint Surg. Am., January 1, 2002; 84(1): 112 - 122.
[Full Text]

Home page
 RadiologyHome page
C. C. Blackmore, S. D. Ramsey, F. A. Mann, and R. A. Deyo
Cervical Spine Screening with CT in Trauma Patients: A Cost-effectiveness Analysis
Radiology, July 1, 1999; 212(1): 117 - 125.
[Abstract] [Full Text]

Home page
 RadiologyHome page
C. C. Blackmore, S. S. Emerson, F. A. Mann, and T. D. Koepsell
Cervical Spine Imaging in Patients with Trauma: Determination of Fracture Risk to Optimize Use
Radiology, June 1, 1999; 211(3): 759 - 765.
[Abstract] [Full Text]