Abstract
Subaxial cervical spine injury is essentially classified by mechanism of injury and degree of stability [1]. In addition to elucidating the mechanism of injury, it is equally important to be aware of the degree of stability of the lesion. Understanding of stability is a key factor for both the initial and the surgical treatment of patients to avoid worsening their neurological deterioration. Spinal cord injury (SCI) should be treated while considering these points. However, there has been a debate over the treatment of patients with SCI because of a lack of guidelines. In fact, various treatments from conservative management to radical operation are recommended for each pattern of injury.
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References
Harris JH (1978) The radiology of acute cervical spine trauma. Williams and Wilkins, Baltimore
Bedbrook GM (1979) Spinal injuries with tetraplegia and paraplegia. J Bone Joint Surg 61B:267–284
Donovan WH, Kopaniky D, Stolamann E, et al (1987) The neurological and skeletal outcome in patients with closed cervical spinal cord injury. J Neurosurg 66:690–694
Lind B, Sihlbom H, Nordwall A (1988) Halo-vest treatment unstable traumatic cervical spine injuries. Spine 13:425–432
Allen BL, Ferguson RL, Lejmann TR, et al (1982) A mechanic classification of closed, indirect fractures and dislocations of the lower cervical spine. Spine 7:1–27
Bucholz RD, Cheung KC (1989) Halo vest versus spinal fusion for cervical injury: evidence from an outcome study. J Neurosurg 70:884–892
O’Brien PJ, Schweigel JF, Thompson WJ (1982) Dislocations of the lower cervical spine. J Trauma 22:710–714
Dorr LD, Harvey JP, Nickel VL (1982) Clinical review of the early stability of spine injuries. Spine 7:545–550
Shapiro SA, Synder W, Kaufman K, et al (1999) Outcome of 51 cases of unilateral locked cervical facets: Interspinous braided cable for lateral mass plate fusion compared with interspinous wire and facet wiring with iliac crest. J Neurosurg 91(Suppl. l):19–24
Fehling MG, Cooper PR, Errico TJ (1994) Posterior plates in the management of cervical instability: Long-term results in 44 patients. J Neurosurg 81:341–349
Lukhele M (1994) Fractures of the vertebral lamina associated with unifacet and bifacet cervical spine dislocations. S Afr J Surg 32:112–114
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© 2006 Springer-Verlag Tokyo
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Mizuno, J., Nakagawa, H. (2006). Surgical Tactics for Subaxial Spinal Cord Injury. In: Kanno, T., Kato, Y. (eds) Minimally Invasive Neurosurgery and Multidisciplinary Neurotraumatology. Springer, Tokyo. https://doi.org/10.1007/4-431-28576-8_7
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DOI: https://doi.org/10.1007/4-431-28576-8_7
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-28551-9
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