Fractures and Dislocations of the Cervical Spine

Abstract

Fractures and dislocations of the cervical spine are constantly increasing. Trauma, chiefly from automobile accidents, is the most frequent cause.

Whether or not the patient is conscious, accurate neurologic and general physical assessment must be made before special diagnostic studies are undertaken. Roentgenograms of good quality are essential to diagnosis and treatment.

Injury to the spinal cord or nerve roots must be recognized immediately, and any neurologic disturbance must be accurately interpreted to avoid further damage.

The author discusses methods of reducing cervical spine fractures and dislocations and the use of anterior and posterior cervical fusion.