Cervical Spine Fractures/Acute Cervical Spinal Cord Injury

David O. Okonkwo; Harry M. Mushlin

doi:10.1007/978-3-030-99512-6_9

Cervical Spine Fractures/Acute Cervical Spinal Cord Injury

David O. Okonkwo
, Harry M. Mushlin

Surgery

University of Pittsburgh

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

Cervical facet fracture dislocation is a serious, unstable spinal column injury; when bilateral, there are high rates of concomitant spinal cord injury. Clinical management involves basic trauma principles of assessment and resuscitation followed by comprehensive neurological and radiographic assessment with computed tomography. Early decompression of the spinal cord and stabilization of the spinal column are the foundation of clinical management of these injuries. Careful attention must be paid to hypotension and other signs of autonomic dysfunction. For bilateral facet fracture dislocation, circumferential anterior and posterior decompression and fusion is the preferred surgical approach.

Original language	English
Title of host publication	Acute Care Neurosurgery by Case Management
Subtitle of host publication	Pearls and Pitfalls
Publisher	Springer International Publishing
Pages	113-123
Number of pages	11
ISBN (Electronic)	9783030995126
ISBN (Print)	9783030995119
DOIs	https://doi.org/10.1007/978-3-030-99512-6_9
State	Published - Jan 1 2022

Keywords

Cervical facet fracture dislocation
Jumped facets
Spinal cord injury
Spinal fusion surgery
Spine trauma

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10.1007/978-3-030-99512-6_9

Cite this

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abstract = "Cervical facet fracture dislocation is a serious, unstable spinal column injury; when bilateral, there are high rates of concomitant spinal cord injury. Clinical management involves basic trauma principles of assessment and resuscitation followed by comprehensive neurological and radiographic assessment with computed tomography. Early decompression of the spinal cord and stabilization of the spinal column are the foundation of clinical management of these injuries. Careful attention must be paid to hypotension and other signs of autonomic dysfunction. For bilateral facet fracture dislocation, circumferential anterior and posterior decompression and fusion is the preferred surgical approach.",

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AU - Mushlin, Harry M.

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PY - 2022/1/1

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N2 - Cervical facet fracture dislocation is a serious, unstable spinal column injury; when bilateral, there are high rates of concomitant spinal cord injury. Clinical management involves basic trauma principles of assessment and resuscitation followed by comprehensive neurological and radiographic assessment with computed tomography. Early decompression of the spinal cord and stabilization of the spinal column are the foundation of clinical management of these injuries. Careful attention must be paid to hypotension and other signs of autonomic dysfunction. For bilateral facet fracture dislocation, circumferential anterior and posterior decompression and fusion is the preferred surgical approach.

AB - Cervical facet fracture dislocation is a serious, unstable spinal column injury; when bilateral, there are high rates of concomitant spinal cord injury. Clinical management involves basic trauma principles of assessment and resuscitation followed by comprehensive neurological and radiographic assessment with computed tomography. Early decompression of the spinal cord and stabilization of the spinal column are the foundation of clinical management of these injuries. Careful attention must be paid to hypotension and other signs of autonomic dysfunction. For bilateral facet fracture dislocation, circumferential anterior and posterior decompression and fusion is the preferred surgical approach.

KW - Cervical facet fracture dislocation

KW - Jumped facets

KW - Spinal cord injury

KW - Spinal fusion surgery

KW - Spine trauma

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BT - Acute Care Neurosurgery by Case Management

PB - Springer International Publishing

ER -

Cervical Spine Fractures/Acute Cervical Spinal Cord Injury

Abstract

Keywords

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