Controversies in the treatment of cervical spine dislocations

Spine J. 2009 May;9(5):418-23. doi: 10.1016/j.spinee.2009.01.005. Epub 2009 Feb 23.

Abstract

Background context: Cervical spine dislocations represent an area of great controversy among spine surgeons.

Purpose: The purpose of this review is to present the specific areas of controversy and to provide a review of the literature.

Study design: A case of cervical spine dislocation is presented to illustrate the major controversies related to the treatment of cervical spine dislocations.

Methods: A review of the literature is presented regarding the major controversial aspects of the treatment of cervical spine dislocations.

Results: The major areas of controversy include the choice of imaging, closed versus open reduction and surgical approach.

Conclusions: Guidelines for the management of cervical spine dislocations are presented based on evidence-based medicine.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cervical Vertebrae / injuries*
  • Cervical Vertebrae / surgery
  • Diagnostic Imaging
  • Evidence-Based Medicine
  • Fracture Fixation / methods
  • Humans
  • Joint Dislocations / complications
  • Joint Dislocations / diagnosis*
  • Joint Dislocations / surgery*
  • Male
  • Practice Guidelines as Topic
  • Spinal Cord Injuries / diagnosis
  • Spinal Cord Injuries / etiology
  • Spinal Cord Injuries / therapy