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Anterior reduction for cervical spine dislocation.

Rudy Reindl1, Jean Ouellet, Edward J Harvey

  • 1McGill University Health Center, Montreal, Quebec, Canada. rudy.reindl@muhc.mcgill.ca

Spine
|March 17, 2006
PubMed
Summary
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Anterior stabilization effectively treats subaxial cervical spine injuries. Most dislocations are successfully reduced with Gardner-Wells traction and anterior surgery, with good long-term outcomes.

Area of Science:

  • Orthopedics
  • Neurosurgery
  • Spine Surgery

Background:

  • Anterior stabilization for cervical spine injuries is increasingly utilized.
  • The efficacy and safety of open reduction techniques remain debated.

Purpose of the Study:

  • To evaluate the long-term outcomes of anterior stabilization for subaxial cervical spine dislocations.
  • To assess the success rate, complications, and clinical/radiologic results of this surgical approach.

Main Methods:

  • Retrospective analysis of 41 patients with subaxial cervical spine dislocations/subluxations.
  • Initial closed reduction using Gardner-Wells traction, followed by anterior open reduction if necessary.
  • Stabilization with tricortical iliac crest autograft and anterior plating.

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Main Results:

  • Successful reduction and stabilization using an anterior approach in most cases.
  • Two of eight anterior open reductions failed, necessitating posterior surgery.
  • All grafts achieved successful healing, with moderate neck discomfort in 5 patients and significant neurologic improvement observed.

Conclusions:

  • Anterior stabilization is a viable option for subaxial cervical spine dislocations/subluxations.
  • Gardner-Wells traction combined with anterior surgery provides successful reduction and stabilization in the majority of patients.