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A Contusive Model of Unilateral Cervical Spinal Cord Injury Using the Infinite Horizon Impactor

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Subaxial Cervical Spine Injuries: WFNS Spine Committee Recommendations.

Salman Sharif¹, Muhammad Yassar Jazaib Ali¹, Ibet Marie Y Sih²

¹Department of Neurosurgery, Liaquat National Hospital & Medical College, Karachi, Pakistan.

|January 6, 2021

Summary

This study provides updated guidelines for subaxial cervical spine injuries, focusing on classification, management, facet locks, and vertebral artery injury. Recommendations were developed through expert consensus meetings using the Delphi method.

Keywords:

AO Spine Classification and management Locked facet Subaxial cervical spine Subaxial cervical spine injury classification system Vertebral artery injury

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Area of Science:

Neurosurgery
Orthopedic Surgery
Spine Surgery

Background:

Subaxial cervical spine injuries require clear classification and management protocols.
Existing guidelines may not adequately address specific challenges like locked facets and vertebral artery injury.

Purpose of the Study:

To develop evidence-based recommendations for the classification and management of subaxial cervical spine injuries.
To provide guidance on diagnosing and treating posttraumatic locked facets and vertebral artery injury.

Main Methods:

Comprehensive literature search of PubMed and Google Scholar (2009-2020).
Systematic review of articles on classification systems (SLICS, AO Spine), injury management, facet locks, and vertebral artery injury.
Consensus development through Delphi method in two World Federation of Neurosurgical Societies (WFNS) Spine Committee meetings (Moscow 2019, Peshawar 2019).

Main Results:

Established consensus on specific statements regarding subaxial cervical spine injury classification and management.
Formulated recommendations for the treatment of traumatic facet locks and vertebral artery injuries.
Identified appropriate diagnostic tests and optimal treatment strategies.

Conclusions:

The WFNS Spine Committee has produced updated, consensus-driven recommendations for subaxial cervical spine injuries.
These guidelines aim to standardize care for complex cervical spine trauma.
The recommendations cover classification, management, locked facets, and vertebral artery injury.