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Multiple noncontiguous fractures of the cervical spine
P Shear1, H Hugenholtz, M T Richard
1Division of Neurosurgery, University of Ottawa, Ontario, Canada.
The Journal of Trauma
|May 1, 1988
Summary
Multiple noncontiguous cervical spine fractures, injuries separated by normal vertebrae, are more common than previously thought. These cases require special treatment considerations due to potential instability.
Area of Science:
- Orthopedics
- Neurosurgery
- Spine Surgery
Background:
- Cervical spine fractures are common injuries.
- Noncontiguous fracture-subluxations are defined as injuries separated by at least one normal vertebral segment.
Observation:
- A review of 66 cervical spine fractures treated over 26 months identified six cases (9%) of multiple noncontiguous fracture-subluxations.
- This incidence suggests these injuries are more frequent than previously recognized.
Findings:
- Multiple noncontiguous fracture-subluxations represent a significant subset of cervical spine injuries.
- The presence of a mobile intermediate segment in some patients necessitates tailored treatment approaches.
Implications:
- Increased awareness of noncontiguous cervical spine fractures is crucial for accurate diagnosis.
- Treatment strategies must account for the unique biomechanics of these injuries to optimize patient outcomes.
- Further research into optimal management protocols for these complex fractures is warranted.