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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:

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Related Experiment Video

Updated: Jul 11, 2026

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
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Is Routine Use of External Spinal Orthoses Necessary After Operative Stabilization of Cervical Spine Injuries?

Derek Moody1, James Showery1, Ran Lador1

  • 1University of Texas Health Science Center.

Clinical Spine Surgery
|April 19, 2024
PubMed
Summary

Postoperative cervical orthoses did not significantly reduce fixation failure or loss of reduction in patients with cervical spine injuries. This study found no difference in hardware failure rates between braced and unbraced patients, questioning the routine use of collars.

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Area of Science:

  • Orthopedic Surgery
  • Neurosurgery
  • Trauma Care

Background:

  • Postoperative cervical orthoses are commonly used after surgical treatment of cervical spine injuries.
  • The effectiveness of these orthoses in preventing fixation failure or nonunion is not well-established.
  • Potential complications of cervical collars include delayed rehabilitation, dysphagia, and skin breakdown.

Purpose of the Study:

  • To evaluate the efficacy of postoperative cervical orthoses in preventing fixation failure and loss of reduction following operative treatment of cervical spine fractures.
  • To determine if routine bracing impacts revision surgery rates for cervical spine injuries.

Main Methods:

  • Retrospective review of 201 patients who underwent operative stabilization for cervical spine injuries between January 2015 and August 2019.
  • Data collected included injury type, surgical procedure, postoperative orthosis use, and need for secondary surgery.
  • Primary outcome was loss of reduction or fixation failure requiring revision surgery.

Main Results:

  • Of 201 patients, 133 (66.2%) used a cervical orthosis postoperatively, while 68 (33.8%) did not.
  • Overall fixation failure or loss of reduction occurred in 4 patients (1.99%).
  • No significant difference in instrumentation failure rates was observed between the orthosis and no-orthosis groups (P=0.706).

Conclusions:

  • The routine use of postoperative cervical orthoses after surgical stabilization of cervical spine injuries is controversial.
  • This study found no statistically significant difference in hardware failure or loss of fixation between patients treated with or without postoperative orthoses.
  • Findings suggest that the necessity of routine cervical orthosis use in this patient population warrants further investigation.