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[Spinal injuries without neurologic complications].

R Roy-Camille, G Saillant

    International Orthopaedics
    |January 1, 1984
    PubMed
    Summary
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    Spinal instability can be bony or osteo-disco-ligamentous. While bony instability allows limited displacement, osteo-disco-ligamentous instability requires surgical stabilization to prevent further damage.

    Area of Science:

    • Orthopedics
    • Neurosurgery
    • Spinal Surgery

    Context:

    • Spinal injuries present with varying degrees of instability, classified as bony or osteo-disco-ligamentous.
    • Bony instability permits limited displacement, often manageable non-operatively.
    • Osteo-disco-ligamentous instability involves unlimited displacement potential, necessitating surgical intervention.

    Purpose:

    • To differentiate between bony and osteo-disco-ligamentous spinal instability.
    • To outline management strategies for each type of instability.
    • To emphasize the necessity of operative stabilization for severe instability.

    Summary:

    • Instability of the injured spine is categorized into bony and osteo-disco-ligamentous types.
    • Bony instability allows limited displacement and may not require reduction unless deformity is significant.

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  • Osteo-disco-ligamentous instability, characterized by unlimited displacement potential, mandates surgical stabilization to prevent secondary complications.

    • Impact:

    • Surgical stabilization of spinal instability can achieve correction comparable to long bone procedures.
    • Effective surgical techniques minimize aesthetic and functional deficits from spinal deformity.
    • Proper surgical management reduces the risk of neurological damage and acquired spinal stenosis.