C-Spine operative-1-1

C-Spine operative-1-1 - Operative Treatment For Cervical...

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Operative Treatment For Cervical Spine Fractures Dr. T. G. Hogan
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Occipito-cervical Dissociation
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Occipitocervical Instability Basion BDI < 12 Basion Axis Int <12 Basion-Dens-Interval <12 mm. >12 mm. Suggests Vertical Instability Basion-Axial-Interval < 12mm >12mm. Suggests Anterior Instability <0mm. Suggests Posterior Instability
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Occipitocervical Dislocation Mechanism Unclear Neurological Deficits Confusing High Tetraplegia Cruciate Paralysis Wallenberg’s Syndrome Ligamentous Injuries = Unstable Avoid Traction
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Atlas Fractures: Extension Anterior Arch Hyper-extension Avulsion of Longus Colli R/O Other Injuries 65% (Landells) Stewart G, Radiology 1977
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Atlas Fractures: Extension Posterior Arch Fractures Occipital Pain & Numbness Stable R/O Other Injuries (Odontoid #)
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Jefferson Fractures Four Part Burst Axial Load 6.9 mm Overhang Spence KF, JBJS, 1970 8.1 mm Overhang Heller JG, J Spinal Disord, 1993
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Lateral Mass Fractures of C-1 Free-Floating Lateral Mass of C-1 Often Comminuted Segal & Stauffer, JBJS, 1987
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C-Spine operative-1-1 - Operative Treatment For Cervical...

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