• Mohammed G Hassan.
• Department of Orthopaedics and Trauma, Faculty of Medicine, Assuit University, Assuit Governorate, Assuit, Egypt. mghassam66@hotmail.com
• Int Orthop. 2002 Jan 1; 26 (5): 263-7.

AbstractWe treated surgically 12 patients with an old dislocation of the lower cervical spine. The time from injury to presentation averaged 3.5 (range 1.5-12) months, and the majority of the dislocations were between C4-5. Treatment started with 1 week of skull traction. If this resulted in reduction the area was stabilised by anterior fusion with plate fixation. If reduction by traction did not succeed a posterior partial facetectomy was performed. If this allowed reduction it was followed by a posterior fusion with plate fixation. If reduction was not achieved the traction was continued for a further week and then followed by anterior discectomy and fusion with plate fixation. The average follow-up was 34 (range 12-54) months, and all patients developed bone fusion and showed neurological improvement.

19 keywords...

hide…