Acta Orthop Belg
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The authors present their experience with 81 cases (66.4%) of acute cervical spine injuries (C. S. I.) and 41 cases (33.6%) of acute thoracolumbar spine injuries (T. ⋯ In general, osteoligamental consolidation was satisfactory. Neurological recovery was observed only in patients with partial deficits. Most cases posed socioeconomic problems.
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The authors describe a semiconservative approach for bilateral fracture-dislocation of the sacrum, an extremely rare injury. Traction is advocated; it seems to lead to a good functional result after 20 years. Other authors either propose internal fixation or benign neglect, also with a good outcome. Every case must be approached on an individual base.