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. 1987 Oct;147(4):428–431.

Patterns of Cervical Spine Injury and Their Associated Lesions

A Norman Guthkelch, Alan S Fleischer
PMCID: PMC1025902  PMID: 3318136

Abstract

Motorcycle riding and diving into shallow water continue to present a high risk of cervical spine injury, often complicated by spinal cord damage. In patients with high cervical cord trauma, differentiation of arterial hypotension due to losing vasomotor control from the effects of internal hemorrhage can cause difficulty. In a series of 123 consecutive cases of cervical spine injury, no evidence was found that either early surgical treatment or steroid administration exert a favorable influence on recovery from traumatic myelopathy. When compared with other series, differences were found in the nature, frequency and severity of both spinal and associated injuries, resulting from the relative frequency among the population studied of trauma due to a particular mechanism—traffic accident, diving, industrial injury—and the special functions and location of the hospital from which information is gathered.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bohlman H. H. Acute fractures and dislocations of the cervical spine. An analysis of three hundred hospitalized patients and review of the literature. J Bone Joint Surg Am. 1979 Dec;61(8):1119–1142. [PubMed] [Google Scholar]
  2. Bose B., Northrup B. E., Osterholm J. L., Cotler J. M., DiTunno J. F. Reanalysis of central cervical cord injury management. Neurosurgery. 1984 Sep;15(3):367–372. doi: 10.1227/00006123-198409000-00012. [DOI] [PubMed] [Google Scholar]
  3. Bracken M. B., Shepard M. J., Hellenbrand K. G., Collins W. F., Leo L. S., Freeman D. F., Wagner F. C., Flamm E. S., Eisenberg H. M., Goodman J. H. Methylprednisolone and neurological function 1 year after spinal cord injury. Results of the National Acute Spinal Cord Injury Study. J Neurosurg. 1985 Nov;63(5):704–713. doi: 10.3171/jns.1985.63.5.0704. [DOI] [PubMed] [Google Scholar]
  4. Braughler J. M., Hall E. D. Current application of "high-dose" steroid therapy for CNS injury. A pharmacological perspective. J Neurosurg. 1985 Jun;62(6):806–810. doi: 10.3171/jns.1985.62.6.0806. [DOI] [PubMed] [Google Scholar]
  5. Frankel H. L., Hancock D. O., Hyslop G., Melzak J., Michaelis L. S., Ungar G. H., Vernon J. D., Walsh J. J. The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia. I. Paraplegia. 1969 Nov;7(3):179–192. doi: 10.1038/sc.1969.30. [DOI] [PubMed] [Google Scholar]
  6. Harris P. Associated injuries in traumatic paraplegia and tetraplegia. Paraplegia. 1968 Feb;5(4):215–220. doi: 10.1038/sc.1967.34. [DOI] [PubMed] [Google Scholar]
  7. Harris P., Karmi M. Z., McClemont E., Matlhoko D., Paul K. S. The prognosis of patients sustaining severe cervical spine injury (C2-C7 inclusive). Paraplegia. 1980 Oct;18(5):324–330. doi: 10.1038/sc.1980.59. [DOI] [PubMed] [Google Scholar]
  8. Heiden J. S., Weiss M. H., Rosenberg A. W., Apuzzo M. L., Kurze T. Management of cervical spinal cord trauma in Southern California. J Neurosurg. 1975 Dec;43(6):732–736. doi: 10.3171/jns.1975.43.6.0732. [DOI] [PubMed] [Google Scholar]
  9. MUNRO D. Treatment of fractures and dislocations of the cervical spine, complicated by cervical-cord and root injuries. A comparative study of fusion vs. nonfusi on therapy. N Engl J Med. 1961 Mar 23;264:573–582. doi: 10.1056/NEJM196103232641201. [DOI] [PubMed] [Google Scholar]
  10. Meinecke F. W. Frequency and distribution of associated injuries in traumatic paraplegia and tetraplegia. Paraplegia. 1968 Feb;5(4):196–209. doi: 10.1038/sc.1967.31. [DOI] [PubMed] [Google Scholar]
  11. Miller M. D., Gehweiler J. A., Martinez S., Charlton O. P., Daffner R. H. Significant new observations on cervical spine trauma. AJR Am J Roentgenol. 1978 Apr;130(4):659–663. doi: 10.2214/ajr.130.4.659. [DOI] [PubMed] [Google Scholar]
  12. Pang D., Wilberger J. E., Jr Spinal cord injury without radiographic abnormalities in children. J Neurosurg. 1982 Jul;57(1):114–129. doi: 10.3171/jns.1982.57.1.0114. [DOI] [PubMed] [Google Scholar]
  13. Reiss S. J., Raque G. H., Jr, Shields C. B., Garretson H. D. Cervical spine fractures with major associated trauma. Neurosurgery. 1986 Mar;18(3):327–330. doi: 10.1227/00006123-198603000-00012. [DOI] [PubMed] [Google Scholar]
  14. Riggins R. S., Kraus J. F. The risk of neurologic damage with fractures of the vertebrae. J Trauma. 1977 Feb;17(2):126–133. doi: 10.1097/00005373-197702000-00007. [DOI] [PubMed] [Google Scholar]
  15. Soderstrom C. A., McArdle D. Q., Ducker T. B., Militello P. R. The diagnosis of intra-abdominal injury in patients with cervical cord trauma. J Trauma. 1983 Dec;23(12):1061–1065. doi: 10.1097/00005373-198312000-00008. [DOI] [PubMed] [Google Scholar]
  16. Tricot D. A., Hallot R. Traumatic paraplegia and associated fractures. Paraplegia. 1968 Feb;5(4):211–215. doi: 10.1038/sc.1967.33. [DOI] [PubMed] [Google Scholar]
  17. WHITLEY J. E., FORSYTH H. F. The classification of cervical spine injuries. Am J Roentgenol Radium Ther Nucl Med. 1960 Apr;83:633–644. [PubMed] [Google Scholar]
  18. Wagner F. C., Jr, Chehrazi B. Early decompression and neurological outcome in acute cervical spinal cord injuries. J Neurosurg. 1982 May;56(5):699–705. doi: 10.3171/jns.1982.56.5.0699. [DOI] [PubMed] [Google Scholar]
  19. Young J. S., Dexter W. R. Neurological recovery distal to the zone of injury in 172 cases of closed, traumatic spinal cord injury. Paraplegia. 1978 May;16(1):39–49. doi: 10.1038/sc.1978.6. [DOI] [PubMed] [Google Scholar]

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