Abstract
We studied all patients with either unifacetal or bifacetal dislocations treated in our National Spinal Injuries Unit between January 1996 and December 2000. There were 25 cases, of which 13 were unifacetal and 12 bifacetal. Craniocervical traction was employed in 21 cases and closed reduction achieved in 11. Eighteen patients underwent surgical stabilisation. Traction weights of up to 36 kg were employed, but there was no relationship found between the level of dislocation and traction weight. Anterior translation was measured by a newly described method, and we found a statistically significant correlation between the neurological score on admission and the degree of anterior translation.
Résumé
Nous avons étudié tous les malades avec une luxation uni ou bi-articulaire du rachis cervical traités dans notre Unité entre janvier 1996 et décembre 2000. Il y avait 25 cas, 13 uni-articulaires et 12 bi-articulaires. La traction craniocervicale a été employée dans 21 cas et la réduction fermée accomplie 11 fois. 18 malades ont eu une stabilisation chirurgicale. La traction jusqu'à 36 kg a été employé mais il n'y avait aucun rapport entre le niveau de luxation et l'importance de la traction. La translation antérieure a été mesurée par une méthode récemment décrite et nous avons trouvé une corrélation statistiquement significative entre le score neurologique à l'admission et le degré de cette translation.
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