Journal article
Management of delayed posttraumatic cervical kyphosis
Journal of clinical neuroscience, Vol.23, pp.152-159
01/2016
DOI: 10.1016/j.jocn.2015.05.040
PMID: 26321304
Abstract
We describe three patients with misdiagnosed unstable fractures of the cervical spine, who were treated conservatively and developed kyphotic deformity, myelopathy, and radiculopathy. All three patients were then managed with closed reductions by crown halo traction, followed by instrumented fusions. Their neurologic function was regained without permanent disability in any patient. Unstable fractures of the cervical spine will progress to catastrophic neurologic injuries without surgical fixation. Posttraumatic kyphosis and the delayed reduction of partially healed fracture dislocations by preoperative traction are not well characterized in the subaxial cervical spine. The complete evaluation of any subaxial cervical spine fracture requires CT scanning to assess for bony fractures, and MRI to assess for ligamentous injury. This allows for assessment of the degree of instability and appropriate management. In patients with delayed posttraumatic cervical kyphosis, preoperative closed reduction provided adequate realignment, facilitating subsequent operative stabilization.
Details
- Title: Subtitle
- Management of delayed posttraumatic cervical kyphosis
- Creators
- Alejandro J Lopez - Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Suite 2210, 676 North Saint Clair Street, Chicago, IL 60611, USAJustin K Scheer - Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Suite 2210, 676 North Saint Clair Street, Chicago, IL 60611, USAKingsley Abode-Iyamah - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Carver School of Medicine, Iowa City, IA, USAZachary A Smith - Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Suite 2210, 676 North Saint Clair Street, Chicago, IL 60611, USAPatrick W Hitchon - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Carver School of Medicine, Iowa City, IA, USANader S Dahdaleh - Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Suite 2210, 676 North Saint Clair Street, Chicago, IL 60611, USA. Electronic address: nader.dahdaleh@northwestern.edu
- Resource Type
- Journal article
- Publication Details
- Journal of clinical neuroscience, Vol.23, pp.152-159
- Publisher
- Scotland
- DOI
- 10.1016/j.jocn.2015.05.040
- PMID
- 26321304
- ISSN
- 0967-5868
- eISSN
- 1532-2653
- Language
- English
- Date published
- 01/2016
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Neurosurgery
- Record Identifier
- 9984040348402771
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