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Anterior cervical subluxation

1976; British Editorial Society of Bone & Joint Surgery; Volume: 58-B; Issue: 3 Linguagem: Inglês

10.1302/0301-620x.58b3.956248

2044-5377

DK Evans,

Nerve Injury and Rehabilitation

Anterior subluxation of the cervical spine from flexion-rotational violence is often overlooked. Either radiography is omitted or the slight displacement visible on the films is not recognised. A method for recognising these injuries is suggested. Five cases are described showing that in these subluxations the soft-tissue damage is severe, that late increasing displacement can occur, with varying neurological sequelae, and that instability can persist indefinitely. Four of the patients required stabilisation by operation, in contrast with complete dislocations in which 80 to 90 per cent fuse spontaneously.