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Immediate Closed Reduction Technique for Cervical Spine Dislocations

STUDY DESIGN: Retrospective study. PURPOSE: This research aimed to assess the clinical outcomes of patients with traumatic cervical spine dislocation who underwent closed reduction employing our approach. OVERVIEW OF LITERATURE: Bedside closed reduction is the quickest procedure for repairing trauma...

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Autores principales: Oae, Kazunori, Kamei, Naosuke, Sawano, Makoto, Yahata, Tadashi, Morii, Hokuto, Adachi, Nobuo, Inokuchi, Koichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Spine Surgery 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622818/
https://www.ncbi.nlm.nih.gov/pubmed/37408488
http://dx.doi.org/10.31616/asj.2022.0409
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author Oae, Kazunori
Kamei, Naosuke
Sawano, Makoto
Yahata, Tadashi
Morii, Hokuto
Adachi, Nobuo
Inokuchi, Koichi
author_facet Oae, Kazunori
Kamei, Naosuke
Sawano, Makoto
Yahata, Tadashi
Morii, Hokuto
Adachi, Nobuo
Inokuchi, Koichi
author_sort Oae, Kazunori
collection PubMed
description STUDY DESIGN: Retrospective study. PURPOSE: This research aimed to assess the clinical outcomes of patients with traumatic cervical spine dislocation who underwent closed reduction employing our approach. OVERVIEW OF LITERATURE: Bedside closed reduction is the quickest procedure for repairing traumatic cervical spine dislocations; nevertheless, it also possesses the risk of neurological deterioration. METHODS: For closed reduction, the patient’s head was elevated on a motorized bed, the cervical spine was placed at the midline, traction of 10 kg was applied, the motorized bed was gradually returned to a flat position, the head was lifted off the bed, and the cervical spine was slowly adjusted to a flexed position. The weight of traction was elevated by 5-kg increments until the positional shift was attained. Subsequently, the bed was gradually tilted while traction was applied again to return the cervical spine to the midline position. RESULTS: Of the 43 cases of cervical spine dislocation, closed reduction was carried out in 40 cases, of which 36 were successful. During repositioning, three patients experienced a temporary worsening of their neck pain and neurological symptoms that enhanced when the cervical spine was flexed. Closed reduction was conducted while the patient was awake; nevertheless, sedation was needed in three cases. Among the 24 patients whose pretreatment paralysis had been characterized by American Spinal Injury Association Impairment Scale (AIS) grades A–C, seven patients (29.2%) demonstrated an enhancement of two or more AIS grades at the last observation. CONCLUSIONS: Our closed reduction approach safely repaired traumatic cervical spine dislocations.
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spelling pubmed-106228182023-11-04 Immediate Closed Reduction Technique for Cervical Spine Dislocations Oae, Kazunori Kamei, Naosuke Sawano, Makoto Yahata, Tadashi Morii, Hokuto Adachi, Nobuo Inokuchi, Koichi Asian Spine J Clinical Study STUDY DESIGN: Retrospective study. PURPOSE: This research aimed to assess the clinical outcomes of patients with traumatic cervical spine dislocation who underwent closed reduction employing our approach. OVERVIEW OF LITERATURE: Bedside closed reduction is the quickest procedure for repairing traumatic cervical spine dislocations; nevertheless, it also possesses the risk of neurological deterioration. METHODS: For closed reduction, the patient’s head was elevated on a motorized bed, the cervical spine was placed at the midline, traction of 10 kg was applied, the motorized bed was gradually returned to a flat position, the head was lifted off the bed, and the cervical spine was slowly adjusted to a flexed position. The weight of traction was elevated by 5-kg increments until the positional shift was attained. Subsequently, the bed was gradually tilted while traction was applied again to return the cervical spine to the midline position. RESULTS: Of the 43 cases of cervical spine dislocation, closed reduction was carried out in 40 cases, of which 36 were successful. During repositioning, three patients experienced a temporary worsening of their neck pain and neurological symptoms that enhanced when the cervical spine was flexed. Closed reduction was conducted while the patient was awake; nevertheless, sedation was needed in three cases. Among the 24 patients whose pretreatment paralysis had been characterized by American Spinal Injury Association Impairment Scale (AIS) grades A–C, seven patients (29.2%) demonstrated an enhancement of two or more AIS grades at the last observation. CONCLUSIONS: Our closed reduction approach safely repaired traumatic cervical spine dislocations. Korean Society of Spine Surgery 2023-10 2023-07-06 /pmc/articles/PMC10622818/ /pubmed/37408488 http://dx.doi.org/10.31616/asj.2022.0409 Text en Copyright © 2023 by Korean Society of Spine Surgery https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Oae, Kazunori
Kamei, Naosuke
Sawano, Makoto
Yahata, Tadashi
Morii, Hokuto
Adachi, Nobuo
Inokuchi, Koichi
Immediate Closed Reduction Technique for Cervical Spine Dislocations
title Immediate Closed Reduction Technique for Cervical Spine Dislocations
title_full Immediate Closed Reduction Technique for Cervical Spine Dislocations
title_fullStr Immediate Closed Reduction Technique for Cervical Spine Dislocations
title_full_unstemmed Immediate Closed Reduction Technique for Cervical Spine Dislocations
title_short Immediate Closed Reduction Technique for Cervical Spine Dislocations
title_sort immediate closed reduction technique for cervical spine dislocations
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622818/
https://www.ncbi.nlm.nih.gov/pubmed/37408488
http://dx.doi.org/10.31616/asj.2022.0409
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