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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Spine Surgery
2023
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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. |
format | Online Article Text |
id | pubmed-10622818 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Korean Society of Spine Surgery |
record_format | MEDLINE/PubMed |
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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