Traumatic Dislocation of the Cervical Spine

Long-term outcome after traumatic anterior dislocation of the hip

“…The latter result was most probably related to the occurrence of AVN rather than to the occurrence of post-traumatic osteoarthritis. We observed AVN only in one case, which is in accordance with results found in the literature where the incidence of AVN after traumatic anterior hip dislocation was reported to be about 9% [1]. In one patient (case 9) a large defect of 10 9 20 mm area and 5-mm depth was found in postreductional CT scans.…”

“…Recommendations on the appropriate treatment of these fractures (non-operative versus operative) are scarce [3]. However, traumatic posterior hip dislocations are associated with fractures of the acetabulum in 46-70% of cases [1,5,6,28]. Regarding these cases, Vailas et al stated that acetabular fracture fragments involving less than 25% of the acetabulum do not affect hip stability and might be treated non-operatively [11].…”

“…Traumatic hip dislocations are usually observed following high-energy trauma-mostly caused by traffic accidents [1][2][3], but also seen in professional athletes [4]. Hip dislocations are classified into central, posterior and anterior types, whereas the latter are further subdivided into inferior (obturator) and superior (pubic) types [5].…”

“…Hip dislocations are classified into central, posterior and anterior types, whereas the latter are further subdivided into inferior (obturator) and superior (pubic) types [5]. Anterior hip dislocation is a rare injury, with a reported frequency ranging between 7-13% [1,6] of all hip dislocations. Injuries associated with anterior hip dislocation such as impaction fractures of the femoral head have reported frequencies ranging from 15 to 35% [7][8][9], whereas fractures of the acetabulum were rarer, occurring in only 4% [9] of cases.…”

The Biology of Prolotherapy and Its Application in Clinical Cervical Spine Instability and Chronic Neck Pain: A Retrospective Study

“…In patients that underwent fusion, Munro [95] observed reduction in the incidence of pain by two-thirds but no remarkable stability recovery. Brav et al [96] compared a number of fused and non-fused patients, in terms of recovery and hospitalization recumbency time, and concluded the overall prognosis to be essentially the same in both groups. Conversely, other studies demonstrate that cervical spinal fusion is usually successful in relieving symptoms, but there is no statistical significance in the quality-adjusted life years between the operative and nonoperative groups [97].…”