Treatment for Lateral Flexion Fracture Dislocation of the Cervical Spine: Report of Two Cases

Shiina, Itsuo; Hioki, Shigeru; Kamada, Hiroshi; Amano, Kuniaki; Noguchi, Hiroshi

doi:10.2185/jrm.5.194

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…Крім того, в деяких випадках може спостерігатися латеролістез, який також потребує хірургічної корекції [60]. Залежно від клінічної ситуації можна застосовувати передній або задній доступ [61].…”

Section: тактика лікуванняunclassified

The classifications of subaxial cervical spine traumatic injuries. Part 6. Ben L. Allen biomechanical classification

Nekhlopochyn¹,

Слынько²,

Verbov³

2021

Ukr Neurosurg J

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Traumatic injuries of subaxial cervical spine are characterized by a wide range of possible pathomorphological changes that depend not only on the direction and intensity of the traumatic force impact, but also on the initial position of cervical spine at the moment of exposure. One of the most detailed classifications of cervical spine traumatic injuries, in which the integrated approach to assessing the type of injury considering the mechanism of injury is used, is the system developed by Ben L. Allen and published with co-authors in 1982. It is also known as the Allen-Ferguson classification and despite long history of existence, still has not lost its relevance. In the classification when characterizing the type of traumatic injury, not only visually detected signs, but also inevitably accompanying changes are given. In total, 6 types of damage were classified: compression-flexion, vertical compression, distraction-flexion, compression-extension, distraction-extension and lateral-flexion, which were divided into stages depending on the severity of pathomorphological changes. The authors of the classification note a pronounced correlation between the nature of damage to anatomical structures and neurological disorders in all patterns of damage. When writing this review, a detailed analysis of the original publication was carried out, highlighting the basic biomechanical aspects that underlie the classification and still have not lost their relevance . It is noted that the schematic images of damages found in modern literature often do not correspond to the description proposed by Ben L. Allen et al., Therefore, when preparing the illustrative material, we relied solely on the data of the original article. Along with the description of morphology, for each type and stage of injury, modern data on possible methods of treatment, both conservative and surgical are given. The complex analysis suggests that the classification developed by Ben L. Allen is a convenient tool for assessing pathomorphological changes and allows choosing the optimal method of treating the patients in each specific clinical situation.

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Section: тактика лікуванняunclassified

The classifications of subaxial cervical spine traumatic injuries. Part 6. Ben L. Allen biomechanical classification

Nekhlopochyn¹,

Слынько²,

Verbov³

2021

Ukr Neurosurg J

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Fracture Dislocation at the Level of C6-C7: A Case Report and Literature Review

Altwaijri¹,

Barakat²,

Alharbi³

et al. 2023

Cureus

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Fractures of the cervical spine can cause devastating long-term effects on patients. Spinal cord injuries can occur in up to 50% of cases in association with cervical spine fractures. Therefore, it is vital and of utmost importance to recognize cervical spine injuries early on to avoid the exacerbation of an existing injury and its detrimental effects on the patients. We report a case of a C6-C7 fracture dislocation with an associated neurological insult that improved dramatically following fixation and rehabilitation. Unfortunately, patients with this presentation may have long-term neurological insults rather than regain normal function; however, our case notes the importance of prompt intervention and its effect on the outcome.

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Treatment for Lateral Flexion Fracture Dislocation of the Cervical Spine: Report of Two Cases

Cited by 2 publications

References 9 publications

The classifications of subaxial cervical spine traumatic injuries. Part 6. Ben L. Allen biomechanical classification

The classifications of subaxial cervical spine traumatic injuries. Part 6. Ben L. Allen biomechanical classification

Fracture Dislocation at the Level of C6-C7: A Case Report and Literature Review

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