Treatment of subaxial cervical spinal injuries

Daniel E. Gelb, Bizhan Aarabi, Sanjay S. Dhall, R. John Hurlbert, Curtis J. Rozzelle, Timothy C. Ryken, Nicholas Theodore, Beverly C. Walters, Mark N. Hadley

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Subaxial cervical spine fractures and dislocations encompass a broad spectrum of acute traumatic injuries. Adequate decompression of the neural elements and the restoration of sufficient spinal stability to allow early mobilization and rehabilitation remain basic treatment tenets. Although nonsurgical treatment can be employed successfully, surgical treatment of these injuries achieves these goals more consistently and more quickly, especially in higher grades of injury. Both anterior and posterior surgical approaches have been reported as effective. Neither approach is necessarily superior to the other as long as the goals of treatment can be accomplished. Treatment must be individualized on the basis of the specific characteristics of each particular injury. Factors to be considered include neurologic status, the degree and type of bony and/or ligamentous disruption, and the degree and cause of spinal cord compression. The treatment of patients with AS who sustain traumatic subaxial cervical spinal fractures is challenging and has a comparatively high associated morbidity and mortality, regardless of the treatment offered or the surgical approach used.

Original languageEnglish (US)
Pages (from-to)187-194
Number of pages8
JournalNeurosurgery
Volume72
Issue numberSUPPL.2
DOIs
StatePublished - Mar 1 2013
Externally publishedYes

Fingerprint

Spinal Injuries
Therapeutics
Wounds and Injuries
Spinal Fractures
Early Ambulation
Spinal Cord Compression
Intraoperative Complications
Decompression
Nervous System
Spine
Rehabilitation
Morbidity
Mortality

Keywords

  • Ankylosing spondylitis
  • Anterior and posterior stabilization and fusion procedures
  • Subaxial cervical fractures

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Gelb, D. E., Aarabi, B., Dhall, S. S., John Hurlbert, R., Rozzelle, C. J., Ryken, T. C., ... Hadley, M. N. (2013). Treatment of subaxial cervical spinal injuries. Neurosurgery, 72(SUPPL.2), 187-194. https://doi.org/10.1227/NEU.0b013e318276f637

Treatment of subaxial cervical spinal injuries. / Gelb, Daniel E.; Aarabi, Bizhan; Dhall, Sanjay S.; John Hurlbert, R.; Rozzelle, Curtis J.; Ryken, Timothy C.; Theodore, Nicholas; Walters, Beverly C.; Hadley, Mark N.

In: Neurosurgery, Vol. 72, No. SUPPL.2, 01.03.2013, p. 187-194.

Research output: Contribution to journalArticle

Gelb, DE, Aarabi, B, Dhall, SS, John Hurlbert, R, Rozzelle, CJ, Ryken, TC, Theodore, N, Walters, BC & Hadley, MN 2013, 'Treatment of subaxial cervical spinal injuries', Neurosurgery, vol. 72, no. SUPPL.2, pp. 187-194. https://doi.org/10.1227/NEU.0b013e318276f637
Gelb DE, Aarabi B, Dhall SS, John Hurlbert R, Rozzelle CJ, Ryken TC et al. Treatment of subaxial cervical spinal injuries. Neurosurgery. 2013 Mar 1;72(SUPPL.2):187-194. https://doi.org/10.1227/NEU.0b013e318276f637
Gelb, Daniel E. ; Aarabi, Bizhan ; Dhall, Sanjay S. ; John Hurlbert, R. ; Rozzelle, Curtis J. ; Ryken, Timothy C. ; Theodore, Nicholas ; Walters, Beverly C. ; Hadley, Mark N. / Treatment of subaxial cervical spinal injuries. In: Neurosurgery. 2013 ; Vol. 72, No. SUPPL.2. pp. 187-194.
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