Upper cervical injuries

Paul A. Anderson

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI:

Series: Oxford Textbooks

Upper cervical injuries

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  • Trauma and Orthopaedic Surgery
  • Surgical Skills


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Upper cervical spine injuries should be considered in all blunt trauma patients.

Critical review of plain radiographs or CT should carefully examine the alignment of the articulations between the occiput-C1 and C1-2 to determine if ligamentous injury is present.

The initial stabilization of unstable upper cervical injuries usually should avoid the use of traction in favour of the halovest.

Definitive stabilization is based on fracture type and the status of the cranio-cervical ligaments.

Chapter.  5697 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery ; Surgical Skills

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