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KMID : 0374919940150010131
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Inje Medical Journal
1994 Volume.15 No. 1 p.131 ~ p.140
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Clinical Study on the Unilateral Facet Dislocation and Fracture-Dislocation of the Lower Cervical Spine
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곽철
서승석/유현덕/김영창/최장석/이영구
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Abstract
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Acute injuries of the cervical spine are the most common causes of severe diability and death following trauma, yet the diagnosis is often delayed and treatment, inadequate.
Especially, injuries of the lower cervical spine are complex and potentially devastating. The goals of treatment of fracture-dislocations are to provide stability and to prevent future injury to the spinal cord and nerve roots. The authors
treated
46
patients with unilateral facet dislocation or fracturedislocation of the lower cervical spine at Inje University Pusan Paik hopsital between 1981 and 1991, and the results were as follows ;
1. Of these 46 patients, 32 patients were treated by open reduction and fusion, and 14 by nonoperative management.
2. The frequent level of the injury was between C5-6 (43%).
3. Flexion-rotation was the most common mechanism and has more severe neurologic damage.
4. Anatomical reduction was achieved more frequently in the operative group (84% compared with 43%). Nonperative treatment was more likely to result in significant symptoms and instability on flexion/extension lateral radiographs.
5. Open reduction and rigid internal fixation of unilateral facet dislocation or fracture-dislocation gave better result.
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KEYWORD
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