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Abstract
A prospective study of 39 patients with traumatic spondylolisthesis of the axis is
reported. Classification of the fracture was based on the criteria of White and Punjabi
(1978). In previous studies (Effendi et al., 1981; Levine and Edwards, 1985) stability
of the undisplaced and slightly displaced fracture was based on flexion/extension
radiographs. Union was obtained in all fractures without using a rigid cervical orthosis.
We feel that assessing stability dynamically soon after injury when there is marked
muscle spasm does not provide an accurate assessment, nor does it not alter the management
of these injuries, as shown in this study.
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References
- Traumatic spondylolisthesis of the axis.J. Bone Joint. Surg. 1968; 50B: 31
- Fractures of the ring of the axis. A classification based on the analysis of 131 cases.J. Bone Joint Surg. 1981; 63B: 319
- Traumatic spondylolisthesis of the axis.J. Bone Joint Surg. 1981; 63B: 313
- Injuries of the atlas and axis.J. Bone Joint Surg. 1954; 36B: 397
- Management of traumatic spondylolisthesis of the axis.J. Bone Joint Surg. 1985; 67A: 217
- ‘Hangman's fracture’ of the cervical spine.J. Neurosurg. 1965; 22: 141
- Clinical Biomechanics of the Spine. J. B. Lippincott, Philadelphia1978
Article info
Publication history
Accepted:
December 22,
1986
Identification
Copyright
© 1987 Published by Elsevier Inc.