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Research Article| Volume 18, ISSUE 5, P333-335, September 1987

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Traumatic spondylolisthesis of the axis

  • S. Govender
    Correspondence
    Requests for reprints should be addressed to: Mr S. Govender, Department of Orthopaedic Surgery, PO Box 17039, Congella 4013, South Africa.
    Affiliations
    Department of Orthopaedic Surgery, University of Natal, Congella, Durban, South Africa
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  • R.W. Charles
    Affiliations
    Department of Orthopaedic Surgery, University of Natal, Congella, Durban, South Africa
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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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