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Traumatic cervical radicular lesions.

Authors: L, Boccanera; M, Laus;

Traumatic cervical radicular lesions.

Abstract

Isolated traumatic cervical radicular lesions are rare. They constitute only 3% of the neurological lesions due to spinal trauma. A monolateral radicular lesion (Type A) is occasionally associated with medullary damage (Type B), resulting in a more complex neurological syndrome. Type A lesions are caused by flexion/rotation with fracture of the upper part of an articular facet and rotatory dislocation of the vertebra above, or by a pure monolateral dislocation. Reduction by halo traction followed by halo plaster gives good results even when the anatomical result is imperfect. Operative treatment of these lesions is required only in cases which cannot be reduced nonsurgically. Type B myelo-radicular lesions are caused by hyperextension-rotation injuries with displaced fractures of the facets and secondary subluxation. The treatment is surgical; reduction by a posterior approach with fixation by Roy-Camille plates, but must include radicular release by removal of the fractured joint mass.

Keywords

Adult, Male, Adolescent, Joint Dislocations, Middle Aged, Radiography, Fractures, Bone, Spinal Injuries, Traction, Humans, Female, Spinal Nerve Roots, Spinal Cord Injuries, Aged

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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Average
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