Treatment of cervical dislocation with locked facets.

Background: Lower cervical dislocation with locked facets is common in cervical injury. The locked facets include unilateral and bilateral types. Different successful closed reduction rates has been achieved between unilateral and bilateral types by using rapid skull traction, which was commonly used to reduce the cervical dislocation.

[Single-stage combined anterior-posterior instrumentation for multiple level cervical spine fractures].

Objective: To investigate the efficacy of single-stage combined anterior-posterior instrumentation for treatment of multiple level cervical spine fractures.

Methods: Nine patients with multiple-level fractures of the cervical spine, 8 males and 1 female aged 24 - 63, underwent ingle-stage combined anterior-posterior instrumentation. Seven patients with multiple contiguous fractures of the cervical spine were treated with anterior decompression and plating combined with posterior cervical lateral mass screw fixation; and 2 patients with non-contiguous cervical fractures, both with type II odontoid fracture and lower cervical fracture, were treated with both anterior odontoid screw and posterior cervical lateral mass screw fixation.

[Clinical diagnosis and treatment of multiple-level injuries of the cervical spine].

Objective: To investigate the character, diagnosis and treatment of multiple-level fractures of the cervical spine.

Methods: Forty-three patients (38 male, 5 female) with multiple-level fractures of the cervical spine were retrospectively analysed in our hospital from 1988-2001.

Results: Among 36 patients with multiple contiguous fractures of the cervical spine, 32 cases were injured at low cervical spine; 7 patients were non-contiguous spinal fractures in which there were 5 cases injured at upper and lower cervical spine.

[Clinical diagnosis and treatment of Hangman's fracture].

Objective: To investigate the mechanism of Hangman's fracture and its clinical manifestation and treatment.

Methods: Ten patients with Hangman's fracture treated at our hospital from 1988 to 2001 were analysed.

Result: Patients were injured by motor vehicle accidents (7 patients), object hitting on the head (1), and fall (1).