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Journal of Bone and Joint Surgery - British Volume, Vol 74-B, Issue 2, 224-227
Copyright © 1992 by British Editorial Society of Bone and Joint Surgery

Articles

Neurological deterioration after reduction of cervical subluxation. Mechanical compression by disc tissue

PA Robertson and MD Ryan

Royal North Shore Hospital, Sydney, Australia.

We report three patients with neurological deterioration after the reduction of cervical spine dislocation. In each case compression of the spinal cord by disc material was demonstrated by magnetic resonance imaging and recovery occurred following removal of the compressing disc. A separate radiological study suggested that disproportionate narrowing of the disc space implies disc extrusion; reduction of a dislocation showing this sign may produce or exacerbate neurological deterioration.




(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General