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immobilization with a halo ring and vest with reduction when medically stable.
8%
81/1041
closed traction reduction using Gardner-Wells tongs.
13%
133/1041
posterior open reduction, stabilization, and fusion.
10%
109/1041
cervical MRI followed by reduction.
64%
668/1041
anterior open reduction, stabilization, and fusion.
4%
40/1041
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The patient has a bilateral facet dislocation of C6-C7 with preservation of at least some neurologic function. Urgent reduction is necessary. However, because she is sedated and unable to follow commands, an MRI scan is necessary before any closed or open posterior reduction to look for an associated disk herniation. If a disk herniation is present, it must be removed prior to any reduction maneuver to prevent iatrogenic neurologic injury. It is very unlikely that this injury can be reduced with an open anterior procedure alone.
3.1
(17)
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