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Review Question - QID 6975

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QID 6975 (Type "6975" in App Search)
A 40-year-old woman sustains a flexion injury to her neck. Physical examination is normal. A lateral radiograph of the cervical spine is shown in Figure 57a. MRI scans of the cervical spine are shown in Figures 57b and 57c. Treatment should include
  • A
  • B
  • C

skeletal traction and reduction, followed by a halo jacket and nonsurgical stabilization.

12%

24/198

skeletal traction, closed reduction, and posterior fixation/fusion.

47%

94/198

skeletal traction, anterior decompression and fusion, followed by posterior stabilization and fusion.

27%

53/198

skeletal traction and surgical posterior fusion, followed by anterior decompression and fusion.

6%

12/198

general anesthesia, closed reduction, and a halo jacket for 3 to 4 months until stable.

2%

4/198

  • A
  • B
  • C

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This is a classic bilateral facet dislocation. When there is no evidence of a disk herniation, treatment should include careful skeletal traction, closed reduction, and posterior fusion. There is no role for anterior procedures. These fractures are unstable and require surgical intervention.

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