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Continue a high weight closed reduction of the fracture-dislocation
1%
2/251
Urgent surgical intervention for reduction and decompression
82%
207/251
High-dose steroids for 48 hours before surgical stabilization
2%
4/251
Halo fixation
0%
1/251
Closed reduction under general anesthesia
14%
35/251
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Although there are no current standards for the timing of surgical intervention for acute spinal cord injuries there is increasing data, including animal studies, suggesting that early decompression and stabilization of an acute spinal cord injury can be beneficial. Continuing attempts at closed reduction is not advised given the failure of attempted high weight reduction. In light of the neurologic deficit, waiting 48 hours with or without steroid treatment is not recommended. Likewise, halo fixation without reduction of the dislocation should not be considered for definitive treatment. Closed reductions should not be performed under general anesthesia.
2.6
(9)
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