Imaging Evaluation of Cervical Spine

Imaging of the Cervical Spine > Management > Management of Specific Fractures (cont.)

Management of Specific Fractures

Fractures and dislocations of lower cervical spine:

Vertical compression fractures are normally treated initially with traction to reduce fragmentation and subsequently with halo vest. They tend to heal well with halo immobilization

Unilateral facet dislocations do fairly well with halo immobilization.

Bilateral facet dislocations are treated conservatively. The facet joints are reduced and immobilized. The posterior ligament usually heals poorly.

Clay Shoveler's fractures are treated with soft collar for comfort. Prognosis is excellent.

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