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J Am Acad Orthop Surg, Vol 10, No 4, July/August 2002, 271-280.
© 2002 the American Academy of Orthopaedic Surgeons

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Upper Cervical Spine Injuries

R. Sean Jackson, MD, Daxes M. Banit, MD, Alfred L. Rhyne, III, MD and Bruce V. Darden, II, MD

Dr. Jackson is Staff Physician, Kansas City Bone and Joint Clinic, Kansas City, MO. Dr. Banit is Spine Fellow, Charlotte Spine Center, Charlotte, NC. Dr. Rhyne is Staff Physician, Charlotte Spine Center. Dr. Darden is Staff Physician and Fellowship Director, Charlotte Spine Center.

Reprint requests: Dr. Darden, Charlotte Orthopedic Specialists, 2001 Randolph Road, Charlotte, NC 28207.

The unique anatomy of the upper cervical spine and the typical mechanisms of injury yield a predictable variety of injury patterns. Traumatic ligamentous injuries of the atlanto-occipital joint and transverse atlantal ligament are relatively uncommon, have a poor prognosis for healing, and often respond best to surgical stabilization. Bony injuries, including occipital condyle fractures, atlas fractures, most odontoid fractures, and traumatic spondylolisthesis of the axis, generally respond well to nonsurgical management. Controversy in management remains, however, especially with type II odontoid fractures.




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Copyright © 2002 by the American Academy of Orthopaedic Surgeons.