TOTBİD Dergisi

TOTBİD Dergisi

2019, Cilt 18, Sayı, 1     (Sayfalar: 032-037)

Traumatic dislocations of the spine

Mehmet Nuri Erdem 1, Mehmet Tezer 2

1 Işık Üniversitesi, Sağlık Hizmetleri Meslek Yüksek Okulu, Ameliyathane Hizmetleri Bölümü, İstanbul
2 Nişantaşı Ortopedi Grubu, Beşiktaş, İstanbul

DOI: 10.14292/totbid.dergisi.2019.04
Görüntüleme: 318
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İndirme : 425

Pure dislocations of the spinal column are relatively rare injuries in spinal trauma. They are more common in the cervical column, and are much less common in the thoracic or lumbosacral spine. In this article, the dislocations of the spinal column were examined under four main headings: 1) Atlanto-occipital dislocations are ligamentous injuries caused by hyperflexion and distraction mechanism. The main treatment is occipitocervical arthrodesis. 2) Atlantoaxial dislocations are the separation of atlas and axis articular processes. Treatment with atlanto-axial fusion is essential in patients with instability. 3) Cervical facet joint dislocations are treated according to whether they are unilateral or bilateral. Accompanying disc pathologies are important in the choice of surgical treatment. 4) Facet dislocations in the thoracolumbar region are almost always treated surgically. In particular, bilateral dislocations are accompanied by varying degrees of neurological deficit. Therefore, early diagnosis and treatment is important.

Anahtar Kelimeler : spine; dislocation; fractures and dislocations; acute