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Upper cervical injuries 

Upper cervical injuries
Upper cervical injuries

Paul A. Anderson

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date: 16 May 2022

Upper cervical spine injuries should be considered in all blunt trauma patients.

Critical review of plain radiographs or CT should carefully examine the alignment of the articulations between the occiput-C1 and C1-2 to determine if ligamentous injury is present.

The initial stabilization of unstable upper cervical injuries usually should avoid the use of traction in favour of the halovest.

Definitive stabilization is based on fracture type and the status of the cranio-cervical ligaments.

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