Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
trauma topic hub

Cervical Spine Trauma — Subaxial

Follow ATLS with careful immobilization; CT is first‑line imaging for suspected injury. AO Subaxial classification guides stability and surgical approach; assess disco‑ligamentous injury and neurology. Bilateral facet dislocation: attempt awake traction reduction, then ACDF or posterior fixation depending on disc herniation and stability. Teardrop fractures and burst injuries often need anterior decompression + fixation. Early decompression in incomplete SCI may improve outcomes.

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Follow ATLS with careful immobilization; CT is first‑line imaging for suspected injury. AO Subaxial classification guides stability and surgical approach; assess disco‑ligamentous injury and neurology. Bilateral facet dislocation: attempt awake traction reduction, then ACDF or posterior fixation depending on disc herniation and stability. Teardrop fractures and burst injuries often need anterior decompression + fixation. Early decompression in incomplete SCI may improve outcomes.
MCQs

High-yield practice questions

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Question 1

What is the first-line imaging modality for suspected subaxial cervical spine injury?

Question 2

In the SLIC classification, what score signifies a need for surgical intervention?

Question 3

Which mechanism is most likely to cause a bilateral facet dislocation?

Question 4

What is the most common level of the cervical spine to sustain injuries?

Question 5

What type of fracture is characterized by a triangular antero-inferior fragment and is highly unstable?

Question 6

Which injury pattern is associated with central cord syndrome, particularly in elderly patients?

Question 7

What is the recommended initial management for a patient with bilateral facet dislocation?

Question 8

What does the term SCIWORA stand for?

Question 9

Which injury is most likely to require anterior decompression and fixation?

Question 10

In the context of cervical spine injuries, what does the ASIA classification assess?