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CORD INJURY DURING REDUCTION OF THORACIC AND LUMBAR VERTEBRAL-BODY FRACTURE AND DISLOCATION
WILLIAM A. ROGERS
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1938 by The American Orthopaedic Association, Inc.
J Bone Joint Surg Am, 1938 Jul 01;20(3):689-695
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Abstract

1. Crush fractures, involving the posterior wall of the vertebral body, and all fracture-dislocations are potentially dangerous from the standpoint of cord injury during reduction.

2. In the reduction of vertebral-body dislocation in the thoracic or lumbar region, it is essential that the alignment of the articular processes be determined accurately before reduction is attempted. If there is lateral disalignment, the reduction should be open, and flexion should be employed to disengage the locked processes.

3. Extension of the spine in the presence of vertebral-body dislocation with lateral displacement of the articular processes may injure the cord or nerve roots. It should never be employed until the articular processes are in line.

4. Traction alone will not free locked articular processes.

5. Vertebral-body fracture, involving the posterior wall of the centrum, is potentially dangerous from the standpoint of spinal-cord or nerve-root pressure.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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