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Journal of Korean Neurosurgical Society 1986;15(1): 167-170.
Removal of Huge Cervical Intraspinal Fragment Demonstrated Only by CT Scan.
Chan Woo Park, Suck Jun Oh, Hae Dong Jho, Yung Rak Yoo, Nam Kyu Kim, Hwan Yung Chung
Department of Neurosurgery, Hanyang University, School of Medicine, Seoul, Korea.
ABSTRACT
Cervical traction has been widely used as an essential method for the treatment of cervical fracture-dislocation. This report, however, was a case in which hazardous effect of traction due to unreduced huge fragment was demonstrated only by cervical CT scan. Surprisingly plain X-rays could not demonstrated this condition. It was apparent that skeletal traction resulted in further injury of the spinal cord. Surgical removal of unreduced huge fragment was accomplished completely and interbody fusion was followed. Postoperative CT findings showed complete removal of fragment and decompression of the spinal cord as well as gratifying interbody fusion. CT scanning is imperative to evaluate the cervical fracture-dislocation and blind skeletal traction may be hazardous.
Key Words: Cervical Traction; Spinal Cord Injury; CT scan; Cervical Fracture-Dislocation
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