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The Hangman's fracture which is a fracture of the C2 vertebral body or dens of the cervical spine upon which the skull base sits to allow the head to rotate, can also be associated with atlanto-occipital dislocation. Despite its eponym, the fracture is not usually associated with a hanging mechanism of injury. [13]
Conservative treatment of craniocervical instability includes physical therapy [10] [11] [better source needed] and the use of a cervical collar to keep the neck stable. Cervical spinal fusion is performed on patients with more severe symptoms. [citation needed]
Spinal decompression is the relief of pressure on the spinal cord or on one or more compressed nerve roots passing through or exiting the spinal column. [1] Decompression of the spinal neural elements is a key component in treating spinal radiculopathy , myelopathy and claudication .
According to a cohort study conducted on 75 subjects investigating the efficacy of Halo traction therapy found an improvement rate of 31% to 66% for the spine. They found a coronal curvature improvement of 19.6% for adolescents, and 12% for adults. Kyphosis had improved at a rate of 23.9% for adolescents.
Occipito-cervical junction This disorder may result from rheumatoid arthritis, causing the hypermobility of the connection between the neck and head, resulting in paralysis or pain. [6] Cerebrovascular disease Cerebrovascular disease is a type of cervical spine disorder that can cause tetraplegia. [7] Subaxial cervical spine [8] Atlanto-axial joint
For neck pain, manipulation and mobilization produce similar changes, and manual therapy and exercise are more effective than other strategies. [12] A 2015 Cochrane systematic review found that there is no high-quality evidence assessing the effectiveness of spinal manipulation for treating neck pain. [13]
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