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There are three types of cerclage: [6] A McDonald cerclage, described in 1957, is the most common, and is essentially a pursestring stitch used to cinch the cervix shut; the cervix stitching involves a band of suture at the upper part of the cervix while the lower part has already started to efface. [2]
Modern trauma care includes a step called clearing the cervical spine, ruling out spinal cord injury if the patient is fully conscious and not under the influence of drugs or alcohol, displays no neurological deficits, has no pain in the middle of the neck and no other painful injuries that could distract from neck pain. [35]
In order to prevent further injury, such people may have a collar placed by medical professionals until X-rays can be taken to determine if a cervical spine fracture exists. [5] Medical professionals will often use the NEXUS criteria and/or the Canadian C-spine rules to clear a cervical collar and determine the need for imaging.
In a study based in Norway, 60% of reported cervical fractures came from falls and 21% from motor-related accidents. [3] According to the Agency for Healthcare Research and Quality (AHRQ), the group under the highest risk of C2 fractures are elderly people within the age group of 65–84 (39.02%) at risks of falls (61%) or motor accidents (21% ...
The spinal column, also known as the vertebral column, spine or backbone, is the core part of the axial skeleton in vertebrate animals.The vertebral column is the defining and eponymous characteristic of the vertebrate endoskeleton, where the notochord (an elastic collagen-wrapped glycoprotein rod) found in all chordates has been replaced by a segmented series of mineralized irregular bones ...
Patients with cervical fractures will likely be prescribed medication for pain control. In the long term, physical therapy will be given to build strength in the muscles of the neck to increase stability and better protect the cervical spine. Collars, traction and surgery can be used to immobilize and stabilize the neck after a cervical fracture.
Looking directly at the front or back of the body, the 33 vertebrae in the spinal column should appear completely vertical. From a side view, the cervical (neck) region of the spine (C1–C7) is bent inward, the thoracic (upper back) region (T1–T12) bends outward, and the lumbar (lower back) region (L1–L5) bends inward.
There are multiple devices that can be used in addition to avoiding maneuvers or activities that move the spine. [8] [18] Long-term cervical spine immobilization in patients with cervical spine fracture who did not undergo surgery can be performed using a long-term cervical collar (Miami J, [6] [8] Philadelphia, [8] or Aspen [8]) or halo ...