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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]
Patients undergoing the procedure will typically spend the entire course of the treatment, which is usually three to eight weeks, in a hospital. Usually, halo-gravity traction is the first step in the treatment plan for a child with severe spinal deformity.
Regain normal length and alignment of involved bone; Lessen or eliminate muscle spasms; Relieve pressure on nerves, especially spinal nerves; Prevent or reduce skeletal deformities or muscle contractures; To provide a fusiform tamponade around a bleeding vessel; In most cases traction is only one part of the treatment plan of a patient needing ...
Because the process of reduction can briefly be intensely painful, it is commonly done under a short-acting anesthetic, sedative, or nerve block. See also: Intravenous regional anesthesia Once the fragments are reduced, the reduction is maintained by application of casts , traction , or held by plates, screws, or other implants , which may in ...
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]
The patient may be advised to wear a neck brace or collar (for up to 8 weeks) that serves to ensure proper spinal alignment. Wearing the brace heightens one's awareness of posture and positioning and helps prevent movements (e.g., sudden and/or excessive bending or twisting of the neck) that may aggravate or slow down the healing process.
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Spinal manipulation is an intervention performed on synovial joints of the spine, including the z-joints, the atlanto-occipital, atlanto-axial, lumbosacral, sacroiliac, costotransverse and costovertebral joints.