Cervical Spine Trauma — Subaxial
Follow ATLS with careful immobilization; CT is first‑line imaging for suspected injury. AO Subaxial classification guides stability and surgical approach; assess disco‑ligamentous injury and neurology. Bilateral facet dislocation: attempt awake traction reduction, then ACDF or posterior fixation depending on disc herniation and stability. Teardrop fractures and burst injuries often need anterior decompression + fixation. Early decompression in incomplete SCI may improve outcomes.
Practised by MCQ
10What is the first-line imaging modality for suspected subaxial cervical spine injury?
mcqIn the SLIC classification, what score signifies a need for surgical intervention?
mcqWhich mechanism is most likely to cause a bilateral facet dislocation?
mcqWhat is the most common level of the cervical spine to sustain injuries?
mcqWhat type of fracture is characterized by a triangular antero-inferior fragment and is highly unstable?
mcqWhich injury pattern is associated with central cord syndrome, particularly in elderly patients?
mcqWhat is the recommended initial management for a patient with bilateral facet dislocation?
mcqWhat does the term SCIWORA stand for?
mcqWhich injury is most likely to require anterior decompression and fixation?
mcqIn the context of cervical spine injuries, what does the ASIA classification assess?