Variation in Surgical Opinion Regarding Management of Selected Cervical Spine Injuries

Abstract

There is a large variety of opinion regarding appropriateness of specific operative and nonoperative management procedures and surgical timing among the surgeons polled who manage cervical trauma. This implies that there is no widely accepted standard management procedure for many of these injuries.

Cervical Spine Injuries in the Elderly: Acute Postoperative Mortality

“…Again, this result is likely because of surgical and natural history selection bias. Surgical indications for cervical spine injuries can differ widely as shown by Glaser et al 9 Surgeon preference and training, center-to-center variation, in addition to patient preference all play roles in decision making. At this center, the surgical indications for elderly patients are consistent with those for younger patients in the large majority of injury patterns.…”

Surgical approach in treatment of translation/rotation injuries of the lower cervical spine in 21 patients

“…This limits the possibility to compare results from different clinical studies. 1,2,5,4 We really think that classification of Vaccaro 6 is a good and useful one. In this classification the group of translation-rotation injuries includes the most unstable of lower cervical spine injuries.…”

Perfil do cirurgião de coluna brasileiro

“…There is a wide variety of opinions regarding the approach and use of traction for the treatment of cervical trauma, 39 but surgeons prefer management with the use of the anterior approach alone without traction, probably because it is the simplest approach.…”