PMID: 2119521Jun 1, 1990Paper

The medical and economic impact of closed cervical spine dislocations

Spine
H B CotlerC A Biggs

Abstract

The current study examined the medical and economic impact of various treatment modalities of unstable cervical spine dislocations. Thirty-five patients with dislocations of the cervical spine were reviewed retrospectively from two large university hospitals. There were 23 unilateral and 12 bilateral facet dislocations. Fourteen patients were treated nonoperatively and 21 patients were treated with early surgery. Nine of the 14 patients treated nonoperatively redisplaced their dislocations while in an orthosis and required late surgery. Analysis of variance shows that it is the amount of injury (unilateral versus bilateral) that results in statistically significant difference in the injury severity score, Glasgow coma scale, trauma motor index, and the number of complications. Of the treatment groups (operative versus nonoperative), the operative group showed a statistically significant difference in the length of hospital stay. Also noted in the operative group was less traction time, earlier erect physical therapy, an average financial savings of $18,407.00, and equal morbidity or mortality to the nonoperative treatment group. Based on this limited experience, it would appear that "diagnosis related groups" are not capable of...Continue Reading

Citations

Aug 1, 1993·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·N Schwarz, E Sim
Dec 1, 1991·Journal of Neurosurgery·A WolfW L Robinson
Jan 1, 1995·Upsala Journal of Medical Sciences·A Holtz
Nov 15, 2002·Neurosurgery·M N HadleyT C Ryken

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