Vertebral Dislocations

More often vertebral dislocations are met in cervical department. They arise at pressure upon the head when the neck is incurved forward, after kick with nape at gymnastic exercises or diving in a fine place. There is dislocation with locking or without locking. Rupture of ligaments is typical for dislocations of vertebrae.

In clinic of vertebral dislocations pain, compelled position of the head, mobility restriction prevails. Wounds and bruises help to define correctly the trauma mechanism.

At touch to cervical vertebrae local painfulness, swelling, deformations out pouching or retraction of spinous processes is found.

The X-ray radiography of backbone is carried out in dorsal decubitus, without doing the patient an additional injury. It is necessary to transport the patient carefully, on even stretcher.

From methods of conservative treatment apply one-step reduction, cervical halter overhead traction, skull traction. Conservatively set dislocations in cervical department in the acute period of a trauma. After reduction backbone fixation is reached with bandage for two or three months.

The forced skeletal extension is applied at a neurologic symptomatology. Large loads are used 10-20 kg that relaxes muscles, stretches ligaments and allows reaching desirable diaplasis of vertebrae. For parietal tuber a clamping fixture is installed at local anesthesia and load is suspended. Extension is begun with minimum loading bringing it to maximum. Extension is carried out at radiological control every 15-20 minutes. Having achieved diaplasis, a load weighing 3-4 kg is left.

At impossibility of conservative diaplasis an open diaplasis is applied.