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Best Doctor List Near You for Lower (subaxial) Cervical Spine Fractures And Dislocations in Sultan hassanal bolkiah stadium
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Lower (subaxial) cervical spine fractures and dislocations refer to injuries occurring in the C3 to C7 vertebrae of the neck, which are crucial for providing stability and mobility while protecting the spinal cord. These injuries often result from high-energy trauma such as motor vehicle accidents, falls, sports injuries, or violence. When the forces applied to the cervical spine exceed its anatomical limits, they can lead to either fractures, which involve the breaking of the bone, or dislocations, where the normal alignment between the vertebrae is disrupted. In many cases, these injuries occur simultaneously, compounding the potential harm to surrounding structures. Symptoms may include neck pain, weakness or numbness in the arms and hands, severe headache, or even signs of spinal cord injury like paralysis, demonstrating the urgent need for evaluation and intervention. On physical examination, the patient may exhibit tenderness over the cervical region, limited range of motion, or neurological deficits related to the affected nerve roots or the spinal cord itself. Radiographic evaluation typically includes X-rays, CT scans, or MRI, which help to determine the fracture type, extent of dislocation, and any associated spinal cord damage. Management of lower cervical spine fractures and dislocations is aimed at spinal stabilization, prevention of further neurological injury, and restoration of function. Treatment options may vary from conservative approaches, such as immobilization with a cervical collar or brace, to surgical interventions like decompression and instrumentation to stabilize the spine. Early intervention is crucial to avoid complications such as chronic pain, neurological deficits, or diminished quality of life. Additionally, rehabilitation following treatment plays a vital role in helping patients regain strength, mobility, and functional capabilities. The prognosis for recovery largely depends on the severity of the injury, the promptness of treatment, and the presence of any accompanying neurological deficits. Thus, early recognition and appropriate management of lower cervical spine fractures and dislocations are essential in minimizing long-term disability and ensuring optimal recovery outcomes for affected individuals.
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