The role of torsion in cervical spine trauma.

Abstract:

:A dynamic servocontrolled torsion machine has been used to characterize cervical injury due to pure rotation of the head. Resultant force moment, torque, and applied rotation have been measured. Torque applied to the base of the skull resulted in injury to the atlantoaxial joint. No evidence of lower cervical injury was observed by computed tomography, magnetic resonance imaging, in situ fluoroscopy, or visual inspection. Torque applied directly to the lower cervical spine induced ligamentous injury and unilateral facet dislocation; however, the torque to injure the lower cervical spine was significantly greater than the torque to injure the atlantoaxial joint. It was concluded that pure rotation of the head does not mediate lower cervical ligamentous injury because of the comparative weakness of the atlantoaxial joint.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Myers BS,McElhaney JH,Doherty BJ,Paver JG,Gray L

doi

10.1097/00007632-199108000-00002

subject

Has Abstract

pub_date

1991-08-01 00:00:00

pages

870-4

issue

8

eissn

0362-2436

issn

1528-1159

journal_volume

16

pub_type

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