PubMed · 4422677
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J Leonard. 1974-10-10. Dislocated axis.. https://pubmed.ncbi.nlm.nih.gov/4422677/
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The cross-table lateral view is essential in the initial workup of a trauma patient with a suspected cervical-spine injury. The identification of the radiographic "ring" of C2 on the cross-table lateral view is discussed. When a type III odontoid fracture is present, the ring of C2 is disrupted. We propose that "identification of the ring of C2" should be added to the emergency physicians' systematic checklist when clearing a cross-table lateral view of the cervical spine.
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The authors examine the use of a halo-vest brace in the treatment of fractures of the upper cervical spine. This brace forms a valid alternative to the classic plaster cast in that it is easily positioned, well tolerated by the patient and has a high restrictive capacity for the centre of the fracture. In the cases treated by the authors no complications were reported during treatment, and consolidation time was shortened by 30 days in relation to traditional plaster cast treatment.