Orthopaedics – MCQ 38 – Fracture dislocation of cervical spine

A young woman met with an accident and had mild quadriparesis. Her lateral X-ray cervical spine revealed C5-C6 fracture dislocation. Which of the following is the best line of management?
A. Immediate anterior decompression
B. Cervical traction followed by instrument fixation
C. Hard cervical collar and bed rest
D. Cervical laminectomy

Correct answer : B. Cervical traction followed by instrument fixation

The fracture is an unstable injury because there is dislocation and neurological deficit. The initial management should be closed reduction and traction. Definitive management is instrument fixation after spinal cord edema is decreased.

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