Davos Courses

Executive Editor: Luiz Vialle

Subaxial cervical trauma - B3

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Glossary

General considerations

Type B3 injuries are hyperextension injuries. These injuries are relatively common in elderly patients with stiff spine. Esophagus ruptures should be suspected, especially at the lower cervical spine.

In general B3 injuries should be dealt with anteriorly. Stability can be increased with additional posterior fixation.

Cervicothoracic junction - posterior fixation
Main indication Skill Equipment
Pure posterior ligamentous injures, facet injuries Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Indications

  • Stiff spine
  • Ankylosing spondylitis
Cervical spine - posterior fixation
Main indication Skill Equipment
Stiff spine Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Indications

  • Stiff spine
  • Ankylosing spondylitis
Anterior plating
Main indication Skill Equipment
All B3 fractures; polytrauma; SCI Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Indications:

  • All B3 fractures
  • Polytrauma
  • Spinal cord injury

Contraindications

  • General surgical contraindications
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources