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Cervical fracture
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===Surgery indication=== The indication to surgically stabilize a cervical fracture can be estimated from the ''Subaxial Injury Classification'' (SLIC). In this system, a score of 3 or less indicates that [[conservative management]] is appropriate, a score of 5 or more indicates that surgery is needed, and a score of 4 is equivocal.<ref name=Brockmeyer2016>[https://books.google.com/books?id=r_gTDgAAQBAJ&pg=PA94 Page 94] and [https://books.google.com/books?id=r_gTDgAAQBAJ&pg=PA126 Page 126] in: {{cite book|title=Adult and Pediatric Spine Trauma, An Issue of Neurosurgery Clinics of North America|volume=28|issue=1|author=Douglas L. Brockmeyer, Andrew T. Dailey|publisher=Elsevier Health Sciences|year=2016|isbn=9780323482844}}</ref> The score is the sum from 3 different categories: morphology, discs and ligaments, and neurology:<ref name=Brockmeyer2016/> {|class="wikitable" |+SLIC system<ref name=Brockmeyer2016/> ! colspan=2 style="text-align:right"| Points |- !colspan=2|Morphology |- | No abnormality || 0 |- | [[Vertebral compression fracture|Vertebral compression]] || 1 |- | [[Burst fracture|Burst]] || +1 (=2) |- | Distraction (facet joint perch, hyperextension) || 3 |- | Rotation / translation (facet joint dislocation, unstable [[Flexion teardrop fracture|teardrop]], advanced flexion-compression || 4 |- !colspan=2| [[Intervertebral disc|Discs]] and ligaments |- | Intact || 0 |- | Indeterminate (isolated widening between [[spinous process]]es, [[magnetic resonance imaging|magnetic resonance]] change) || 1 |- | Disrupted (widened disc space, facet perch, dislocation) || 2 |- !colspan=2| Neurology |- | No neurological symptoms || 0 |- | Damaged [[nerve root]] || 1 |- | Complete [[spinal cord injury]] || 2 |- | Incomplete spinal cord injury<br> (risk of worsening without surgery) || 3 |- | Continuous cord compression with neurological deficit || +1 |}
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