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July 1971

Injuries to the Cervical Spine and Cord in Man.

Arch Neurol. 1971;25(1):94. doi:10.1001/archneur.1971.00490010104019

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This monograph on injuries to the cervical spinal column and underlying cervical spinal cord is a careful and scholarly work based not only on their large clinical series from the University of New South Wales in Sydney, Australia, but in addition, on a carefully evaluated series of experimental injuries to the cervical area in cadaver models. The experimental work is of particular interest in view of the fact that not only were normal specimens examined under stress and strain to determine the site and type of injury which occurred with flexion, extension, and compression, but specimens from various age groups including those with considerable wear-and-tear cervical osteoarthritis were evaluated as well.

The conclusions from these autopsy studies indicate that the site of injury in the hyperextension models was most commonly in the lower cervical spine with cord compression often caused by disc protrusions and plications of the ligamentum flavum posteriorly.

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