What treatment is recommended for a cervical fracture in a patient with AS

When such a fracture is recognized, a halo should be applied. Low-weight traction may be considered to restore the alignment of the head and the neck to its prefracture position. If the head was in a previously flexed position, realignment with traction into a neutral position may cause severe neurologic injury. When the appropriate alignment has been obtained, immobilization in a halo vest or a well-molded halo cast for 4 months is an option for injuries not associated with significant spinal instability or neurologic compromise. Unstable injuries (e.g. translational shear fractures, extension-distraction injuries) are highly unstable and are considered for combined anterior and posterior instrumented fusion.

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