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What is Most common site for trauma of spine is - and explain in detail?
Ans. is 'a' i.e., Cervical [Ref: Clinical orthopaedics p. 786}o Spinal injury occurs in about 6% of all trauma cases.o More than 50% of patients with spinal column injury have neurological deficito Motor vehicular accidents and fall from height are the two most common modes of spine injuriesi) Fall from heightMost common cause in developing countries.ii) Road traffic accidentMost common cause in developed countries,o Traumatic spine injuries most commonly affect cervical spine (50-60%) followed by dorsolumbar junction.o The direction and size of the articular facets forming the facet joints is different in different parts of the spine,o In cervical spine, they are short and more horizontally placed; therefore, cervical spine is more prone for dislocation without associated fracture.o In lower spine they becomes more stouter and more vertical, maximum in lumbar spine. Therefore, pure dislocation without fracture does not occur in lumbar region.