Recently, the authors experienced the thirty-one cases of cervical fracture and dislocation. Among them, nineteen cases underwent surgical treatment and remained conservative treatment. There are three ways in operation ; 1) anterior approach(Cloward, Smith-Robinson method). 2) posterior approach. 3) combined approach(modified Smith-Robinson and posterior fusion). We did a combined approach and the results were excellent.
Dislocations*

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Dislocations*

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Dislocations*

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Dislocations*

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Dislocations*

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Dislocations*

While most patients with hangman's fracture could be effectively managed with non-operative treatment, surgical intervention should be considered in unstable hangman's fracture with severe C2-3 dislocation or angulation. Author modified the posterior lateral mass plating techinic for the unstable hangman's fracture. While the C3 screw fixation was done with usual manner, author applied the long lag screw instead of usual short- or medium-sized screw through the isthmus of C2 for direct reduction and fixation of fractured segment. It is similar to anterior screw fixation for odontoid type II fracture in terms of simutaeneous reduction and fixation. Besides these procedure interfacetal fusion and ligamentoplasty were added in C2-3 articulation. Surgical point of view was discussed with literature review.
Dislocations ; Humans

Bilateral jumped facets dislocation in upper thoracic spine is rare injury because the thoracic spine is relatively immobile structure. We experienced a case of T2-3 dislocation without fracture and successfully reduced the dislocation after partial resection of the superior articular process of the third thoracic spine and performed fixation and fusion from T1 to T4 with pedicle screw system.
Dislocations* ; Spine

Atlanto axial(A-A) dislocation which may be either congenital or due to traumatic inflammatory causes or tumor etc are managed accordingly depending upon their causes. Generally conservative treatment or operative posterior fusion have been employed. A case of traumatic A-A transligamental dislocation has been encountered at St. paul's Hospital by our neurosurgical team. A transoral anterior fusion had been done and the result was successful and very encouraging. It is therefore with great pleasure that we share with you this experience, that management of A-A dislocation could wholly be by surgical technique.
Dislocations* ; Pleasure