ABSTRACT
I INTRODUCTION Prior to the widespread utilization of surgical fusion for the treatment of unstable cervical spine injuries, conservative treatment was the cornerstone of managing such injuries. Long-term cast immobilization and traction comprised the armamentarium of treatment options for the unstable cervical spine. While this procedure is advantageous in that it spares the patient an operation, it is problematic for several reasons. The degree of stability conferred by conservative treatment is variable and unpredictable. Also, it may subject patients to prolonged traction and immobility, thereby further compromising their overall care by the morbidities associated with prolonged bedrest. The goals of rigid internal fixation are to allow early mobilization and rehabilitation as well as to predictably stabilize the cervical spine.
