Y. Shono et al., THE PATHOMECHANICS OF COMPRESSION INJURIES IN THE CERVICAL-SPINE - NONDESTRUCTIVE AND DESTRUCTIVE INVESTIGATIVE METHODS, Spine (Philadelphia, Pa. 1976), 18(14), 1993, pp. 2009-2019
Biomechanical analysis using nondestructive and destructive investigat
ive methods was performed to evaluate the mechanisms of cervical compr
ession injuries. These injuries produce two basic modes of failure: 1)
anterior dislocation; and 2) rupture of the anterior ligamentous comp
lex of the vertebral body. Distribution of these two failure patterns
was determined by the initial cervical spine position; translational a
lignment did not have a significant effect. Different results were obs
erved between spines positioned in flexion and extension, indicating t
hat the most important factor determining the mode of failure was rota
tional alignment in the sagittal plane.