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Autopsy was performed on 31 patients with spinal cord injuries at Chugoku Rosai Hospital between 1957 and 1987. The pathology of intervertebral disc injuries and hyperextension injuries of the cervical spine have been reported previously. This paper describes and discusses the pathological features of spinal cord injuries of 11 patients with fracture and fracture-dislocations of the cervical spine. Sex, age, cause of injuries, bone injuries seen on roentgenograms, level and grade of neurological deficits, survival time, and findings of postmortem studies are presented in the table. Roentgenograms and pathological features of five cases are illustrated in color.

Pathology of spinal cord injuries due to fracture and fracture-dislocations of the cervical spine