According to Ashhurst, Philips, the elder Cline,
Willard Parker, Bayard, Stephen Smith, May, and several other
surgeons, have recorded complete recovery after fracture of the
atlas and axis. The same author also adds that statistic
investigation shows that as large a proportion as 18 per cent of
injuries of the cervical vertebrae occurring in civil practice,
recover. However, the chances of a fatal issue in injuries of the
vertebrae vary inversely with the distance of the point of injury
from the brain. Keen has recorded a case in which a conoidal ball
lodged in the body of the third cervical vertebra, from which it
was extracted six weeks later. The paralysis, which, up to the
time of extraction, had affected all four limbs, rapidly
diminished. In about five weeks after the removal of the bullet
nearly the entire body of the 3d cervical vertebra, including the
anterior half of the transverse process and vertebral foremen,
was spontaneously discharged. Nearly eight years afterward Keen
saw the man still living, but with his right shoulder and arm
diminished in size and partly paralyzed.
Doyle reports a case of dislocated neck with recovery. During a
runaway the patient was thrown from his wagon, and was soon after
found on the roadside apparently dead.
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