{"id":1080,"date":"2023-04-05T15:21:46","date_gmt":"2023-04-05T08:21:46","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=bai-giang&#038;p=1080"},"modified":"2023-04-02T19:06:41","modified_gmt":"2023-04-02T12:06:41","slug":"chan-thuong-cot-song-co","status":"publish","type":"bai-giang","link":"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/chan-thuong-cot-song-co\/","title":{"rendered":"Cervical Spine Injury"},"content":{"rendered":"<h2>MECHANISM<\/h2>\n<ul>\n<li>Fold<\/li>\n<li>Compression<\/li>\n<li>Stretch.<\/li>\n<\/ul>\n<h2>CLASSIFY<\/h2>\n<p>Two large groups are high cervical spine injuries (C1, C2) and low cervical spine injuries (C3 \u2192 C7).<\/p>\n<p>+ Type I: subsidence fracture<\/p>\n<p>+ Type II: broken in many pieces<\/p>\n<p>+ Type III: broken<\/p>\n<p>- Treatment:<\/p>\n<p>+ Type I - II: stable: neck brace - headband (3 months)<\/p>\n<p>+ Type III: unstable: 3 months headband or occipital-neck welding surgery<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" width=\"592\" height=\"368\" class=\"wp-image-1082 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-1.jpeg\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-1.jpeg 592w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-1-300x186.jpeg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-1-18x12.jpeg 18w\" sizes=\"(max-width: 592px) 100vw, 592px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>Figure 11.1. <\/strong>Neck occipital welding surgery<\/p>\n<h3>High cervical spine injury<\/h3>\n<p>Include <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">fracture<\/a> and skull dislocation (C0) with C1 and C1 with C2. These injuries include: skull fracture (C0), dislocation C0C1, dislocation or subluxation of C1C2, fracture C1, fracture of the cranium, fracture of arcuate C2.<\/p>\n<p><strong><em>C0 clubhead fracture: <\/em><\/strong>Classify<\/p>\n<h4>C1 . fracture<\/h4>\n<ul>\n<li>Classify:\n<ul>\n<li>+ Broken posterior bow<\/li>\n<li>+ Fracture 4 pieces (Jefferson)<\/li>\n<li>+ Broken anterior bow<\/li>\n<li>+ Fracture of transverse trowel<\/li>\n<li>+ Fracture of the lateral block<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><img decoding=\"async\" width=\"648\" height=\"324\" class=\"wp-image-1083 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-2.png\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-2.png 648w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-2-300x150.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-2-18x9.png 18w\" sizes=\"(max-width: 648px) 100vw, 648px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>Figure 11.2. <\/strong>Classification of C1 . fractures<\/p>\n<ul>\n<li>Treatment:\n<ul>\n<li>+ From 2 to 7 mm: 3 months head circumference<\/li>\n<li>+ Over 7mm:\n<ul>\n<li>Conservation: pull the neck for 4-6 weeks, the shirt around the head for 2 months<\/li>\n<li>Surgery: rarely done, neck pulling + welding C1 \u2013 C2 (or C0 \u2013 C1)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><img decoding=\"async\" width=\"673\" height=\"755\" class=\"wp-image-1084 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-3.jpeg\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-3.jpeg 673w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-3-267x300.jpeg 267w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-3-11x12.jpeg 11w\" sizes=\"(max-width: 673px) 100vw, 673px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>Figure 11.3. <\/strong>Classification of fractures according to Anderson and Alonzo<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" width=\"420\" height=\"185\" class=\"wp-image-1085\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-4.png\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-4.png 420w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-4-300x132.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-4-18x8.png 18w\" sizes=\"(max-width: 420px) 100vw, 420px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>Figure 11.4. <\/strong>Horizontal displacement C1 \u2013 C2: X + Y<\/p>\n<h4>Broken tooth root<\/h4>\n<ul>\n<li>Anderson and Alonzo classification\n<ul>\n<li>+ Type I: fracture of the crown of the tooth<\/li>\n<li>+ Type II: broken tooth root<\/li>\n<li>+ Type III: broken body C2.<\/li>\n<\/ul>\n<\/li>\n<li>Treatment\n<ul>\n<li>+ Type I: 3 months neck brace<\/li>\n<li>+ Type II: surgery + C2 screw removal (Figure 11.6A)\n<ul>\n<li>Tie the steel thread and weld the C1 \u2013 C2 bones at the back (Figure 11.6B)<\/li>\n<\/ul>\n<\/li>\n<li>+ Type III: 3 weeks of neck pulling, a stiff neck brace or a full headband for 3 months<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"241\" class=\"wp-image-1086 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-5.png\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-5.png 640w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-5-300x113.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-5-18x7.png 18w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>Figure 11.6. <\/strong>Catch the C2 (A) tooth screw, tie the steel thread and weld the C1 - C2 bone at the back (B)<\/p>\n<h4>Hangman&#039;s fracture C2<\/h4>\n<ul>\n<li>\u2013 Classification (Figure 11.7)\n<ul>\n<li>+ Type I: fracture without displacement &lt; 3 mm<\/li>\n<li>+ Type II: fracture \u2013 displacement &gt; 3 mm<\/li>\n<li>+ Type III: fracture - dislocation C2 - C3.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"777\" height=\"320\" class=\"wp-image-1087 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-6.jpeg\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-6.jpeg 777w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-6-300x124.jpeg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-6-768x316.jpeg 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-6-18x7.jpeg 18w\" sizes=\"(max-width: 777px) 100vw, 777px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>Figure 11.7. <\/strong>Classification of C2 . arch fracture<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"423\" height=\"585\" class=\"wp-image-1088 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-7.jpeg\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-7.jpeg 423w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-7-217x300.jpeg 217w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-7-9x12.jpeg 9w\" sizes=\"(max-width: 423px) 100vw, 423px\" \/><\/p>\n<p style=\"text-align: center;\">\u00a0<strong>Figure 11.8. <\/strong>C2 . arthroplasty<\/p>\n<ul>\n<li>Treatment\n<ul>\n<li>+ Type I: neck brace - headband for 3 months<\/li>\n<li>+ Type II - type III: conservation: pull - neck brace, headband<\/li>\n<\/ul>\n<\/li>\n<li>Surgery: piercing the C2 trochanteric block (Figure 11.8)<\/li>\n<\/ul>\n<h4>Low cervical spine injury<\/h4>\n<ul>\n<li>Classify:\n<ul>\n<li>+ Damage to the posterior column\n<ul>\n<li>Fracture: spine, vertebral column, transverse node (Figure 11.12)<\/li>\n<li>Injury to ligaments: (Figure 11.9)\n<ul>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/bong-gan\/\">Sprains<\/a> light<\/li>\n<li>Severe sprain<\/li>\n<\/ul>\n<\/li>\n<li>Extensor fracture with nerve damage (Figure 11.15)<\/li>\n<\/ul>\n<\/li>\n<li>+ Injury to the joints\n<ul>\n<li>Broken 1 joint or 1 arch<\/li>\n<li>Dislocation of 1 joint (Figure 11.13)<\/li>\n<li>Dislocated 2 joints<\/li>\n<\/ul>\n<\/li>\n<li>+ Anterior column damage\n<ul>\n<li>Subsidence fracture<\/li>\n<li>Compression fracture with posterior ligamentous injury<\/li>\n<li>Disc-ligament injury<\/li>\n<li>Supine tear tear (fracture of vertebral body)<\/li>\n<li>Posterior sliding injury (Figure 11.14)<\/li>\n<li>Stable multi-fragmentation fracture (Figure 11.6A)<\/li>\n<li>Unstable multi-fragmentation fracture (Figure 11.6B)<\/li>\n<li>Broken tear drops.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"471\" height=\"319\" class=\"wp-image-1089 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-8.png\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-8.png 471w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-8-300x203.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-8-18x12.png 18w\" sizes=\"(max-width: 471px) 100vw, 471px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"292\" height=\"267\" class=\"wp-image-1090 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-9.png\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-9.png 292w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-9-13x12.png 13w\" sizes=\"(max-width: 292px) 100vw, 292px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"331\" height=\"316\" class=\"wp-image-1091 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-10.png\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-10.png 331w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-10-300x286.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-10-13x12.png 13w\" sizes=\"(max-width: 331px) 100vw, 331px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"627\" height=\"271\" class=\"wp-image-1092 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-11.png\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-11.png 627w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-11-300x130.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-11-18x8.png 18w\" sizes=\"(max-width: 627px) 100vw, 627px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"350\" class=\"wp-image-1093 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-12.png\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-12.png 600w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-12-300x175.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-12-18x12.png 18w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"499\" height=\"301\" class=\"wp-image-1094 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-13.png\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-13.png 499w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-13-300x181.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-13-18x12.png 18w\" sizes=\"(max-width: 499px) 100vw, 499px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"450\" height=\"267\" class=\"wp-image-1095 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-14.png\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-14.png 450w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-14-300x178.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-14-18x12.png 18w\" sizes=\"(max-width: 450px) 100vw, 450px\" \/><\/p>\n<ul>\n<li>Treatment:\n<ul>\n<li>+ Goals:\n<ul>\n<li>Extra injury protection: <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/so-cuu-bat-dong-gay-xuong\/\">first aid<\/a> correct<\/li>\n<li>Fix and fix<\/li>\n<li>Release pressure when there is pressure and keep it for a long time.<\/li>\n<\/ul>\n<\/li>\n<li>+ Principle:\n<ul>\n<li>Recovery<\/li>\n<li>Assessment and classification of injuries<\/li>\n<li>Strong assessment \u2013 unsustainable<\/li>\n<li>Pinch early if possible<\/li>\n<li>Injury treatment\n<ul>\n<li>Conserve<\/li>\n<li>Surgery: decompression \u2013 bone grafting \u2013 fixation.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>+ Specific treatment: assess instability when greater than 5 points.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>WHITE AND PANZABI STANDARDS<\/h2>\n<p>See also the White-Panjabi standard: <a href=\"https:\/\/www.webneurosurg.com\/white-panjabi-classification.html\" target=\"_blank\" rel=\"noopener\">White-Panjabi classification \u2013 WebNeurosurg<\/a><\/p>\n<p><strong><img loading=\"lazy\" decoding=\"async\" width=\"414\" height=\"289\" class=\"wp-image-1096 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-15.png\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-15.png 414w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-15-300x209.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-15-18x12.png 18w\" sizes=\"(max-width: 414px) 100vw, 414px\" \/><\/strong><\/p>\n<p style=\"text-align: center;\">Treatment of stable fractures C3 \u2013 C7: stiff neck brace for 6-8 weeks (Figure 11.7)<\/p>\n<p><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/x-quang-trong-chan-thuong-chinh-hinh\/\">X-ray<\/a> after wearing the brace and every 2 weeks until <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/cham-lanh-xuong-va-khong-lanh-xuong\/\">heal bones<\/a> (6 - 8 weeks)<\/p>\n<p>Common types of stable fractures:<\/p>\n<ul>\n<li>Unsustainable standards White and Panzabi below 5 points<\/li>\n<li>Subsidence fracture<\/li>\n<li>Fracture at the front longitudinal wire attachment<\/li>\n<li>Broken tear stretch<\/li>\n<li>Mild sprain<\/li>\n<li>Isolated damage to the following components<\/li>\n<\/ul>\n<p>Treatment of unstable fractures:<\/p>\n<ul>\n<li>Unstable, not oppressive:\n<ul>\n<li>+ Back bone welding + posterior bone fusion device (Figure 11.18)<\/li>\n<li>+ Or intervertebral bone graft + anterior screw splint (Figure 11.19)<\/li>\n<\/ul>\n<\/li>\n<li>Unstable with spinal cord compression:\n<ul>\n<li>+ Decompression + Intervertebral bone graft + anterior screw splint (Figure 11.20)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"695\" height=\"757\" class=\"wp-image-1097 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-16.jpeg\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-16.jpeg 695w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-16-275x300.jpeg 275w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-16-11x12.jpeg 11w\" sizes=\"(max-width: 695px) 100vw, 695px\" \/> <img loading=\"lazy\" decoding=\"async\" width=\"903\" height=\"616\" class=\"wp-image-1098 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-17.jpeg\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-17.jpeg 903w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-17-300x205.jpeg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-17-768x524.jpeg 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-17-18x12.jpeg 18w\" sizes=\"(max-width: 903px) 100vw, 903px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>Figure 11.17. <\/strong>Rigid neck brace <strong>Figure 11.18. <\/strong>Rear steel thread presser and back welding<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"1125\" height=\"847\" class=\"wp-image-1099 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-18.jpeg\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-18.jpeg 1125w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-18-300x226.jpeg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-18-1024x771.jpeg 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-18-768x578.jpeg 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-18-16x12.jpeg 16w\" sizes=\"(max-width: 1125px) 100vw, 1125px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>Figure 11.19. <\/strong>Decompression \u2013 anterior bone grafting<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"1096\" height=\"736\" class=\"wp-image-1100 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-19.jpeg\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-19.jpeg 1096w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-19-300x201.jpeg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-19-1024x688.jpeg 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-19-768x516.jpeg 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/word-image-1080-19-18x12.jpeg 18w\" sizes=\"(max-width: 1096px) 100vw, 1096px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>Figure 11.20. <\/strong>Front door screws<\/p>\n<p>&nbsp;<\/p>","protected":false},"featured_media":1081,"comment_status":"open","ping_status":"closed","template":"","tags":[90,38],"chuyen-muc":[35],"class_list":["post-1080","bai-giang","type-bai-giang","status-publish","has-post-thumbnail","hentry","tag-cot-song-co","tag-da-chan-thuong","chuyen-muc-nhap-mon-chan-thuong-chinh-hinh"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/1080","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang"}],"about":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/types\/bai-giang"}],"replies":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/comments?post=1080"}],"version-history":[{"count":0,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/1080\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/1081"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=1080"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=1080"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=1080"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}