====== Neck extension ======

[[Neck extension]] usually aggravates [[pain]] when [[cervical disc disease]] is present (a minority of patients instead exhibit pain with [[cervical flexion]]).
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[[Neck extension]] is likely to be relatively safe in injuries that are stable in [[flexion]] and [[extension]], such as  [[odontoid fracture type II]] and [[cervical spine fracture]]s between C5 and C7. Head [[rotation]] is likely to be relatively safe in fractures below [[C4]], as well as [[cervical]] [[vertebral body]] fractures, and [[lamina]]r fractures without [[disc]] disruption. Early dialogue with the neurosurgical team remains a central tenet of the safe management of patients with combined [[maxillofacial]] and [[cervical spine injury]]
((Pepper T, Spiers H, Weller A, Schilling C. Intraoperative [[Position]]ing in [[Maxillofacial]] Trauma Patients With [[Cervical Spine Injury]] - Is It Safe? Radiological [[Simulation]] in a Healthy Volunteer. Craniomaxillofac Trauma Reconstr. 2022 Dec;15(4):312-317. doi: 10.1177/19433875211053091. Epub 2022 Jan 3. PMID: 36387322; PMCID: PMC9647385.))