Elisabeth Fandrich

September 30, 2008

Subluxation of C6, C7

Subluxation of the C6 and C7 vertebrae is the partial displacement of the bone from the joint.

When a subluxation occurs as the result of an accident, surrounding body structures must be considered and observed for damage. In this case, the greatest concern is preventing damage to the spinal cord. Also of concern are blood vessels, nerves, actual damage at the joint, ligaments, and soft tissues surrounding the joint.

Subluxation of the C6, C7 vertebrae requires full spine precautions. This requires full bed rest and immobility for the patient. This restriction of mobility also causes problems for the patient (i.e. skin integrity, frustration, atelectasis). Pain control is important as well as strictly immobilizing the subluxation to prevent further damage.

Diagnosis is based on radiographic procedures.

It was reported to me that this patient may be having surgical intervention to stabilize the subluxated area.

References:

Diseases and Disorders: A Nursing Therapeutics Manual

Marilyn Sawyer Sommors

Susan A. Johnson

Theresa A. Beery

Medical-Surgical nursing DeMystified

Mary DiGiulio, RN, MSN, APRN, BC

Donna Jackson, RN, MSN, APRN, BC

Jim Keogh