کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3058348 1580288 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Post-traumatic cervical spondyloptosis: A rare entity with multiple management options
ترجمه فارسی عنوان
اسپوندیلوپتوز سرویکس پس از ضربه: یک نهاد نادر با گزینه های مدیریت چندگانه
کلمات کلیدی
تثبیت قدامی، گردن، قفل چهره، تثبیت پسزمینه، آسیب ستون فقرات، اسپوندیلوپتوز
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی


• Cervical sponlyloptosis is a rare and extreme spectrum of dislocation.
• Clinical presentation can range from no neurological deficits to complete spinal cord transection.
• Surgical approach requires individualization, ranging from simple anterior cervical fixation to both anterior and posterior fixation.

Post-traumatic cervical spondyloptosis is a rare condition associated with high energy injuries, and to our knowledge only case reports are available. There are no universally accepted treatment paradigms for these cases and management is individualised according to the case and surgeon preference. We retrospectively analysed our management and clinical outcomes of this condition. From January 2007 to August 2014 we treated eight patients with cervical spondyloptosis at our institute. Only two patients had no neurological deficits; all the remaining patients had partial cord injury. Seven were treated surgically with preoperative traction followed by anterior cervical discectomy and fusion with fixation in three patients, and combined anterior and posterior fusion and fixation in four. Depending on the presence of anterior compression by a disc an anterior first or posterior first approach was advocated. All four combined anterior and posterior fusion and fixation patients needed to be turned more than once (540°). There was no neurological deterioration in any of the patients, as they either improved or remained stable neurologically. Post-traumatic cervical spondyloptosis is a challenging entity to manage. Surgery can be done safely with good clinical and radiological outcome and needs to be tailored to the individual patient.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Neuroscience - Volume 28, June 2016, Pages 61–66
نویسندگان
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