کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6006897 1184746 2013 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Surgical options in the treatment of subaxial cervical fractures: A retrospective cohort study
ترجمه فارسی عنوان
گزینه های جراحی در درمان شکستگی های زیر دهلیزی گردن: یک مطالعه کوهورت گذشته نگر
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی

ObjectiveTo compare clinical and radiographic parameters and outcomes in patients undergoing anterior vs. posterior surgery in unstable cervical subaxial spine fractures.MethodsWe analyzed a group of 33 patients with reducible cervical subaxial fractures. Patients underwent anterior or posterior cervical instrumentation. Inpatient and outpatient records were retrospectively reviewed, and the multiple pre-operative and post-operative clinical and radiographic factors were recorded and analyzed.ResultsPosterior cervical fixation was performed in 15 patients, and anterior cervical fixation in 18 patients. Operative time, blood loss, and number of levels instrumented were all significantly less in the anterior than the posterior cervical group. There was no difference in patient age, surgical complications, follow-up ASIA score, Rand SF-36 evaluation, or cost analysis between the two groups. Mean follow-up time was 11.8 ± 7 months. All patients achieved bony fusion and good alignment at follow-up.ConclusionsIn patients with reducible cervical subaxial dislocations, posterior cervical fixation entails a larger number of fused segments. Anterior surgery is associated with shorter operative times and less blood loss. Anterior instrumentation with interbody grafting can be the initial choice of treatment for stabilization for this subgroup of patients. Posterior surgery is indicated if radiographs after anterior instrumentation show failure.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Neurology and Neurosurgery - Volume 115, Issue 8, August 2013, Pages 1420-1428
نویسندگان
, , , , ,