A Secure Surgical Process for Previous Distractive Flexion Accidents of the Subaxial Cervical Backbone.
Asian Backbone J. 2017 Dec;11(6):935-942
Authors: Kawano O, Maeda T, Mori E, Yugue I, Ueta T, Shiba Okay
Examine Design: Retrospective evaluate.
Objective: To explain a secure and efficient surgical process for previous distractive flexion (DF) accidents of the subaxial cervical backbone.
Overview of Literature: Surgical remedy is required in previous instances when a development of the kyphotic deformity and/or persistent neck ache and/or the looks of recent neurological signs are noticed. Since surgical remedy is extra sophisticated and harmful in previous instances than in acute distractive-flexion instances, the indications for surgical procedure and the number of the surgical process should be fastidiously performed.
Strategies: To determine a secure and efficient surgical process, the process chosen, motive(s) for its choice, and related neurological issues have been investigated in 13 sufferers with previous cervical DF accidents.
Outcomes: No neurological issues have been noticed in 9 sufferers (DF stage 2 or three) who underwent the anterior-posterior-anterior (A-P-A) methodology and two sufferers (DF stage 1) who underwent the posterior methodology. It was initially deliberate that two sufferers (DF stage 2) who underwent the P-A technique can be handled utilizing the Posterior methodology alone; nevertheless, anterior discectomy was added to the process after the event of a extreme spinal wire dysfunction.
Conclusions: The A-P-A technique (anterior discectomy, posterior launch and/or partial facetectomy, discount and instrumentation, anterior bone grafting) is taken into account to be an appropriate surgical process for previous cervical DF accidents.
PMID: 29279749 [PubMed]