![]() | Related Articles |
Mixed Anterior-Posterior Fixation and Fusion for Utterly Dislocated Hangman’s Fracture: A Retrospective Evaluation of 11 Instances.
Clin Backbone Surg. 2017 Oct;30(eight):E1050-E1054
Authors: Wang J, Chen H, Cao P, Yuan W, Wu X, Liu G, Li R, Zang F, Shi L, Wang A
Summary
STUDY DESIGN: Retrospective medical research.
PURPOSE: To guage the effectiveness and feasibility of mixed anterior-posterior fixation and fusion for the remedy of utterly dislocated hangman’s fracture.
SUMMARY OF BACKGROUND DATA: A totally dislocated hangman’s fracture describes the whole anterior displacement of the C2 vertebral physique onto the C3 physique. This kind of fracture is exceptionally unstable, and for which the administration is difficult. Particular remedy methods must be additional clarified.
METHODS: From January 2003 to January 2012, 11 sufferers with utterly dislocated hangman’s fracture underwent mixed anterior-posterior fixation and fusion at our establishment; an anterior-posterior strategy was utilized in 9 sufferers, and an anterior-posterior-anterior strategy was utilized in 2 sufferers. The operative time, hospital period, neurological enchancment, fusion fee, and problems have been assessed.
RESULTS: The operation instances of the two anterior-posterior-anterior surgical procedures (165 and 210 min) have been longer than the anterior-posterior strategy surgical procedures (imply, 133 min; vary: 110-155 min). The common hospital period was eight.5 days (vary: 7.Zero-13.Zero d). Postoperative discount and stable fusion have been achieved in all sufferers. Neurological standing was considerably improved, because the imply Japanese Orthopedic Affiliation (JOA) rating considerably elevated from a preoperative rating of eight.9±1.7 to 14.6±1.6 on the last follow-up (P<Zero.01). The imply neurological restoration fee was 51%. Reasonable postoperative neck ache occurred in 2 sufferers, which was relieved after 2 months of conservative remedy with oral celecoxib. The imply visible analog scale ache rating was 1.four±Zero.eight on the final evaluation. Hoarseness was discovered after surgical procedure in 1 affected person who recovered 1 month later with none remedy. No graft-related or plate-related problems occurred throughout the whole follow-up interval.
CONCLUSIONS: Mixed anterior-posterior fixation and fusion is an efficient and protected remedy for utterly dislocated hangman’s fracture.
PMID: 28937463 [PubMed – indexed for MEDLINE]