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Outcomes of Unstable Subaxial Cervical Backbone Fractures Managed by Posteroanterior Stabilization and Fusion.
Asian Backbone J. 2018 Jun;12(three):416-422
Authors: Dhillon CS, Jakkan MS, Dwivedi R, Medagam NR, Jindal P, Ega S
Summary
STUDY DESIGN: Retrospective examine.
PURPOSE: To guage medical and radiological outcomes of unstable subaxial cervical backbone accidents managed by each posterior stress band column stabilization and anterior decompression, stabilization, and fusion.
OVERVIEW OF LITERATURE: Unstable subaxial cervical backbone accidents usually contain disruption of the anterior column and posterior stress band osteoligamentous advanced. Such accidents want quick surgical intervention. Totally different strategies of discount and surgical approaches have been revealed within the literature, with lack of consensus on a uniform or standardized technique. Controversy nonetheless exists relating to stabilization of unstable cervical fractures by anterior or posterior method alone or mixed approaches.
METHODS: We retrospectively evaluated 24 sufferers with post-traumatic unstable subaxial cervical backbone accidents with their preoperative medical particulars, X-ray, computed tomography, and magnetic resonance imaging of the cervical backbone for fracture classification based mostly on the mechanism of damage with standing of disc herniation and posterior stress band disruption. All sufferers have been managed by quick discount, posterior and anterior stabilization, and fusion in a single session of anesthesia. Knowledge of all sufferers have been analyzed with respect to pre- and postoperative neurological standing based mostly on American Spinal Harm Affiliation grading, Visible Analog Scale rating, the commentary of bony fusion, and implant failure at 1, three, 6, and 12 months. Knowledge have been analyzed utilizing paired t-test.
RESULTS: All sufferers had stable fusion on the desired stage with appreciable neurological enchancment on the 1-year follow-up.
CONCLUSIONS: In unstable cervical accidents, stabilization of disrupted posterior stress band will increase the steadiness of anterior plating and fusion. This technique of quick discount and circumferential stabilization is speedy, secure, and efficient and has a low fee of problems.
PMID: 29879767 [PubMed]