Surgical administration of C-type subaxial cervical fractures utilizing cervical traction adopted by anterior cervical discectomy and fusion inside 12 h after the trauma.
J Craniovertebr Junction Backbone. 2017 Oct-Dec;eight(four):338-341
Authors: Donnarumma P, Bozzini V, Rizzi G, Berardi A, Merlicco G
Research Design: This was a retrospective cohort examine.
Goal: To report our 10-year expertise of closed discount utilizing Crutchfield traction adopted by anterior cervical discectomy and fusion inside 12 h from damage for C-type subaxial cervical fractures (based on the AOSpine classification system).
Strategies: Medical data and neuroimaging had been retrospectively reviewed. Surgical particulars had been offered.
Outcomes: A complete of 22 sufferers had been included within the examine. The cervical fracture was recognized after whole-body computed tomography scan on admission in all instances. Crutchfield traction was utilized inside 1-5 h from the analysis. Surgical procedure consisting of anterior microdiscectomy and fusion with interbody cage and plating was carried out 6-12 h after traction positioning. Most sufferers (19, 86%) had spinal twine damage: 7 had been Frankel A (31%), three Frankel B (14%), 6 Frankel C (27%), three Frankel D (14%), and three Frankel E (14%). No neurologic deterioration was noticed after the therapy. In 10 instances (45%), neurological signs improved 1 12 months after the trauma. Two sufferers (10%) died for complication associated to spinal twine transition or different organ harm.
Conclusions: Early discount provides one of the best probability of restoration for sufferers affected by C-type subaxial cervical fracture. Speedy traction is extra typically profitable and safer than manipulation below anesthesia. After shut discount attaining, anterior microdiscectomy, cage, and plating implant appear to be protected and efficient with a low price of problems.
PMID: 29403246 [PubMed]