A study on functional outcome following surgical fixation for lower spine injuries

Authors

  • M. Sivakumar Department of Orthopedics, Government Sivagangai Medical College, Sivangangai, Tamil Nadu, India
  • M. Ganesh Kumar Department of Orthopedics, Government Theni Medical College, Tamil Nadu, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20212773

Keywords:

ASIA, Cervical spine, Decompression, MRI, Outcome, Spinal cord injury

Abstract

Background: Cervical spine injuries are one of the common causes of serious morbidity mortality following trauma. 6% of trauma patients have spine injuries of which >50% is contributed by a cervical spine injury. The aim of the study was to determine the functional outcome following surgical fixation for sub-axial cervical spine.

Methods: this prospective study involving 17 patients who were all admitted with sub-axial cervical spine injuries and amenable to intervention in our department of orthopedics and traumatology, government Theni medical college, Tamil Nadu, India in the year 2019-2020. Duration of 6 months from December 2019 to may 2020.

Results: Most of the injuries presented within 24 hours of injury. Most of the patients presented with an incomplete neurological deficit. C5-C6 subluxation with disc bulge was the most common spinal injury. 5 patients were operated on more than 2 levels. The rest of the patients were operated on at 2 levels.

Conclusions: We consider that the anterior decompression and fusion with a locking compression plate is a viable procedure in sub-axial cervical spine injuries.

Author Biography

M. Sivakumar, Department of Orthopedics, Government Sivagangai Medical College, Sivangangai, Tamil Nadu, India

assistant professor , annamalaiuniversity, chidambaram

References

Bailey RW, Badgley CE. Stabilization of the cervical spine by anterior fusion. J Bone Joint Surg Am. 1960;42:565-94.

Kraus JF, Franti CE, Riggins RS, Richards D, Borhani NO. Incidence of traumatic spinal cord lesions. J Chronic Dis. 1975;28(9):471-92.

Goldberg W, Mueller C, Panacek E, Tigges S, Hoffman JR, Mower WR, et al. Distribution and patterns of blunt traumatic cervical spine injury. Ann Emerg Med. 2001;38(1):17-21.

Garvey TA, Eismont FJ, Roberti LJ. Anterior decompression, structural bone grafting, and Caspar plate stabilization for unstable cervical spine fractures and/or dislocations. Spine. 1992;17(10):431-5.

Fisher CG, Dvorak MF, Leith J, Wing PC. Comparison of outcomes for unstable lower cervical flexion teardrop fractures managed with halo thoracic vest versus anterior corpectomy and plating. Spine. 2002;27(2):160-6.

Brodke DS, Anderson PA, Newell DW, Grady MS, Chapman JR. Comparison of anterior and posterior approaches in cervical spinal cord injuries. J Spinal Disord Tech. 2003;16(3):229-35.

Bucholz RW. In: Heckman JD, Brown MDC, Tornetta Paul, eds. Rockwood and Green's Fractures in Adults. 7th ed. Lippincott Williams & Wilkins; 2009: 1497-1539.

Mihara H, Cheng BC, David SM, Ohnari K, Zdeblick TA. Biomechanical comparison of posterior cervical fixation. Spine. 2001 Aug 1;26(15):1662-7.

Camille R, Saillant G, Laville C, Benazet JP. Treatment of lower cervical spinal injuries--C3 to C7. Spine. 1992;17(10):442-6.

Bohler J, Gaudernak T. Anterior plate stabilization for fracture-dislocations of the lower cervical spine. J Trauma. 1980;20(3):203-5.

Smith WR, Ziran BH, Anglen JO, Stahel PF. Locking plates: tips and tricks. J Bone Joint Surg Am. 2007;89(10):2298-307.

Fogel GR, Liu W, Reitman CA, Esses SI. Cervical plates: comparison of physical characteristics and in vitro pushout strength. Spine J. 2003;3(2):118-24.

Orozco DR, Tapies J Osteosynthesis in cervical spine fractures. Rev Orthop Traumatol. 1970;14:285-88.

Kocis J, Wendsche P, Vesely R, Hart R, Cizmár I. Complications during and after surgery of the lower cervical spine by isolated anterior approach with CSLP implant. Acta Neurochir. 2008;150(10):1067-71.

Toh E, Nomura T, Watanabe M, Mochida J. Surgical treatment for injuries of the middle and lower cervical spine. Int Orthop. 2006;30(1):54-8.

Downloads

Published

2021-08-25

Issue

Section

Original Research Articles