Surgical Treatment of Lower Cervical Fracture-Dislocations with Spinal Cord Injuries by Anterior Approach (5 to 15 Years Follow-up)

Guo, Hua; Wang, Biao; Hao, Dingjun

doi:10.1016/j.spinee.2015.07.025

Cited by 2 publications

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“…Trials in neuroprotection should be the next step, including pharmacological therapies and nonpharmacologic therapies [ 14 ]. Spinal surgery is recommended for patients with an unstable cervical spine, as it can impart immediate stability and alignment to promote fusion [ 15 , 16 ]. Several studies have reported the clinical advantages of the posterior stabilization method for resisting flexion-extension injuries [ 17 – 20 ].…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Poor Prognosis of Cervical Spinal Cord Injury with Subaxial Cervical Spine Fracture-Dislocation After Surgical Treatment: A CONSORT Study

Cao

Liang

2019

Med Sci Monit

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Departmental sources Background: The objective of the study was to identify risk factors for poor prognosis of cervical spinal cord injury (SCI) with subaxial cervical fracture-dislocation after surgical treatment. Material/Methods: A total of 60 cervical SCI patients with subaxial cervical fracture-dislocation were primarily included in the study from April 2013 to April 2018. All the enrolled subjects received surgical treatment. The enrolled patients with complete follow-up record were divided into 2 groups based on the neural function prognosis: a non-functional restoration group and a functional restoration group. Multivariate regression analysis was performed to identify independent risk factors for poor prognosis of SCI after surgical treatment. Results: Fifty-five subjects were included in this study, and the follow-up time ranged from 8.5 to 44.5 months. A total of 25 subjects were categorized into the non-functional restoration group and 30 subjects into the functional restoration group. According to the results of multivariate regression analysis, time from injury to operation (more than 3.8 days), subaxial cervical injury classification (SLIC, score more than 7.5), and maximum spinal cord compression (MSCC, more than 55.8%) are independent risk factors for poor prognosis of SCI after surgical treatment (p<0.05), with AUCs of 0.95 (time from injury to operation), 0.91 (SLIC score), and 0.96 (MSCC). Conclusions: Time from injury to operation (more than 3.8 days), SLIC score (more than 7.5), and MSCC (more than 55.8%) are independent risk factors for poor prognosis of SCI with subaxial cervical fracture-dislocation after surgical treatment.

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Section: Discussionmentioning

confidence: 99%

Risk Factors for Poor Prognosis of Cervical Spinal Cord Injury with Subaxial Cervical Spine Fracture-Dislocation After Surgical Treatment: A CONSORT Study

Cao

Liang

2019

Med Sci Monit

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“…The advantages of anterior decompression include the ability to achieve a more thorough and complete decompression of the cord. Moreover, the disadvantage of posterior decompression include progressive deformity and instability of the spine and possibly less recovery of neurological function due to less complete and thorough decompression of the spinal cord 13 . These are strongly appreciated by different studies [14][15] and have been stated that anterior cervical plating has numerous potential benefits as an adjunct to anterior cervical discectomy and fusion (ACDF).…”

Section: 38mentioning

confidence: 99%

Determination of Early Neurological Outcome by ASIA score following Delayed Anterior Decompression and Stabilization of Lower Cervical Spine Injury

Haque

Hossain

Rahman

et al. 2018

J. Natl Inst. Neurosci Bangladesh

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Background: Surgical management of lower cervical spine injury is a very important issue among these patients. Objective: The purpose of the present study was todetermine the early neurological outcome of delayed anterior decompression and stabilization of lower cervical spine injury. Methodology: This cross sectional study was carried out in the Department of Neurosurgery at Dhaka Medical College and Hospital, Dhaka, Bangladesh within the period of January 2010 to July 2011 for a period of one year and 6 months. Neurological outcome following anterior decompression and stabilization of lower cervical spine injury was observe. Patients presented with lower cervical spine injury were included in this prospective study. Quantification of neurologic deficit in lower cervical spine injury patients were carried out by following The American Spinal Injury Association (ASIA) impairment scale. Early neurological outcome was also assessed after operation by using ASIA impairment scale in the follow up period at one, three and six months interval. Result: A total of 31 patients were included in this study. Based on the ASIA impairment scale, preoperatively, 6.4 5% of the injuries were grade A, 16.13 % of the injuries were Grade B, 16.13% of the injuries were Grade C and 35.48 % of the injuries were Grade D. early post-operative complications include dysphagia in 3 5.48% cases, donor site infection in 9.67% cases, CSF leak in 3.22%; catheter related urinary tract infection 9.67% and bed sore occurred in 6.45% cases. Conclusion: In conclusion significant neurological recovery can be expected following delayed anterior decompression and stabilization of lower cervical spine in lower cervical spine injury patient. Journal of National Institute of Neurosciences Bangladesh, 2018;4(2): 82-86

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Surgical Treatment of Lower Cervical Fracture-Dislocations with Spinal Cord Injuries by Anterior Approach (5 to 15 Years Follow-up)

Cited by 2 publications

References 0 publications

Risk Factors for Poor Prognosis of Cervical Spinal Cord Injury with Subaxial Cervical Spine Fracture-Dislocation After Surgical Treatment: A CONSORT Study

Risk Factors for Poor Prognosis of Cervical Spinal Cord Injury with Subaxial Cervical Spine Fracture-Dislocation After Surgical Treatment: A CONSORT Study

Determination of Early Neurological Outcome by ASIA score following Delayed Anterior Decompression and Stabilization of Lower Cervical Spine Injury

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