Anterior Decompression, Plate Stabilisation & Inter-Body Fusion in Sub Axial Cervical Spine Injuries
Creators
- 1. Assistant Professor, Department of Orthopaedics, VSSIMSAR, Burla, Odisha, India
- 2. Associate Professor, Department of Orthopaedics, VSSIMSAR, Burla, Odisha, India
- 3. Assistant Surgeon, District Head Quarter Hospital, Sambalpur, Odisha, India
Description
Background: Cervical Spine injuries are one of the common causes of serious morbidity and mortality following trauma. Sub-axial cervical spine includes the C3 through C7 segments, a very mobile area of the spine with potential for serious injuries as a result of instability and risk of spinal cord injury. The treatment is to stabilize the spine and decompress and to promote the optimal environment for recovery. Objective: To evaluate the efficacy of anterior cervical decompression, fusion and titanium plate fixation in sub axial cervical spine injuries in respect of neurological outcome, postoperative stability and early rehabilitation. Goal of treatment is to stabilize the spine and decompress when necessary, in order to maintain the minimal environment for recovery. Methods: Patients with cervical spine injuries were admitted during November 2017-November 2019. All cases were evaluated for their clinical features. During initial phase, patients were analyzed on the basis of level and degree of neurological injury as per ASIA Scale(American Spinal Injury Association). All patients were initially managed with a Philadelphia collar. Injection Methylprednesolone Succinate was given if the patients has presented within 8 hrs of injury. Appropriated X-Ray, CT scan, MRI was taken and skull traction was applied. The patients were following up monthly for three months, thereafter at 3 months interval. Results: 20 cases of sub axial cervical spine injuries were taken during year 2017-2019. Age of patients were from 18-60 yrs with a mean age of 39 years. Out of these 15(75%) male and 5(25%) were female. Common Mode of injury was Road traffic accident. Post operative follow up showed good clinical and radiological outcome, bony fusion and favour early rehabilitation. Conclusion: Anterior decompression, fusion and titanium plate fixation is an effective method with good neurological outcome.
Abstract (English)
Background: Cervical Spine injuries are one of the common causes of serious morbidity and mortality following trauma. Sub-axial cervical spine includes the C3 through C7 segments, a very mobile area of the spine with potential for serious injuries as a result of instability and risk of spinal cord injury. The treatment is to stabilize the spine and decompress and to promote the optimal environment for recovery. Objective: To evaluate the efficacy of anterior cervical decompression, fusion and titanium plate fixation in sub axial cervical spine injuries in respect of neurological outcome, postoperative stability and early rehabilitation. Goal of treatment is to stabilize the spine and decompress when necessary, in order to maintain the minimal environment for recovery. Methods: Patients with cervical spine injuries were admitted during November 2017-November 2019. All cases were evaluated for their clinical features. During initial phase, patients were analyzed on the basis of level and degree of neurological injury as per ASIA Scale(American Spinal Injury Association). All patients were initially managed with a Philadelphia collar. Injection Methylprednesolone Succinate was given if the patients has presented within 8 hrs of injury. Appropriated X-Ray, CT scan, MRI was taken and skull traction was applied. The patients were following up monthly for three months, thereafter at 3 months interval. Results: 20 cases of sub axial cervical spine injuries were taken during year 2017-2019. Age of patients were from 18-60 yrs with a mean age of 39 years. Out of these 15(75%) male and 5(25%) were female. Common Mode of injury was Road traffic accident. Post operative follow up showed good clinical and radiological outcome, bony fusion and favour early rehabilitation. Conclusion: Anterior decompression, fusion and titanium plate fixation is an effective method with good neurological outcome.
Files
IJPCR,Vol14,Issue9,Article108.pdf
Files
(2.3 MB)
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Additional details
Dates
- Accepted
-
2022-09-15
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue9,Article108.pdf
- Development Status
- Active
References
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