Functional Outcome after Segmental Arthrodesis of the Cervical Spine

1992 ◽  
pp. 663-667
Author(s):  
Henri Mestdagh ◽  
Hervé Leclet
Keyword(s):  
Cervical Spine ◽  
Functional Outcome

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

2021 ◽  
Author(s):  
M. Sivakumar ◽  
M. Ganesh Kumar
Keyword(s):  
Cervical Spine ◽  
Functional Outcome ◽  
Tamil Nadu ◽  
Spinal Injury ◽  
Spine Injury ◽  
Trauma Patients ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Disc Bulge ◽  
Surgical Fixation

<p class="abstract"><strong>Background:</strong> Cervical spine injuries are one of the common causes of serious morbidity mortality following trauma. 6% of trauma patients have spine injuries of which &gt;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.</p><p class="abstract"><strong>Methods:</strong> 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.<strong></strong></p><p class="abstract"><strong>Results:</strong> 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.</p><p class="abstract"><strong>Conclusions:</strong> We consider that the anterior decompression and fusion with a locking compression plate is a viable procedure in sub-axial cervical spine injuries.</p>

scholarly journals Posterior Occipitocervical Fusion for Unstable Upper Cervical Trauma in Old and Elderly Population, Although Decreases Upper Cervical Rotation, Does Not Significantly Increase Neck Disability Index

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Panagiotis Korovessis ◽  
Vasileios Syrimpeis ◽  
Evangelia Mpountogianni ◽  
Ioannis Papaioannou ◽  
Vasileios Tsekouras
Keyword(s):  
Cervical Spine ◽  
Functional Outcome ◽  
Neck Disability Index ◽  
Outcome Evaluation ◽  
Research Progress ◽  
Occipitocervical Fusion ◽  
Cervical Trauma ◽  
Upper Cervical ◽  
Neck Disability ◽  
Spine Balance

Background. Despite the research progress in the thoraco-lumbo-pelvic balance, cervical spine balance has only recently gained increasing interest. To our knowledge, there is a lack of research regarding sagittal occipitocervical spine balance restoration following posterior occipitocervical fusion (POCF). Purpose. The primary outcome measure is the evaluation of sagittal cervical alignment roentgenographic parameters and the secondary is the functional outcome (NDI), following POCF for upper (C1 & C2) cervical trauma (UCT) in coexistence with upper cervical spine degeneration. Patients and Methods. Twenty old and elderly patients aged 62 ± 12 years with evident upper cervical degeneration, who received POCF for upper C1 & C2 unstable cervical spine injuries, were included. C2-C7 lordosis, C2-C7 SVA, spinocranial angle (SCA), T1-slope, neck tilt (NT), thorax inlet angle (TIA), cervical tilt (CT), cranial tilt (CrT), and C0-C1 angle were measured. The subfusion angle was used to study the behavior of the unfused cervical segments below fusion. The Neck Disability Index (NDI) was used for the functional outcome evaluation. 29 age-matched individuals were used as controls for radiographic analysis and self-reported functional status comparison. Results. The roentgenographic data were measured 3 and 39 ± 12 months postoperatively. Twelve patients showed no disability, and eight showed mild disability. Postoperatively, the patients stood with less C2-C7 lordosis, SCA, and CT (P<0.02) but with higher NT (P<0.02) in comparison to the controls. The patient’s neck disability (NDI) was increasing as TIA increases (P=0.023). Subfusion angle seems to adapt to C2-C7 lordosis (P<0.0033) and C0-C2 angle (P<0.003) without any changes till the last evaluation. Conclusions. POCF sufficiently restored occipitocervical sagittal balance along with functional outcome similar to controls in adult and elderly individuals with evident upper cervical degeneration. We do not recommend POCF for young active individuals without occipitocervical pathology, but in contrary, we recommend the removal of the spinocranial connection hardware after cervical fusion is completed.

Cervical spine trauma in the injured child: A tragic injury with potential for salvageable functional outcome

2000 ◽  
Vol 35 (11) ◽  
pp. 1571-1575 ◽  
Author(s):  
David A. Partrick ◽  
Denis D. Bensard ◽  
Ernest E. Moore ◽  
Casey M. Calkins ◽  
Frederick M. Karrer
Keyword(s):  
Cervical Spine ◽  
Functional Outcome ◽  
Cervical Spine Trauma ◽  
Spine Trauma ◽  
Injured Child

scholarly journals Skeletal involvement in children with Langerhans cell histiocytosis: healing, complications, and functional outcome

SICOT-J ◽  
2020 ◽  
Vol 6 ◽  
pp. 28 ◽  
Author(s):  
Ahmed H. K. Abdelaal ◽  
Mohamed Sedky ◽  
Seham Gohar ◽  
Iman Zaki ◽  
Asmaa Salama ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Functional Outcome ◽  
Bone Healing ◽  
Langerhans Cell Histiocytosis ◽  
Langerhans Cell ◽  
Bone Lesions ◽  
Skeletal Involvement ◽  
The Mean ◽  
Bone Deformities ◽  
Skeletal Lesions

Introduction: Skeletal involvement in children with Langerhans cell histiocytosis (LCH) is a common feature of the disease. Several options for the treatment of these skeletal lesions have been reported. We describe our experience in the treatment of skeletal involvement of LCH in this retrospective case series study, entailing anatomic distribution, pattern of healing, skeletal deformities, and functional outcome of skeletal LCH. Methods: A retrospective analysis was conducted for patients diagnosed with LCH and having skeletal lesions in the period between 2007 and 2015. Out of a total of 229 cases, 191 (83.4%) had skeletal involvement. Bone healing was divided into partial and complete based on the size of lesion and cortical changes in plain radiograph. Skeletal deformities were serially measured. Time to pain control, resumption of weight bearing, and the final functional status of the patient were reviewed. Results: The mean age at presentation was 4.4 years (3 m–14.8 y) and the mean follow-up period was 53.3 months (0.2–120.7). After screening of skeletal and extra-skeletal lesions, 59 patients (31%) had M-S (Multisystem) LCH and 132 (69%) had S-S (Single system) LCH. Unifocal bone lesions were found in 81 (42.5%) patients, and multifocal bone lesions in 110 patients (57.5%). Single or multiple bone lesions were found in the craniofacial bones in 152 patients (79.5%), femur in 19 patients, (10%), ribs in 18 patients (9.4%), spine in 15 patients (8.1%), pelvis in 14 patients (7.3%), scapula in 8 patients (4.1%), humerus in 6 (3.1%), clavicle in 6 patients (3.1%), tibia in 3 patients (1.5%), radius in 3 patients (1.5%), and the ulna in 2 patients (1%) patients. No lesions were found in the fibula, hand, or foot. Out of all skeletal lesions, 179 (93.7%) patients were treated either medically or conservatively and 12 patients (6.2%) were treated surgically. The mean time to complete healing was 5.2 months (2–12). Skeletal complications included: pathologic fractures (9 vertebra plana, 5 long bone, 1 iliac bone), deformities (9 thoracolumbar kyphosis, 2 cervical spine subluxations, 2 coxa vara deformity of the proximal femur and one flattening of iliac bone). Conclusion: Non-operative treatment can lead to adequate bone healing in few months period. Partial or complete remodeling of bone deformities can be observed without surgical correction. However, surgical intervention might be indicated when cervical spine affection may lead to instability and subsequent neurological affection. Functional impairment is rarely caused by skeletal lesions in LCH.

scholarly journals Does kyphosis in healed subaxial cervical spine tuberculosis equate to a poor functional outcome?

2020 ◽  
Vol 11 (2) ◽  
pp. 86
Author(s):  
Aditya Raj ◽  
Sudhir Srivastava ◽  
Sunil Bhosale ◽  
Shaligram Purohit ◽  
Nandan Marathe ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Functional Outcome ◽  
Poor Functional Outcome ◽  
Subaxial Cervical Spine ◽  
Spine Tuberculosis

Motion Analysis of the Cervical Spine

2004 ◽  
Vol 9 (5) ◽  
pp. 1-11
Author(s):  
Patrick R. Luers
Keyword(s):  
Cervical Spine ◽  
Intervertebral Disk ◽  
Radiographic Evaluation ◽  
Ligamentous Injury ◽  
Pattern Of Injury ◽  
Motion Segment ◽  
Single Pattern ◽  
Compensatory Motion ◽  
Loss Of Motion ◽  
Flexion And Extension

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, defines a motion segment as “two adjacent vertebrae, the intervertebral disk, the apophyseal or facet joints, and ligamentous structures between the vertebrae.” The range of motion from segment to segment varies, and loss of motion segment integrity is defined as “an anteroposterior motion of one vertebra over another that is greater than 3.5 mm in the cervical spine, greater than 2.5 mm in the thoracic spine, and greater than 4.5 mm in the lumbar spine.” Multiple etiologies are associated with increased motion in the cervical spine; some are physiologic or compensatory and others are pathologic. The standard radiographic evaluation of instability and ligamentous injury in the cervical spine consists of lateral flexion and extension x-ray views, but no single pattern of injury is identified in whiplash injuries. Fluoroscopy or cineradiographic techniques may be more sensitive than other methods for evaluating subtle abnormal motion in the cervical spine. The increased motion thus detected then must be evaluated to determine whether it represents normal physiologic motion, normal compensatory motion, motion related to underlying degenerative disk and/or facet disease, or increased motion related to ligamentous injury. Imaging studies should be performed and interpreted as instructed in the AMA Guides.

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