scholarly journals SHORT TERM CLINICALAND RADIOLOGICAL OUTCOME OF LATERAL MASS FIXATION IN SUBAXIAL CERVICAL SPINE INJURY

2020 ◽  
pp. 1-4
Author(s):  
Sagar Mukhopadhyay ◽  
Partha Sarathi Sarkar ◽  
Kiran Kumar Mukhopadhyay ◽  
Saptarshi Chakraborty ◽  
Debarshi Jana
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Posterior Fixation ◽  
Lateral Mass ◽  
Short Term ◽  
Subaxial Cervical Spine ◽  
New Treatment ◽  
One Year

Advances in perioperative care, surgical instrumentation, and understanding of the patho-physiology of trauma have engendered new treatment paradigms for these injuries within the last two decades. Evaluation of outcome of LATERAL MASS FIXATION in sub-axial cervical spine injury in terms of improvement of neurological deficit (ASIA Scale) in one, three, six and nine months follow up. Sub-axial cervical spine injury patients attending OPD, Emergency. Age group: between 15 to 75 years, both male and female. The study was a both retro and prospective, non randomized, uncontrolled, interventional study group. The study was performed over a cohort of adult patients. Our study attested to the safety and acceptability of lateral mass fixation as a established mean of posterior fixation with no failure rate after one year follow up and a lesser operative complication rate.

Subaxial Cervical Spine Injury in the Elderly and Treatment-Related Mortality – Anterior or Posterior Approach

2020 ◽  
Author(s):  
Anna Kiskämper ◽  
Carolin Meyer ◽  
Lars Müller ◽  
Peer Eysel ◽  
Hildegard Christ ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
The Elderly ◽  
Spine Injury ◽  
Mortality Data ◽  
Posterior Fixation ◽  
Cervical Spine Trauma ◽  
Spine Trauma ◽  
Advantages And Disadvantages ◽  
Subaxial Cervical Spine

Abstract Background Subaxial cervical spine injury especially in the elderly can be associated to severe complications and disability. Until today there is no consensus concerning the best operative treatment. A potential superiority of anterior or posterior fixation is the subject of controversial discussions. Objectives The aim of this study was to compare the outcome of anterior and posterior fixation after subaxial cervical spine trauma in the elderly focussing on the postoperative mortality. Material and Methods A retrospective cohort analysis was performed to analyse the data of 43 patients. Especially mortality data were collected. Results A total of 43 patients was identified. Anterior fixation was performed in 21 patients, posterior fixation was performed in 22 patients. There were no significant differences between these groups. Although statistical significance was not reached, a slightly higher mortality was found among patients undergoing anterior fixation (52,4 vs. 31,8%). Furthermore the male sex, a higher age, translation injuries, long duration of operation and hospitalisation as well as postoperative complications were slightly associated to a higher mortality. Conclusions Subaxial cervical spine trauma is associated to a high mortality in the elderly. Although neither anterior nor posterior fixation could show a significant superiority, every surgical decision making should be performed individually for each patient balancing the advantages and disadvantages of each method.

scholarly journals Surgical treatment for irreducible pediatric subaxial cervical unilateral facet dislocation: case report

2016 ◽  
Vol 17 (5) ◽  
pp. 607-611 ◽  
Author(s):  
Wei Qu ◽  
Dingjun Hao ◽  
Qining Wu ◽  
Zongrang Song ◽  
Jijun Liu
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Complete Resolution ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Facet Dislocation ◽  
Unilateral Approach ◽  
Subaxial Cervical Spine

Unilateral facet dislocation at the subaxial cervical spine (C3–7) in children younger than 8 years of age is rare. The authors describe a surgical approach for irreducible subaxial cervical unilateral facet dislocation (SCUFD) at C3–4 in a 5-year-old boy and present a literature review. A dorsal unilateral approach was applied, and a biodegradable plate was used for postreduction fixation without fusion after failed conservative treatment. There was complete resolution of symptoms and restored cervical stability. Two years after surgery, the patient had recovered range of motion in C3–4. In selected cases of cervical spine injury in young children, a biodegradable plate can maintain reduction until healing occurs, obviate the need to remove an implant, and recover the motion of the injured segment.

AOSpine subaxial cervical spine injury classification system

2015 ◽  
Vol 25 (7) ◽  
pp. 2173-2184 ◽  
Author(s):  
Alexander R. Vaccaro ◽  
John D. Koerner ◽  
Kris E. Radcliff ◽  
F. Cumhur Oner ◽  
Maximilian Reinhold ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Classification System ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Subaxial Cervical Spine ◽  
Injury Classification

Application of AOSpine Subaxial Cervical Spine Injury Classification in Simple and Complex Cases

2017 ◽  
Vol 31 ◽  
pp. S24-S32 ◽  
Author(s):  
Bizhan Aarabi ◽  
Cumhur Oner ◽  
Alexander R. Vaccaro ◽  
Gregory D. Schroeder ◽  
Noori Akhtar-Danesh
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Subaxial Cervical Spine ◽  
Injury Classification ◽  
Complex Cases

scholarly journals Burst Fracture of C5 with Traumatic Anterior Spondyloptosis of C6 and Posterior Spondylolisthesis of C4 Vertebra: A Case Report

2021 ◽  
Vol 59 (236) ◽  
Author(s):  
Poojan Kumar Rokaya ◽  
Nilam Kumar Khadka ◽  
Praveen Kumar Giri ◽  
Robin Khapung ◽  
Nirajan Mahaseth
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Burst Fracture ◽  
Preoperative Assessment ◽  
High Energy ◽  
Spine Injury ◽  
Subaxial Cervical Spine ◽  
Injury Treatment ◽  
Posterior Instrumented Fusion ◽  
Anterior Posterior

Burst fracture of C5 with traumatic anterior spondyloptosis of C6 and posterior spondylolisthesis of C4 vertebra is an exceedingly rare high energy injury. Treatment includes decompression, reduction, stabilization, and fusion via anterior or posterior or combined anterior-posterior approach with or without prior traction. We report this rare subaxial cervical spine injury associated with quadriplegia managed with combined anterior and posterior instrumented fusion. A multidisciplinary approach with preoperative assessment and planning is crucial in managing cervical spine injury. Immediate postoperative critical care support, rehabilitation, and dedicated nursing care are required for a favorable outcome in traumatic quadriplegia.

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