scholarly journals OUTCOME OF INSTRUMENTATION IN SUBAXIAL CERVICAL SPINE INJURY- A PROSPECTIVE CASE SERIES

2018 ◽  
Vol 5 (7) ◽  
pp. 1-9
Author(s):  
ARITRA Bidyananda ◽  
BIPUL BORTHAKUR ◽  
Siddhart Kumar
2016 ◽  
Vol 17 (5) ◽  
pp. 607-611 ◽  
Author(s):  
Wei Qu ◽  
Dingjun Hao ◽  
Qining Wu ◽  
Zongrang Song ◽  
Jijun Liu

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.


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

2017 ◽  
Vol 31 ◽  
pp. S24-S32 ◽  
Author(s):  
Bizhan Aarabi ◽  
Cumhur Oner ◽  
Alexander R. Vaccaro ◽  
Gregory D. Schroeder ◽  
Noori Akhtar-Danesh

2021 ◽  
Vol 59 (236) ◽  
Author(s):  
Poojan Kumar Rokaya ◽  
Nilam Kumar Khadka ◽  
Praveen Kumar Giri ◽  
Robin Khapung ◽  
Nirajan Mahaseth

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.


2020 ◽  
pp. 219256822097433
Author(s):  
Jose A. Canseco ◽  
Gregory D. Schroeder ◽  
Taylor M. Paziuk ◽  
Brian A. Karamian ◽  
Frank Kandziora ◽  
...  

Study Design: Global cross-sectional survey. Objective: To develop an injury score for the AO Spine Subaxial Cervical Spine Injury Classification System. Methods: Respondents numerically graded each variable within the classification system for severity. Based on the results, and with input from the AO Spine Trauma Knowledge Forum, the Subaxial Cervical AO Spine Injury Score was developed. Results: An A0 injury was assigned an injury score of 0, A1 a score of 1, and A2 a score of 2. Given the significant increase in severity, A3 was given a score of 4. Based on equal severity assessment, A4 and B1 were both assigned a score of 5. B2 and B3 injuries were assigned a score of 6. Unstable C-type injuries were given a score of 7. Stable F1 injuries were assigned a score of 2, with a 2-point increase for F2 injuries. Likewise, F3 injuries received a score of 5, whereas more unstable F4 injuries a score of 7. Neurologic status severity rating scores increased stepwise, with scores of 0 for N0, 1 for N1, and 2 for N2. Consistent with the Thoracolumbar AO Spine Injury Score, N3 (incomplete) and N4 (complete) injuries were given a score of 4. Finally, case-specific modifiers M1 (PLC injury) received a score of 1, while M2 (critical disc herniation) and M3 (spine stiffening disease) received a score of 4. Conclusions: The Subaxial Cervical AO Spine Injury Score is an easy-to-use metric that can help develop a surgical algorithm to supplement the AO Spine Subaxial Cervical Spine Injury Classification System.


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