Loading...
Please wait, while we are loading the content...
Similar Documents
Atlantoaxial Transpedicular Screw Fixation for the Management of Traumatic Upper Cervical Spine Instability
| Content Provider | Semantic Scholar |
|---|---|
| Author | Kim, Byung-Sub Yoo, Do-Sung Huh, Phil-Woo Cho, Kyoung-Suok Lee, Sang-Bok |
| Copyright Year | 2010 |
| Abstract | Objective: The morbidity and mortality are high for traumatic upper cervical spine instability with cervico-medullary compression. In a clinical retrospective study, the clinical and radiographic results of occipitocervical (OC) fusion using posterior atlantoaxial transpedicular screw fixation in 12 patients with traumatic upper cervical spine instability was reviewed. Methods: Twelve patients with traumatic upper cervical spine instability (8 males and 4 females) were treated at our department over four years. Instability resulted from acute C1-C2 dislocation (4 cases), an acute unstable C2 fracture (1 case), acute C1-2-3 fracture dislocation (2 cases), acute C1 fracture (1 case), OC dislocation (2 cases) and old unstable C2 fracture (1 case). All 12 patients were internally fixed with occipital-/C1-C2 transpedicular screw fixation. The outcome (mean follow-up period, 16.5 months) was based on clinical and radiographic review using the Japanese Orthopedic Association (JOA) score. Results: Four neurologically intact patients remained the same after surgery. Among eight patients with cervical myelopathy, clinical improvement was noted in six cases (75%). The JOA score of the 8 patients were 9.4 (range, 0-16) before surgery and 12.1 (range, 0-17) with a recovery rate of 38.3% at the time of the last follow up. One patient died 2 months after the surgery because of pneumonia and sepsis. Fusion was achieved in 10 patients (90.9%) by the last follow-up. Conclusion: Early OC fusion is recommended in cases with traumatic upper cervical spinal instability, OC fusion with posterior atlantoaxial transpedicular screw fixation was a safe and effective method for the treatment of traumatic cervical spine instability. (J Kor Neurotraumatol Soc 2010;6:143-149) |
| Starting Page | 143 |
| Ending Page | 149 |
| Page Count | 7 |
| File Format | PDF HTM / HTML |
| DOI | 10.13004/jknts.2010.6.2.143 |
| Volume Number | 6 |
| Alternate Webpage(s) | https://synapse.koreamed.org/Synapse/Data/PDFData/1203JKNTS/jknts-6-143.pdf |
| Alternate Webpage(s) | https://doi.org/10.13004/jknts.2010.6.2.143 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
