Lower cervical spine injury treated with lateral mass plates and pedicle screws through posterior approach / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
;
(6): 160-164, 2005.
Artigo
em Inglês
| WPRIM
| ID: wpr-338622
ABSTRACT
<p><b>OBJECTIVE</b>To treat injury of the lower cervical spine C6 to C7 with cervical lateral mass plates and T1 pedicle screws through posterior approach.</p><p><b>METHODS</b>The data of 8 patients with lower cervical spine C6 or C7 injury (6 patients with fracture and dislocation in C6 and C7 and 2 with fracture in C7) were analyzed retrospectively in this study. For the preoperative American Spinal Injury Association (ASIA) classification, Grade C was found in 3 cases and Grade D in 5 cases. Screws were placed on the lateral masses and the first thoracic pedicle with Margerl technique. Lamina or facet bone allografting was used to achieve a long-term stability.</p><p><b>RESULTS</b>All the 8 patients were followed up for 5-37 months (mean 15 months). No operative death occurred. There were no examples of aggravation of spinal cord injury or vertebral artery injury, cerebrospinal fluid leak, nerve roots injury, screw malposition or back-out, loose of alignment or implant failure. Clinical symptoms and ASIA classification were improved in all the patients. Postoperative MRI scanning confirmed the satisfactory screw placement in all the cases.</p><p><b>CONCLUSIONS</b>Lateral mass plates and pedicle screws through posterior approach are safe and beneficial for patients with lower cervical spine C6 or C7 injury.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fisiologia
/
Traumatismos da Coluna Vertebral
/
Cirurgia Geral
/
Ferimentos e Lesões
/
Placas Ósseas
/
Parafusos Ósseos
/
Imageamento por Ressonância Magnética
/
Escala de Gravidade do Ferimento
/
Vértebras Cervicais
/
Estudos Retrospectivos
Tipo de estudo:
Estudo diagnóstico
/
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Chinese Journal of Traumatology
Ano de publicação:
2005
Tipo de documento:
Artigo
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