개인구독
소속 기관이 없으신 경우, 개인 정기구독을 하시면 저렴하게
논문을 무제한 열람 이용할 수 있어요.
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 416 - 422 (7page)
이용수
초록· 키워드
오류제보하기
Study Design: Retrospective study. Purpose: To evaluate clinical and radiological outcomes of unstable subaxial cervical spine injuries managed by both posterior tension band column stabilization and anterior decompression, stabilization, and fusion. Overview of Literature: Unstable subaxial cervical spine injuries often involve disruption of the anterior column and posterior tension band osteoligamentous complex. Such injuries need immediate surgical intervention. Different methods of reduction and surgical approaches have been published in the literature, with lack of consensus on a uniform or standardized method. Controversy still exists regarding stabilization of unstable cervical fractures by anterior or posterior approach alone or combined approaches. Methods: We retrospectively evaluated 24 patients with post-traumatic unstable subaxial cervical spine injuries with their preoperative clinical details, X-ray, computed tomography, and magnetic resonance imaging of the cervical spine for fracture classification based on the mechanism of injury with status of disc herniation and posterior tension band disruption. All patients were managed by immediate reduction, posterior and anterior stabilization, and fusion in a single session of anesthesia. Data of all patients were analyzed with respect to pre- and postoperative neurological status based on American Spinal Injury Association grading, Visual Analog Scale score, the observation of bony fusion, and implant failure at 1, 3, 6, and 12 months. Data were analyzed using paired t -test. Results: All patients had solid fusion at the desired level with considerable neurological improvement at the 1-year follow-up. Conclusions: In unstable cervical injuries, stabilization of disrupted posterior tension band increases the stability of anterior plating and fusion. This method of immediate reduction and circumferential stabilization is rapid, safe, and effective and has a low rate of complications.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Song KJ / 2016 / Limitation of previous Allen classification and subaxial cervical spine injury classification (SLIC) system in distractive-extension injury of cervical spine: proposal of modified classification system / Eur Spine J 25:74~79
Allen BL Jr / 1982 / A mechanistic classification of closed, indirect fractures and dislocations of the lower cervical spine / Spine (Phila Pa 1976) 7:1~27
Blizzard DJ / 2016 / Incidence and demographics of cervical spine fractures over a 10 year period at level I trauma center / Duke Orthop J 6:21~25
Lalwani S / 2014 / Mortality profile of patients with traumatic spinal injuries at a level I trauma care centre in India / Indian J Med Res 140:40~45
Thompson C / 2015 / Hyperextension injury of the cervical spine with central cord syndrome / Eur Spine J 24:195~202
Allen BL Jr / 1982 / A mechanistic classification of closed, indirect fractures and dislocations of the lower cervical spine / Spine (Phila Pa 1976) 7:1~27
Blizzard DJ / 2016 / Incidence and demographics of cervical spine fractures over a 10 year period at level I trauma center / Duke Orthop J 6:21~25
Lalwani S / 2014 / Mortality profile of patients with traumatic spinal injuries at a level I trauma care centre in India / Indian J Med Res 140:40~45
Thompson C / 2015 / Hyperextension injury of the cervical spine with central cord syndrome / Eur Spine J 24:195~202
이 논문의 저자 정보
최근 본 자료
댓글(0)
0