PMID: 30810110Feb 28, 2019Paper

Chirurgiczne leczenie uszkodzeń połączenia czaszkowokręgosłupowego

Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
Marek RybarczykAlicja Baranowska

Abstract

Damages of the cranio-vertebral junction include bone and ligamentous structures. Due to the unique design of the C0-C1-C2 complex and biomechanical properties, they represent a major surgical challenge. Treatment of damage to this area involves decompression of nerve structures with simultaneous occipito-cervical fixation from posterior access. The aim of the study was to analyze patients operated on due to damage to the cranio-vertebral junction in 2009-2018. Medical documentation of 78 patients was analyzed in which occipito-cervical stabilization was performed due to damages in the C0-C1-C2, in the period 2009-2018 in the Department of Neuroortopedics Mazovian Rehabilitation Center STOCER. Demographic data, ie age and sex of patients, causes of C0-C1-C2 damage, perioperative complications, duration of surgery, time of hospitalization and perioperative blood loss were assessed in the study. The operating result was evaluated based on the bone fusion obtained. The occipital-cervical stabilization operations constituted on average 0.96% of all spinal surgery using implants. The most common indications for surgical treatment were injuries, especially in men (35.9%) and the consequences of rheumatoid arthritis, especially in wom...Continue Reading

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