Immediate reduction under general anesthesia and combined anterior and posterior fusion in the treatment of distraction-flexion injury in the lower cervical spine

Journal of Orthopaedic Surgery and Research
De-Chao MiaoYong Shen

Abstract

Distraction-flexion of the lower cervical spine is a severe traumatic lesion, frequently resulting in paralysis. The optimal surgical treatment is controversial. It has been a challenge for orthopedic surgeons to manage distraction-flexion injury in the lower cervical spine while avoiding the risk of iatrogenic damage. Thus, safer strategies need to be designed and adopted.This study aimed to evaluate the clinical efficacy of immediate reduction under general anesthesia and combined anterior and posterior fusion in the treatment of distraction-flexion injury in the lower cervical spine. Twenty-four subjects of traumatic lower cervical spinal distraction-flexion were retrospectively analyzed from January 2010 to December 2013. Traffic accident was the primary cause of injury, with patients presenting with dislocated segments in C4-5 (n = 8), C5-6 (n = 10), and C6-7 (n = 6). Sixteen patients had unilateral facet dislocation and eight had bilateral facet dislocation. Spinal injuries were classified according to the American Spinal Injury Association (ASIA) impairment scale (2000 edition amended), with four cases of grade A, four cases of grade B, ten cases of grade C, four cases of grade D, and two cases of grade E. On admission, ...Continue Reading

References

Nov 1, 1987·Spine·L S MillerE L Hume
May 1, 1986·Neurosurgery·D J MaimanS J Larson
May 1, 1993·The Journal of Bone and Joint Surgery. British Volume·Y J MahaleN J Henderson
Mar 28, 1998·Spine·O A OnanJ A Hipp
Oct 3, 1998·The Orthopedic Clinics of North America·A R VaccaroS R Garfin
Aug 3, 2001·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·K TakeshitaC Nakamura
Jun 7, 2003·Journal of Spinal Disorders & Techniques·Darrel S BrodkeJens R Chapman
Jan 22, 2004·Journal of Spinal Disorders & Techniques·Thomas HenriquesHalldór Jónsson
Dec 7, 2007·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Kyung-Jin Song, Kwang-Bok Lee
Dec 20, 2007·Spine·Paul C IvancicManohar M Panjabi
Apr 2, 2008·Spine·Ahmad NassrAlexander R Vaccaro
Oct 7, 2008·Journal of Spinal Disorders & Techniques·Elias LambirisElias Panagiotopoulos
Feb 24, 2009·The Spine Journal : Official Journal of the North American Spine Society·Joon Y LeeAlexander R Vaccaro
Oct 15, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Max Aebi
Mar 23, 2012·Asian Spine Journal·Manzar HussainMuhammad Ehsan Bari
Mar 14, 2013·Clinical Neurology and Neurosurgery·Muhittin BelirgenPatrick W Hitchon
Mar 20, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Wei DuLongxi Ren
Jul 17, 2013·Neurosurgery·Beverly C WaltersUNKNOWN Congress of Neurological Surgeons
Mar 29, 2016·Spine·Zhengfeng ZhangWenjie Zheng
Oct 6, 2016·Arquivos de neuro-psiquiatria·Catarina C LinsAndrei F Joaquim
Feb 10, 2017·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Xingjie JiangHuilin Yang
Mar 2, 2017·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Kosei NagataKota Miyoshi

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Citations

Jul 24, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jose A CansecoUNKNOWN AO Spine Cervical Classification Validation Group
Apr 6, 2021·Neurospine·Andrei Fernandes JoaquimK Daniel Riew

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