PMID: 15383956Sep 24, 2004Paper

Usefulness of osteometric radiological indices to evaluate the effectiveness of surgery treatment of posttraumatic fractures of cervical vertebral column with dislocation

Neurologia i neurochirurgia polska
Jakub MoskalKarolina Gruca

Abstract

The aim of this study was to evaluate the effectiveness of surgery treatment in patients with posttraumatic fractures with dislocation of the cervical spine. A retrospective review was carried out in 24 patients suffering from posttraumatic fractures of cervical spine segments with dislocation treated surgically at the Department and Clinic of Neurosurgery and Neurotraumatology, University of Medical Sciences in Poznań between 1998-2002. The study included 19 (79.2%) males and 5 (20.8%) females, aged from 16 to 60 years (the average age was 35.5). Traumatic lesions of cervical vertebral segments were localized as follows: level C3-C4 - 3 cases; C4-C6 - 17 cases; and at C6-Th1 - 4 cases. A three-grade scale was used to assess the severity of spinal cord trauma. On admission a complete transverse spinal cord syndrome was observed in 6 patients. Radiological investigations included X-ray (24 cases), CT (2 cases) and MRI (22 cases). With this in mind, the osteometric indices of the spine axis deformity were established: the index of anterior displacement of the vertebrae, the angle of local kyphosis (assessed by the Cobb's technique) and the lordosis curvature index. In all cases the operation was performed using the anterior appro...Continue Reading

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