Distractive flexion injuries of the subaxial cervical spine treated with anterior plate alone
- PMID: 14734968
- DOI: 10.1097/00024720-200402000-00002
Distractive flexion injuries of the subaxial cervical spine treated with anterior plate alone
Abstract
The clinical and radiographic effect of anterior plate fixation alone was evaluated in 36 consecutive patients with distractive flexion (DF) injuries in the lower cervical spine. Mean follow-up time was 15 months. The aim of the present study was to determine whether anterior plate fixation alone provides sufficient stability when treating DF injuries in the cervical spine. Solid union was seen in 6 of 6 patients with stage 1 injury and in 15 of 17 patients with stage 2 injury. In the patients with stage 3 injury, 7 of 13 of the anterior fixations failed. These failures occurred mainly among the patients with severe neurologic injuries. We believe these findings substantiate the use of anterior plate alone for DF injuries at stage 1 and 2 but disqualify anterior plate fixation alone for DF injuries at stage 3, with neurologic injury present.
Similar articles
-
[Subaxial Cervical Spine Injuries: Treatment Recommendations of the German Orthopedic and Trauma Society].Z Orthop Unfall. 2017 Oct;155(5):556-566. doi: 10.1055/s-0043-110855. Epub 2017 Jul 20. Z Orthop Unfall. 2017. PMID: 28728206 German.
-
Anterior Surgical Fixation for Cervical Spine Flexion-Distraction Injuries.World Neurosurg. 2017 May;101:365-371. doi: 10.1016/j.wneu.2017.02.027. Epub 2017 Feb 15. World Neurosurg. 2017. PMID: 28213193
-
Distractive flexion injuries of the subaxial cervical spine treated with a posterior procedure using cervical pedicle screws or a combined anterior and posterior procedure.J Clin Neurosci. 2013 May;20(5):697-701. doi: 10.1016/j.jocn.2012.03.045. Epub 2013 Jan 11. J Clin Neurosci. 2013. PMID: 23313522
-
Surgical treatment of upper, middle and lower cervical injuries and non-unions by anterior procedures.Eur Spine J. 2010 Mar;19 Suppl 1(Suppl 1):S33-9. doi: 10.1007/s00586-009-1120-8. Epub 2009 Oct 14. Eur Spine J. 2010. PMID: 19826842 Free PMC article. Review.
-
Complications during and after surgery of the lower cervical spine by isolated anterior approach with CSLP implant.Acta Neurochir (Wien). 2008 Oct;150(10):1067-71. doi: 10.1007/s00701-008-0015-5. Epub 2008 Sep 5. Acta Neurochir (Wien). 2008. PMID: 18773142
Cited by
-
Predictors of failure after primary anterior cervical discectomy and fusion for subaxial traumatic spine injuries.Eur Spine J. 2024 Jun;33(6):2332-2339. doi: 10.1007/s00586-024-08264-z. Epub 2024 Apr 25. Eur Spine J. 2024. PMID: 38664273
-
Reduction of Lower Cervical Facet Dislocation: A Review of All Techniques.Neurospine. 2023 Mar;20(1):181-204. doi: 10.14245/ns.2244852.426. Epub 2023 Mar 31. Neurospine. 2023. PMID: 37016866 Free PMC article.
-
Commentary on "Contiguous-Level Unilateral Cervical Spine Facet Dislocation-A Report of a Less Discussed Subtype".J Neurosci Rural Pract. 2022 Mar 3;13(2):171-173. doi: 10.1055/s-0042-1743460. eCollection 2022 Apr. J Neurosci Rural Pract. 2022. PMID: 35694080 Free PMC article. No abstract available.
-
Contiguous-Level Unilateral Cervical Spine Facet Dislocation-A Report of a Less Discussed Subtype.J Neurosci Rural Pract. 2022 Jan 7;13(1):155-158. doi: 10.1055/s-0041-1742135. eCollection 2022 Jan. J Neurosci Rural Pract. 2022. PMID: 35110939 Free PMC article.
-
Circumferential Operations of the Cervical Spine.Neurospine. 2021 Mar;18(1):55-66. doi: 10.14245/ns.2040528.264. Epub 2021 Mar 31. Neurospine. 2021. PMID: 33819936 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous