Surgical treatment selection for lower cervical fractures and dislocations combined with lockedfacet
10.3760/cma.j.issn.1001-8050.2010.08.005
- VernacularTitle:下颈椎骨折脱位并关节突交锁的手术方式选择
- Author:
Dingjun HAO
;
Baorong HE
;
Zhengwei XU
;
Hua GUO
- Publication Type:Journal Article
- Keywords:
Cervical vertebrae;
Dislocation;
Surgical procedures,operative
- From:
Chinese Journal of Trauma
2010;26(8):687-690
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the selection of surgical treatment for lower cervical fractures and dislocations combined with locked-facet. Methods The clinical data of 68 patients with lower cervical spine fracture and dislocation combined with locked-facet were retrospectively analyzed. There were 33 patients with unilateral facet dislocation and 35 with bilateral facet dislocation. According to American Spinal Injury Association (ASIA) score, there were five patients at grade A, 11 at grade B, nine at grade C and 10 at grade D. All patients underwent skull traction. Anterior decompression and fixation were applied for reduction of the locked facet. Posterior unlocking reduction ,anterior decompression and plat fixation were applied for the patients with no reduction. Results There were no injuries on major blood vessels, trachea, esophagus, spinal cord. The follow-up lasted for average 41.5 months, which showed that the intervertebral height and lordosis were maintained normal. At six months postoperatively, bony fusion was achieved, with no plate and screw-related complications. The patients with neurological defect got improved at different degrees postoperatively. Conclusion For different lower cervical spine fractures and dislocations combined with locked-facet, selection of suitable surgical approach can attain satisfactory outcome.
