Diagnosis and surgical treatment of hyperextension cervical spine injury combined with interverte-brad disk injury
10.3760/cma.j.issn.1001-8050.2009.07.191
- VernacularTitle:过伸性颈椎损伤合并颈椎间盘撕裂伤的诊治
- Author:
Zhaowan XU
;
Qingshan ZHUANG
;
Jiyu GE
;
Bingwu WANG
;
Cuoxia SUI
;
Xubin JI
- Publication Type:Journal Article
- Keywords:
Spinal cord injury;
Cervical spine;
Intervertebral disk;
Diagnosis,computer-assisted
- From:
Chinese Journal of Trauma
2009;25(7):594-597
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss diagnosis and anterior surgical treatment of hyperextensian cervical spine injury combined with intervertebral disk injury. Methods A retrospective study was done on clinical data of 27 patients who suffered from hyperextension cervical spine injury combined with intervertebral disk injury to analyze their age distribution, clinical symptomes, X-ray and MRi manifesta-tions and perioperative intervertebral disk injury. All patients were treated with discectomy, strut bone grafting within vertebral bodies and internal fixation with titanium plate. The clinical outcomes were evalu-ated by using Frankel scale and ASIA motor score (AMS). Results Both MRI and X-ray detected following abnormal pathological changes in all patients: rupture of anterior longitudinal ligament, horizon-tal tear of disk, intervertebral disk hernia, compression and edema of spinal cord. The follow-up lasted for 9-32 months (average 17.5 months), which showed that all patients got improvement for 1-3 scales except that one patient with Frankel A had no improvement in neurological function. Compared with AMS on admission, both AMS at two months after surgery and at final follow-up was increased significantly, with recovery rate of AMS for 44.9% and 68.1%, respectively. There found no hardware related compli-cations such as implant loosening, defluxion or breakage. Bone fusion was found in all fixation segments. Conclusions MRI and X-ray are important examination means for hyperextension cervical spine injury combined with intervertebral disk injury. On a specified diagnosis, anterior surgical treatment should be done early and can get satisfactory recovery of spinal cord function.
