Anterior surgical treatment of type Ⅱ traumatic spondylolisthesis of the axis

VernacularTitle:前路手术治疗Ⅱ型创伤性枢椎滑脱
Author: Qionghua WU ; Weishan CHEN ; Qixin CHEN ; Kan XU ; Fangcai LI
Publication Type:Journal Article
Keywords: Spinal injuries; Spinal fusion; Surgical procedures,operative
From: Chinese Journal of Trauma 2009;25(5):399-402
CountryChina
Language:Chinese
Abstract: Objective To evaluate the clinical efficacy of anterior C2-3 discectomy and fusion in treatment of type Ⅱ traumatic spondylolisthesis of the axis. Methods A total of 27 patients with type Ⅱ traumatic spondylolisthesis of the axis were treated with anterior C2-3 discectomy, fusion and plate fixa-tion. There were 19 males and 8 females, at average age of 38 years (22-67 years). The spinal cord function was at Fraukel D in four patients. Results Operation lasted for 75-95 minutes (mean 86 mi-nutes), with blood loss of 100-160 ml (mean 135 ml). Hospital stay was 9-12 days ( mean 10.8 days). Follow-up for 9-24 months (mean 14 months) showed that all patients achieved bony fusion within three months postoperatively, with no anterior displacement or kyphosis. The range of cervical movement was normal, with no chronic neck pain ocurred. Conclusions Anterior approach can minimize surgical trauma, shorten recovery time and hospital stay. Anterior C2-3 discectomy and fusion is a feasible and safe surgical technique and can get satisfactory therapeutic effect in treating type Ⅱ traumatic spondylolisthesis of the axis.