Flexion-lateral curvature-supination reduction for treatment of lower cervical dislocation with unilateral facet interlocking
10.3760/cma.j.cn115530-20211122-00532
- VernacularTitle:屈曲侧弯旋转复位术治疗下颈椎脱位合并单侧小关节绞锁的疗效分析
- Author:
Zhengping ZHANG
1
;
Hui YANG
;
Da LIU
;
He ZHAO
;
Ruiguo WANG
;
Yanfei CHEN
;
Bing QIAN
;
Xinhao CAO
;
Junsong YANG
;
Zhengwei XU
;
Tuanjiang LIU
;
Honghui SUN
;
Dingjun HAO
;
Qinpeng ZHAO
Author Information
1. 西安交通大学附属红会医院脊柱病医院，西安 710054
- Keywords:
Facet joint;
Dislocations;
Cervical vertebrae;
Flexion-lateral curvature-supination reduction;
Traction
- From:
Chinese Journal of Orthopaedic Trauma
2022;24(7):558-564
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of flexion-lateral curvature-supination reduction combined with primary anterior surgery for the treatment of lower cervical dislocation with unilateral facet inter-locking.Methods:A retrospective analysis was performed in the 32 patients who had been admitted to Department of Spine Surgery, Honghui Hospital for lower cervical dislocation with unilateral facet interlocking from November 2015 to October 2018. According to their treatments, they were divided into 2 groups. In the emergency group treated by flexion-lateral curvature-supination reduction combined with primary anterior surgery, there were 13 males and 3 females, aged from 24 to 63 years. In the traction group treated by cranial traction reduction combined with secondary anterior surgery, there were 12 males and 4 females, aged from 20 to 64 years. The operation time, intraoperative blood loss, hospital stay, bone graft fusion, American Spinal Injury Association (ASIA) grade and Japanese Orthopaedic Association (JOA) score were compared between the 2 groups.Results:There was no significant difference in the preoperative general data between the 2 groups, showing they were comparable ( P<0.05). All patients were followed up from 26 to 40 months. The hospital stay for the emergency group [(7.2±1.2) d] was significantly shorter than that for the traction group[(10.9±1.2) d] ( P<0.05). There was no significant difference in the operation time, blood loss, ASIA grade or JOA score between the 2 groups ( P>0.05). All patients achieved osseous fusion of intervertebral space. Conclusion:Compared with traditional methods, flexion-lateral curvature-supination reduction combined with primay anterior surgery shows no significant difference in the recovery of neurological function but leads to a shorter hospital stay.
