Saratov JOURNAL of Medical and Scientific Research

Long-term results of posterior anchorage of subaxial vertebra in acute unstable trauma

Year: 2018, volume 14 Issue: №3 Pages: 501-504
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Bazhanov S.P., Ulyanov V.Yu., Ostrovskiy V.V., Likhachev S.V.
Organization:
Summary:

Aim: to study long-term results of posterior anchorage of subaxial vertebra in acute trauma. Material and Methods. We conducted an analysis of long-term results of posterior anchorage of subaxial vertebra in 17 patients with acute unstable trauma which had undergone complex clinical neurological and instrumental investigation, surgical treatment performed from dorsal approach, and the estimation of long-term results in preoperative period. Results. The obtained data indicate the method of transarticular anchorage to be effective and safe and not to have any negative effect on biomechanical properties of cervical spine in the long-term postoperative period. Conclusion. The use of posterior anchorage in acute unstable trauma is most reasonable in subaxial injuries accompagnied by the deformities of medial and posterior spinal columns.

Bibliography:
1 Ardashev IP, Gatin VP, Ardasheva El, et al. Experience of surgical treatment of injuries of middle and lower cervical spine while diving. Traumatology and Orthopedics of Russia 2012; 3 (65): 35-40
2 Vetrile ST, Yundin SV, Krupatkin Al. Surgical treatment of lower cervical spine injuries with primary steel metal constructions. In: Injuries and diseases of cervical spine: Symposium with foreign participants. M., 2004; p. 94-6
3 Protsenko Al, Nikuradze VK, Mekhtikhanov DS. Surgical tactics in treatment of cervical spine injuries. Khirurgiya: Zhurnal imeni N.I. Pirogova 2011; (1): 43-7
4 Bazhanov SP, Ulyanov VYu, Gulyaev DA, et al. Using a dorsal transarticular fixation in traumatic injuries of tne lower cervical spine: "retrospective view". Modern problems of science and education 2016; (5). URL: http://www.science-education.ru/ru/article/view?id=25266 (access date: 09.10.2017)
5 Huang DG, Нао DJ, Не BR, et al. Posterior atlantoaxial fixation: a review of all techniques. Spine journal 2015; 15 (10): 2271-81
6 Magerl F, Grob D, Seemann D. Stable dorsal fusion of the cervical spine (C2-TH1) using hook plates. In: Kehr P, Weidner A, eds. Cervical Spine I. Strasbourg, 1985 New York: Springer-Verlag, 1987; p. 217-21
7 Grin'AA, loffeYuS, Kaznacheev VM, etal. The examination and treatment tactics of patients with acute cervical spine trauma. In: Injuries and diseases of cervical spine: Symposium with foreign participants. M., 2004; p. 87-9
8 Ramikh ЕА. Lower cervical spine injury: diagnosis, classification, treatment. Spine surgery 2005; (3): 8-24
9 L'vov IS, Grin' АА, Kordonskiy AYu. Surgical treatment of patients with trauma of lower cervical spine. Neyrokhirurgiya 2017; (4): 105-11
10 Skovrlj В, Qureshi SA. Minimally invasive cervical spine surgery. Journal of neurosurgical sciences 2017; 61 (3): 325-34.

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