Surgical Management of Sub-Axial Cervical Spinal Injuries - A Short Term Study
DOI:
https://doi.org/10.7439/ijbar.v10i7.5250Keywords:
Sub-axial, Cervical, Trauma, Decompression, Fusion, Titanium, Anterior, Corpectomy, TricorticalAbstract
Background: Acute sub-axial cervical spine injuries following trauma remain a common problem. The management of injuries is either conservative or surgical. The present study was carried out with an objective to assess the clinical and functional outcome of anterior cervical decompression and fusion (ACDF) with stabilization using locking titanium anterior cervical plate.
Method: Total 20 patients of spinal cord injury were selected for the study. Preoperatively, all the patients were evaluated by ASIA grading and radiologically by X- ray, CT and MRI. ACDF for dislocations (14 cases) and anterior corpectomy and fusion (6 cases) for fractures was done by using tricortical iliac graft with stabilization by locking anterior cervical plate.
Results: The majority of patients (14; 70%) had incomplete spinal cord injuries including ASIA grade B and C while only 6 (30%) patients had complete cord injury. The most common level of injury was C5-C6 (30%) followed by C4-C5 and C6-C7 (25%). There was no recovery and one death observed in the complete (ASIA
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