Neurosurgical Outcome of Combined Anterior-Posterior Approaches for Sub-Axial Cervical Spine Injury: A Retrospective Analysis | ||||
| The Medical Journal of Cairo University | ||||
| Article 1, Volume 90, Issue 3, March 2022, Page 1-12 PDF (1.02 MB) | ||||
| DOI: 10.21608/mjcu.2022.234584 | ||||
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| Authors | ||||
| AHMED A.A. ABDULLAH, M.D.; SAMEH A. HELAL, M.Sc.; AMR A.A. M. ELKATATNY, M.D. | ||||
| The Department of Neurosurgery, Faculty of Medicine, Cairo University | ||||
| Abstract | ||||
| Abstract Background: Acute subaxial cervical spine injuries fol-lowing trauma remain a common problem. These injuries are often associated with neurological deficits on presentation. Individual subaxial cervical spine injuries represent a wide spectrum of damage to the anatomic structures of the neck, including fractures, ligamentous injury, and disk disrup-tion, often with injury to the cervical spinal cord and nerve roots. Several authors have reported series of patients treated with a combination of anterior and posterior decompression, but they did not differentiate outcomes between the anterior standalone and anterior and posterior techniques. Aim of Study: The aim of the study to present clinical and radiological outcomes of patients who were operated by combined anterior-posterior approach for unstable subaxial cervical spine injury. Patients and Methods: The study included the 40 patients admitted to emergency unit of Neurosurgery Department at Cairo University from 2016 to 2018 and operated with this procedure. Results: Improvement of the neurological state occurred only in 15 patients with percentage of 37.5%. Other 25 patients showed no improvement with percentage of 62.5%. Conclusion: Circumferential stabilization and fusion in unstable subaxial cervical spine fractures gives an opportunity for the complete posterior and anterior de-compression of the cervical cord providing good results in alignment, fusion, and neurological recovery, we could not find any absolute con-traindication for a combined approach in our study. | ||||
| Keywords | ||||
| Subaxial cervical spine trauma; Fracture; Ligamentous injury; Classification system | ||||
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