Article Sidebar
Views pdf: 40
CLINICAL FEATURES AND IMAGING DIAGNOSIS IN PATIENTS WITH SUBAXIAL CERVICAL INJURIES TREATED WITH ANTERIOR CERVICAL CORPECTOMY AND FUSION (ACCF) AT VIET DUC HOSPITAL
Main Article Content
Abstract
Objective: To describe the clinical and paraclinical characteristics of patients with lower cervical spine injuries treated with anterior cervical corpectomy and fusion at Viet Duc University Hospital. Methods: This is a retrospective and prospective descriptive study involving 32 patients with lower cervical spine injuries who underwent anterior cervical corpectomy and fusion at the Spine Surgery Department, Viet Duc University Hospital, from January 2021 to December 2023. Results: The study included 32 patients with a male-to-female ratio of 1.46:1 and an average age of 45.3±14.7 years. The most common occupation was laborer (43.7%). Traffic accidents were the leading cause, accounting for 37.5% of cases. Among the 32 patients, the majority experienced cervical spine pain (93.7%). The most commonly affected vertebra was C6 (37.5%), while the least affected vertebra accounted for 3.1% of cases. Isolated cervical spine injuries without associated injuries were most common, accounting for 53.2%, with the most common associated injury being limb fractures (28.1%). Sensory disturbances were the most frequent neurological issue, seen in 53.1% of cases, while sphincter disturbances were present in 43.7%. According to the ASIA classification, the highest percentage of neurological injuries was found in categories A and D (25%). On X-rays, total vertebral body fractures were most common (50%). On CT scans, vertebral body fractures with three or more fragments were most frequent (50%). MRI showed that all patients had disc injuries (100%). Conclusion: The most common clinical symptom in patients with lower cervical spine injuries was cervical spine pain, with the highest percentage of neurological injuries classified as ASIA A and D. On X-rays and CT scans, total vertebral body fractures were most frequent. MRI revealed that disc injuries were present in all cases.
Article Details
Keywords
: Subaxial Cervical Injury, Cervical Injury, ACCF
References
2. Hà Kim Trung (2001), “Đường cổ trước bên trong phẫu thuật bệnh lý CSC”, Tạp chí ngoại khoa, Số 3 - 2001, tập XL VII, Tr 20- 23.
3. HaorLD Ellis (2001), “Giải phẫu lâm sàng cột sống và tủy sống”, Nguyễn Quang Huy dịch, Nhà xuất bản Y Học, tr 370- 384.
4. Allyson I., Isidoro Z., Jigar T., Marc A., (2006), “Biomechanical evaluation of surgical constructs for stabilization of cervical Tear- drop fractures”, The Spine Journal, Vol 6, p 514-523.
5. Andrew H.M., Casey H.H., Wensheng G., Shermam C.S., (2008), “Prevalence of cervical spine injury in trauma”, Neurosurg Focus, vol 25, E 10, 2008.
6. Charles H. Bill II and Vanessa L. Harkins (2003), “Spinal Cord Injuries”, Principles and practice of Emergency Neurology, Handbook for Emergency Physicians. Cambridge University Press 2003, p 268-303.
7. Christopher P.S., Mark C.N., Alexander V., Jerome M.C (2000), “Traumatic Injuries of the Adull Upper Cervical Spine”, Surgery of Spinal Trauma, Chapter 7, pp 179- 214.
8. David F. A., (2000), “Medical Management and Rehabilitation of the Spine Cord Injured Patient”, Surgery of spinel trauma, Chapter 6, pp 157- 178. Injury Extra, Vol 38, pp 317- 319.
9. Izumi K., Yoshinobu I., Hiroshi A., (2000), “Acute cervical cord injury without fracture or dislocation of the spine colunmn”, J Neurourg: Spine, Vol 93, pp 15- 20.
10. Song KJ., Lee KB., (2007), “Anterior versus combined anterior and posterior fixation/ fusion in thr treatment of distraction- flexion injury in the lower carvical spine”, Journal of Clinical Neuroscience, Vol 15, pp 36- 42.