RESULTS OF PATIENTS WITH SUBAXIAL CERVICAL INJURIES TREATED WITH ANTERIOR CERVICAL CORPECTOMY AND FUSION (ACCF) AT VIET DUC HOSPITAL
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Abstract
Objective: To evaluate the outcomes of lower cervical spine trauma surgery treated by anterior 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: Among the 32 patients in our study, there was significant improvement in symptoms of neck pain and radicular pain. Postoperative results were rated as good and moderate in 62.5% of cases. Full or partial recovery of sphincter control was achieved in 42.9% of cases. Common postoperative complications included urinary tract infections and pressure ulcers, primarily in the group of patients with complete spinal cord injuries. The mortality rate was low, at 3.1%. A high rate of good postoperative alignment was achieved in 96.9% of cases, with a high fusion rate of 90.6%. Conclusion: Lower cervical spine trauma is a severe injury. Patients who underwent anterior corpectomy and fusion showed significant clinical and radiological improvements. Common postoperative complications included pressure ulcers and urinary infections, with a low mortality rate primarily due to respiratory failure and pneumonia.
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.
