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Date Published: 23/12/2021
Abstract Views: 295
Views PDF: 194
DOI: https://doi.org/10.51298/vmj.v507i2.1458
Issue
Vol. 507 No. 2 (2021)
Section
Các bài báo
How to Cite
Hoàng Dương, M. ., Kim Trung, H. ., & Hoàng Long, N. . (2021). TREATMENT OUTCOMES OF LOWER CERVICAL SPINE INJURY BY POSTERIOR APPROACH. Vietnam Medical Journal, 507(2). https://doi.org/10.51298/vmj.v507i2.1458

TREATMENT OUTCOMES OF LOWER CERVICAL SPINE INJURY BY POSTERIOR APPROACH

Mạc Hoàng Dương1, Hà Kim Trung2, Nguyễn Hoàng Long3,
1 Bac Giang General Hospital
2 Hanoi Medical University
3 Vietnam-Germany Friendship Hospital

Main Article Content

Abstract

Cross-sectional descriptive study based on 60 patients with lower cervical spine injury and neurological deficits operated at Vietduc Hospital .The objective was describing demographic characteristics, causes of fractures, first aid, patients’ transportation, some clinical features and treatment outcomes. The mean age was 52,92 +/- 14,84years. Most of the patients were male and 5/5 people of death is male. There was a statistically significant difference in the sex of patients living and dying. The percentage of patients with AIS  A before surgery was 60 % and after surgery reduced to 6,7%. There was a statistically significant difference between the rate of sphincter muscle disorders at the time before and after surgery (p <0.05). And there was a statistically significant difference in the proportion of patients according to AIS classification between the two times before and after surgery (p <0.001). After 6 months, the percentage of patients surviving is over 90%.

Article Details

Keywords

Lower cervical spine injury, neurological deficit, posterior approach

References

1. Hà Kim Trung (1999). Điều trị cột sống cổ dưới bằng phẫu thuật qua đường cổ trước. Tạp chí y học Việt Nam, 225(số 6,7,8), 59-62.
2. J. Lohnert, J. Latal, M. Maly và cộng sự (1996). [Treatment of fractures of the lower cervical spine (C3-C7)]. Bratisl Lek Listy, 97(4), 216-219.
3. P. Leucht, K. Fischer, G. Muhr và cộng sự (2009). Epidemiology of traumatic spine fractures. Injury, 40(2), 166-172.
4. X. X. Yang, Z. Q. Huang, Z. H. Li và cộng sự (2017). Risk factors and the surgery affection of respiratory complication and its mortality after acute traumatic cervical spinal cord injury. Medicine (Baltimore), 96(36), e7887.
5. Y. Robinson, A. L. Robinson và C. Olerud (2015). Complications and survival after long posterior instrumentation of cervical and cervicothoracic fractures related to ankylosing spondylitis or diffuse idiopathic skeletal hyperostosis. Spine (Phila Pa 1976), 40(4), E227-233.
6. K. J. Song và K. B. Lee (2008). Anterior versus combined anterior and posterior fixation/fusion in the treatment of distraction-flexion injury in the lower cervical spine. J Clin Neurosci, 15(1), 36-42.
7. D. A. Taggard và V. C. Traynelis (2000). Management of cervical spinal fractures in ankylosing spondylitis with posterior fixation. Spine (Phila Pa 1976), 25(16), 2035-2039.
8. T. Liebscher, A. Niedeggen, B. Estel và cộng sự (2015). Airway complications in traumatic lower cervical spinal cord injury: A retrospective study. J Spinal Cord Med, 38(5), 607-614.
9. Y. Yukawa, F. Kato, K. Ito và cộng sự (2009). Placement and complications of cervical pedicle screws in 144 cervical trauma patients using pedicle axis view techniques by fluoroscope. Eur Spine J, 18(9), 1293-1299.