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Date Published: 17/03/2023
Abstract Views: 170
Views PDF: 123
DOI: https://doi.org/10.51298/vmj.v524i1A.4636
Issue
Vol. 524 No. 1A (2023)
Section
Các bài báo
How to Cite
Hoàng, G. D. ., & Nguyễn, V. T. . (2023). ASSESSMENT OF SURGICAL RESULTS C1-C2 INSTABILITY AT BACH MAI HOSPITAL. Vietnam Medical Journal, 524(1A). https://doi.org/10.51298/vmj.v524i1A.4636

ASSESSMENT OF SURGICAL RESULTS C1-C2 INSTABILITY AT BACH MAI HOSPITAL

Gia Du Hoàng1,, Văn Trung Nguyễn1
1 Bach Mai hospital

Main Article Content

Abstract

Objective: To evaluate the treatment results of patients with C1-C2 instability who underwent surgery at Bach Mai hospital. Subjects and methods: Retrospective study of 34 patients diagnosed with C1-C2 instability and operated from October 2017 to October 2019 at Bach Mai Hospital. Results: The average age of the study group was 47,77, and the most common surgical method was the Harms technique with 25 patients, accounting for 73,52%. There are 23,53% of patients having to have an arcectomy after C1 decompression; 100% of patients received bone grafting with homogenous bone graft, and the bone healing rate was 94,12%. There were 6 complications (17.65%) recorded during and after surgery including 1 case of C2 root damage (2.9%), 2 cases of screwing into the spinal canal (5.9%), 3 cases of tearing of the venous plexus (8.8%), 1 case of wound infection, 1 case of pneumonia. Good and very good treatment results reached 97.06%, with 1 patient (2.94%) achieving average results. Conclusion: Surgical treatment of unstable C1-C2 lesions initially gave good results; Bone grafting with artificial bone gives a high healing rate, comparable to other methods.

Article Details

Keywords

C1-C2 instability, C1-C2 fixation surgery, homogenous bone graft

References

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