Operative treatment for old traumatic deformity of cervical spine...One staged anterior-posterior decompression and fusion.:One Staged Anterior-Posterior Decompression and Fusion

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One staged anterior-posterior decompression and fusion for the old traumatic deformity of cervical spine are evaluated. Ten cases of the old traumatic deformity of cervical spine were operated on. Nine are male and one is female. The type of injuries are as follows; six fracture-dislocations, three burst fractures, and one subluxation. Average length for operation is about 4 months. Operative methods are as follows; one staged anterior-posterior decompression and fusion in eight cases, anterior decompression and fusion in two cases (Hallo brace was used in one, and A. O. cervical plate were used in the other). The following results are obtained; pre-operative kyphotic angle ranged from -4.5° to 43.5° (average; 22.9°), post-operative kyphotic angle ranged from 2° to -5°(average -1.95°), pre-operative translation ranged from 0mm to 5mm (average 1.0mm). None of the cases deteriorated neurologically following the operation. Indications for our treatment to the old traumatic deformity of cervical spine are; 1) pain which causes ADL disturbances, 2) deformity, local kyphosis, locked facet, and 3) neurological deficit. The authors recommend that one staged anterior-posterior decompression and fusion is useful for the treatmentof old traumatic deformity of cervical spine.
西日本整形・災害外科学会の論文