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VOL. 3, ISSUE 3 (2021)
Evaluation of outcomes of operated cervical spine injuries: A retrospective analysis
Authors
Rahul Kumar Singh, Chhewang Topgia, Abhishek Pandey
Abstract
Background: Cervical spinal cord injuries represent 20–33% of total spinal injuries with the prevalence of the subaxial levels. Aim: This study aimed to evaluated outcome of operated subaxial cervical spine injuries. Methods: This study included retrospective analysis of patients with subaxial cervical spine injuries admitted and operated before 2016. The patients with subaxial cervical spine injuries with SLIC score ≥4, relative sagittal plane translation >3.5 mm, relative sagittal plane rotation >11 degrees, and/or 3 columns injury and two columns injury with neurological deficit were included. Patients medically unfit for surgery, operated through posterior approach, SLIC scores <3, and with single and two columns injury without neurological deficit, were excluded. Results: Forty-one patients were included in the study. In this study, 39% patients had compressive flexion followed by distractive flexion (24.4%), and vertical compression (19.5%), majority of fractures were type B (53.66%) followed by type C (43.90%), and type 1 (2.44%) fractures. Fracture was the most common injury (46.34%) followed by post-traumatic disc prolapse without significant bony injury (26.83%), pure subluxation (14.63%), and fracture dislocation (12.20%). Retropulsed fragment was present in 34.15% patients, 53.7% had ruptured disc, ALL and PLL was intact in 61% and 12% patients respectively. 29.3% patients had no disability while 61% had mild disability. Only 9.7% patients had moderate disability. None of the patients had severe or complete disability. 68.3% were in Bridwell fusion grade 1 followed by 29.3% in grade 2, and 2.44% in grade 3. Transient dysphagia was the only complication in 70.7% patients. Remaining patients had no complications. Conclusion: Cervical spinal cord injuries patients after operation have better functional, neurologic, and radiologic outcome.
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Pages:13-15
How to cite this article:
Rahul Kumar Singh, Chhewang Topgia, Abhishek Pandey "Evaluation of outcomes of operated cervical spine injuries: A retrospective analysis ". International Journal of Orthopaedics Research, Vol 3, Issue 3, 2021, Pages 13-15
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