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| Clinical effect of anterior approach surgery in the treatment of fracture and dislocation of lower cervical spine combined with spinal cord injury |
| SHAO Chuanqiang LIU Yong |
| No.2 Department of Orthopaedics, Baoji Central Hospital, Shaanxi Province, Baoji 721008, China |
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Abstract Objective To explore the clinical effect of anterior approach in the treatment of fracture and dislocation of lower cervical spine combined spinal cord injury. Methods A total of 30 patients with fracture and dislocation of lower cervical spine combined spinal cord injury admitted to Baoji Central Hospital from January 2010 to March 2017 were selected. All the patients were treated with anterior cervical decompression and reduction, bone graft fusion, and internal fixation. The postoperative cervical curvature, bone graft fusion degree and recovery of nerve function were evaluated. Results All patients were followed up for 12 to 24 months, with an average of (13.5±1.5） months. Bone graft fusion was achieved in all patients within 6 months postoperatively. The cervical intervertebral height and the physiological curvature maintained satisfactory. No looseness or breakage was detected in the internal fixation. The Cobb angle after operation for 6 months was significantly better than that before operation, the difference was highly statistically significant (P = 0.000）. According to the Frankel classification, degree B to D patients had improvement in the posfoperative nerve function while degree A and D patients had no obvious changes. The JOA scores of all the patients increased after operation compared with that before operation, with highly statistically significant difference (P = 0.000）. Conclusion Anterior cervical decompression combined with bone graft fusion and internal fixation approach in treating lower cervical fracture-dislocation with spinal cord injury could reconstruct the stability of cervical spine, restore the normal cervical curve and height, effectively relieve spinal cord compression, and promote the recovery of spinal cord nerve function.
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