MANAGEMENT OF SUBAXIAL CERVICAL SPINE FRACTURES WITH ANTERIOR CERVICAL CORPECTOMY AND ANTERIOR PLATING-SINGLE CENTER EXPERIENCE
Journal of Turkish Spinal Surgery, cilt.34, sa.4, ss.168-173, 2023 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 34 Sayı: 4
- Basım Tarihi: 2023
- Doi Numarası: 10.4274/jtss.galenos.2023.61687
- Dergi Adı: Journal of Turkish Spinal Surgery
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.168-173
- Anahtar Kelimeler: cervical fracture, Cobb angle, Corpectomy, outcome
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Anterior cervical corpectomy and fusion (ACCF) is a surgical treatment option for cervical trauma. It is usually preferred to better decompress the spinal cord and preserve cervical alignment. Meanwhile, there are some contradictions regarding the indications of this procedure. The aim of this study was to present our series on the use of ACCF in subaxial cervical traumas. Materials and Methods: The data of 20 patients who underwent ACCF for subaxial cervical trauma between 2016 and 2021 were retrospectively reviewed. The demographic, clinical, and radiological characteristics of the patients were collected and presented in detail. American Spinal Injury Association (ASIA) scores and Cobb's angles were statistically compared for the pre- and postoperative periods. Results: The mean age was 48.7 (23-78) years. The female/male ratio was 1/5. The most common type of trauma was motor vehicle accident (55%), followed by falls and diving traumas. The most frequently affected level was C6. All cases underwent single-level ACCF, and anterior plating was performed after the placement of an expandable titanium cage. Cobb's angles and ASIA scores were significantly improved in all patients. Conclusion: ACCF is a good option for subaxial cervical fractures to obtain better clinical and radiological outcomes. It has less complication risk and provides excellent cervical alignment. Further clinical studies with larger series are needed to demonstrate the efficacy of this procedure.