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Anterior cervical fixation in type-II traumatie spondylolisthesis of the axis : a report of eighteen cases, and diseussing the rationale of management
Other Title(s)
التثبيت العنقي الأمامي للنوع الثاني من حالات إصابات التزحلق الفقاري للفقرة العنقية الثانية : تقرير عن ثمانية عشرة حالة و مناقشة طرق العلاج
Source
Suez Canal University Medical Journal
Issue
Vol. 5, Issue 2 (31 Mar. 2002), pp.91-101, 11 p.
Publisher
Suez Canal University Faculty of Medicine
Publication Date
2002-03-31
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Introduction: Most traumatic spondylolisthesis of the axis fractures are treated conservatively.
If surgery is indicated, an anterior approach using a C2/C3 graft and plate fusion is usually preferred.
Direct transpedicular osteosynthesis according to Judet though a physiological operation that creates anatomical conditions caries a high risk of spinal cord damage or vertebral artery tear.
The treatment choices depend basically on Effindi's fracture typing and Francis' fracture grading.
Methods/Results: Eighteen adult consecutive patients with type-II traumatic spondylolisthesis of the axis were included retrospectively in this study.
The average age was 32.5 years.
Fourteen were males and 4 were females.
The cause of in]ury in all patients was a road traffic accident but in 2 patients was a fell.
Freoperatively, all patients were neurologically intact but two; one was tetra paretic, the other one was atypical Brown Sequard's syndrome.
Associated head trauma Was reported in 5 patients, and other cervical fractures in 5 patients.
All patients were treated primarily with anterior C2/C3 auto graft and plating after closed reduction.
Reduction was complete and healing was uneventful in all patients.
There were no reported morbidity or mortality.
Hospital stay was ( 8 days in 15 patients including the time of closed reduction.
Both paretic patients recovered with minimal Conclusions.
Froper typing and grading of hangman's fractures is mandatory for a better management.
Early surgical fusion is recommended for hangman's fractures of the Effendi-type II, III.
Anterior plating is a simple effectivechoice fer hangman's fractures.
It shortens hospital stay and skeletal tractions time.
American Psychological Association (APA)
Abu Madawi, Ali& Matar, Amjad& al-Najjar, Ala& Mustafa, Midhat& Najm, Nadir& al-Sayyid, Abd al-Azim…[et al.]. 2002. Anterior cervical fixation in type-II traumatie spondylolisthesis of the axis : a report of eighteen cases, and diseussing the rationale of management. Suez Canal University Medical Journal،Vol. 5, no. 2, pp.91-101.
https://search.emarefa.net/detail/BIM-393262
Modern Language Association (MLA)
Matar, Amjad…[et al.]. Anterior cervical fixation in type-II traumatie spondylolisthesis of the axis : a report of eighteen cases, and diseussing the rationale of management. Suez Canal University Medical Journal Vol. 5, no. 2 (Mar. 2002), pp.91-101.
https://search.emarefa.net/detail/BIM-393262
American Medical Association (AMA)
Abu Madawi, Ali& Matar, Amjad& al-Najjar, Ala& Mustafa, Midhat& Najm, Nadir& al-Sayyid, Abd al-Azim…[et al.]. Anterior cervical fixation in type-II traumatie spondylolisthesis of the axis : a report of eighteen cases, and diseussing the rationale of management. Suez Canal University Medical Journal. 2002. Vol. 5, no. 2, pp.91-101.
https://search.emarefa.net/detail/BIM-393262
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 99-100
Record ID
BIM-393262