A Prospective Study to Assess the Functional Outcome Following Surgical Fixation for Subaxial Cervical Spine Injuries: An Institutional Based Study
Keywords:Cervical Injury, Fusion, Flexion distraction, Surgical approach.
Background: Cervical spine injuries are one of the common causes of serious morbidity mortality following trauma. Early recognition, immobilization, preservation of spinal cord function, and stabilization are the initial management of patients with cervical spine injuries. We have done the procedure of decompression and fusion with cervical H plate for the subaxial cervical spine injuries. The aim of this study to assess the functional outcome, following surgical fixation for subaxial cervical spine injuries. Materials & Methods: It is a prospective study involving 25 patients who are all admitted with subaxial cervical spine injuries and amenable to intervention in our Department of Orthopaedics and Traumatology, Patna Medical College, Bihar, India during August 2020 to August 2021. Cervical injuries were classified by using standard classification system i.e Allen Fergueson classification. Patients were assessed and surgical procedure planned. Results: In this study majority of cases were males and mean age of patients was 47.8 years. Fall from height is the most common of injury followed by road traffic accident. Incomplete neurological deficit is more common. Most of the cases are flexion distraction type of violence. C5-C6 # dislocation is most common spinal injury pattern. Only 2 cases of 25 cases operated by global fusion, both of them are presented late and found to have locked facets. Mobilization of neck started after 6 weeks. Conclusion: We concluded that early surgical stabilization of subaxial cervical spine injuries had good functional outcome, provided detailed clinical and radiological assessment, proper preoperative planning, selection of surgical approaches, precision in surgical techniques and early rehabilitation program are needed in achieving good results and minimizing complications.
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Copyright (c) 2021 Sheetanshu Shekhar, Parimal Bhaskar, Pappu Kumar, Priya Ranjan, Vijay Kumar
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