文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

下颈椎损伤:前路椎体次全切除及内固定术后的疗效

Subaxial Cervical Spine Injuries: Outcomes after Anterior Corpectomy and Instrumentation.

作者信息

Madan Ankit, Thakur Manoj, Sud Sachin, Jain Vaibhav, Singh Thakur Rudra Pratap, Negi Virender

机构信息

Department of Orthopaedics, Indira Gandhi Medical College, Shimla, Himachel Pardesh, India.

出版信息

Asian J Neurosurg. 2019 Jul-Sep;14(3):843-847. doi: 10.4103/ajns.AJNS_331_17.


DOI:10.4103/ajns.AJNS_331_17
PMID:31497112
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6702992/
Abstract

STUDY DESIGN: This is prospective study. PURPOSE: The purpose of this study is to assess the functional, neurological, and radiological outcomes of the patients of subaxial cervical spine injuries treated by anterior corpectomy and stabilization with anterior cervical locking plate and cage filled with bone. OVERVIEW OF THE LITERATURE: The principles in the treatment of unstable cervical spine injuries are reduction and stabilization of the injured segment, maintenance of cervical lordosis and decompression where indicated and ranges from nonoperative to combined anterior and posterior surgical fusion. There is, however, debate on the indications for anterior, posterior, or combined surgery. MATERIALS AND METHODS: The present study of 99 patients includes prospective patients of subaxial cervical spine injuries between February 2014 and February 2016 admitted and operated to Indira Gandhi Medical College, Shimla. Bony fusion, neurological recovery, Neck Disability Index and complication were studied in all patients. The mean follow-up period was 27 months (range 12-42 months). RESULTS: Of the 99 procedures, 77 (77.8%) involved a single vertebral level, 19 (19.2%) involved two levels, and 3 (3%) involved three levels corpectomy. The mean Neck Disability Index was 7.57 ± 5.42. Definitive Bridwell Grade 1 fusion was seen in 64.6% of the cases. No deterioration of neurological symptoms was seen. Dysphagia was the most common complication in 79 (79.8%) patients. One patient had minimal screw back out. CONCLUSIONS: Anterior cervical corpectomy and stabilization with cage filled with bone and cervical reflex locking plate are good method for subaxial cervical spine injuries with good fusion rates and probably procedure of choice for posttraumatic multiple disc prolapse with reduced hazards of multiple grafts.

摘要

研究设计:这是一项前瞻性研究。 目的:本研究的目的是评估接受前路椎体次全切除并采用前路颈椎锁定钢板及植骨融合器进行稳定手术的下颈椎损伤患者的功能、神经及影像学结果。 文献综述:治疗不稳定颈椎损伤的原则是对损伤节段进行复位和稳定,维持颈椎前凸,并在必要时进行减压,治疗方法从非手术治疗到前后联合手术融合不等。然而,对于前路、后路或联合手术的适应症仍存在争议。 材料与方法:本研究纳入了99例患者,为2014年2月至2016年2月期间在西姆拉英迪拉·甘地医学院收治并接受手术的下颈椎损伤患者。对所有患者进行了骨融合、神经功能恢复、颈部功能障碍指数及并发症的研究。平均随访时间为27个月(范围12 - 42个月)。 结果:在99例手术中,77例(77.8%)涉及单个椎体节段,19例(19.2%)涉及两个节段,3例(3%)涉及三个节段的椎体次全切除。平均颈部功能障碍指数为7.57±5.42。64.6%的病例实现了明确的Bridwell 1级融合。未观察到神经症状恶化。吞咽困难是79例(79.8%)患者中最常见的并发症。1例患者出现轻微螺钉松动。 结论:前路颈椎椎体次全切除并采用植骨融合器及颈椎锁定钢板进行稳定手术是治疗下颈椎损伤的良好方法,融合率高,可能是创伤后多节段椎间盘突出伴多节段植骨风险降低的首选手术方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1462/6702992/e185ba035208/AJNS-14-843-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1462/6702992/7f3b37d7d7fe/AJNS-14-843-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1462/6702992/bb958d506f8b/AJNS-14-843-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1462/6702992/542986af8c0c/AJNS-14-843-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1462/6702992/69979f0d0b8e/AJNS-14-843-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1462/6702992/e185ba035208/AJNS-14-843-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1462/6702992/7f3b37d7d7fe/AJNS-14-843-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1462/6702992/bb958d506f8b/AJNS-14-843-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1462/6702992/542986af8c0c/AJNS-14-843-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1462/6702992/69979f0d0b8e/AJNS-14-843-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1462/6702992/e185ba035208/AJNS-14-843-g005.jpg

相似文献

[1]
Subaxial Cervical Spine Injuries: Outcomes after Anterior Corpectomy and Instrumentation.

Asian J Neurosurg. 2019

[2]
Functional Outcomes of Subaxial Spine Injuries Managed With 2-Level Anterior Cervical Corpectomy and Fusion: A Prospective Study.

Neurospine. 2018-12

[3]
Results of surgical treatment for degenerative cervical myelopathy: anterior cervical corpectomy and stabilization.

Spine (Phila Pa 1976). 2004-11-15

[4]
Efficacy, Safety, and Reliability of the Single Anterior Approach for Subaxial Cervical Spine Dislocation.

Cureus. 2023-2-8

[5]
Outcomes of Unstable Subaxial Cervical Spine Fractures Managed by Posteroanterior Stabilization and Fusion.

Asian Spine J. 2018-6

[6]
Clinical and radiological outcomes of one-level cervical corpectomy with an expandable cage for three-column uncomplicated subaxial type «B» injures: a multicenter retrospective study.

Eur Spine J. 2023-5

[7]
Mid- to long-term outcome of instrumented anterior cervical fusion for subaxial injuries.

Eur Spine J. 2009-5

[8]
Comparison of anterior cervical fusion after two-level discectomy or single-level corpectomy: sagittal alignment, cervical lordosis, graft collapse, and adjacent-level ossification.

Spine J. 2009-10-21

[9]
Anterior cervical discectomy and fusion with structural allograft and plates for the treatment of unstable posterior cervical spine injuries.

J Neurosurg Spine. 2009-2

[10]
Biomechanical comparison of cervical spine reconstructive techniques after a multilevel corpectomy of the cervical spine.

Spine (Phila Pa 1976). 2003-10-15

引用本文的文献

[1]
Clinical and Radiological Outcome of Anterior Only Stabilization for AO Type B and C Subaxial Cervical Spine Injury: An Observational Study.

JNMA J Nepal Med Assoc. 2025-1

[2]
Craniocervical Junction and Upper Cervical Spine Fractures: Historical Systems and Advancements with the AO Spine Classification.

Global Spine J. 2025-6-17

[3]
Safety of anterior cervical corpectomy and fusion (ACCF) for the treatment of subaxial cervical spine injuries, a single center comparative matched analysis.

Acta Neurochir (Wien). 2024-7-3

[4]
Clinical and radiological outcomes of one-level cervical corpectomy with an expandable cage for three-column uncomplicated subaxial type «B» injures: a multicenter retrospective study.

Eur Spine J. 2023-5

本文引用的文献

[1]
Cervical injuries scored according to the Subaxial Injury Classification system: An analysis of the literature.

J Craniovertebr Junction Spine. 2014-4

[2]
Treatment of subaxial cervical spinal injuries.

Neurosurgery. 2013-3

[3]
Cervical spine trauma.

Indian J Orthop. 2007-10

[4]
The efficacy of the synthetic interbody cage and Grafton for anterior cervical fusion.

Spine (Phila Pa 1976). 2009-8-1

[5]
Comparison between anterior cervical discectomy fusion and cervical corpectomy fusion using titanium cages for reconstruction: analysis of outcome and long-term follow-up.

Eur Spine J. 2009-5

[6]
Mid- to long-term outcome of instrumented anterior cervical fusion for subaxial injuries.

Eur Spine J. 2009-5

[7]
Guidelines for the management of acute cervical spine and spinal cord injuries.

Clin Neurosurg. 2002

[8]
Distribution and patterns of blunt traumatic cervical spine injury.

Ann Emerg Med. 2001-7

[9]
Central cord injury complicating acute cervical disc herniation in trauma.

Spine (Phila Pa 1976). 2000-2-1

[10]
Increased fusion rates with cervical plating for two-level anterior cervical discectomy and fusion.

Spine (Phila Pa 1976). 2000-1

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索