Rezaee Hamid, Keykhosravi Ehsan, Mashhadinejad Mojtaba, Pishjoo Masoud
Department of Neurosurgery, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Neurosurgery, Akbar Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Bull Emerg Trauma. 2021 Jul;9(3):133-137. doi: 10.30476/BEAT.2021.90865.1266.
To investigate the radiological and clinical outcomes of different surgical approaches in cervical spinal trauma in northeastern of Iran.
The present study was conducted retrospectively from January 2011 to December 2017 in Mashhad, Iran. The demographic characteristics, hospitalization duration, and patient's surgery detail data were extracted from the patients' medical records. The follow-up period was at least six months after surgery.
This study was conducted on 72 patients and the majority (n=51; 70.8 %) of them were male. Moreover, the participants; mean age was determined at 40.7±16.5 years. In total, 33 (45.8%), 13(18.1%), and 11 patients (15.3%) were operated using the anterior, posterior, and combined approaches in one round, respectively. It should be mentioned that 15 (20.8%) patients underwent the combined approach in two rounds. Early mortality was observed in 22 (30.6%) patients in the admission period. According to the follow-up X-ray results, the type of approach showed no relationship with non-fusion, malalignment, cage subside, and adjacent disk narrowing (>0.05).
According to the obtained results, there was no significant association between neurological and radiological outcomes among approaches. A high mortality rate was noted in combined surgery at one round, and the posterior approach is the best option when our goal is to correct lordosis.
探讨伊朗东北部颈椎创伤不同手术入路的影像学及临床疗效。
本研究于2011年1月至2017年12月在伊朗马什哈德进行回顾性研究。从患者病历中提取人口统计学特征、住院时间和患者手术详细数据。随访期为术后至少6个月。
本研究共纳入72例患者，其中大多数（n = 51；70.8%）为男性。此外，参与者的平均年龄为40.7±16.5岁。总共有33例（45.8%）、13例（18.1%）和11例患者（15.3%）分别采用前路、后路和一期联合入路进行手术。需要提及的是，15例（20.8%）患者分两期采用联合入路。22例（30.6%）患者在入院期间出现早期死亡。根据随访X线结果，手术入路类型与未融合、畸形排列、椎间融合器下沉及相邻椎间盘狭窄无相关性（>0.05）。
根据所得结果，各手术入路的神经学和影像学疗效之间无显著相关性。一期联合手术的死亡率较高，当我们的目标是矫正脊柱前凸时，后路手术是最佳选择。
