Neurological deterioration after posterior fixation surgery for traumatic cervical spine fractures

DOI

Bibliographic Information

Other Title
  • 頚椎損傷に対する後方固定術後症状悪化例の検討

Abstract

<p>Introduction: This study aimed to investigate the incidence and clinical characteristics of neurological deterioration after posterior fixation surgery for cervical spine injuries.</p><p>Methods: We retrospectively reviewed 51 patients (12 women and 39 men) with traumatic cervical fractures or dislocations who underwent posterior fixation surgery at our hospital between April 2015 and March 2022. Of these, 37 patients had cervical fractures and 14 had cervical dislocations or subluxations without fractures.</p><p>Results: Of the 51 patients, 9 (18%) showed neurological deterioration after cervical posterior fixation surgery. Six patients had C5 palsy, 2 experienced other nerve root palsies, and 1 experienced severe tetraplegia. Additional surgeries were performed on 4 patients (8%), with 3 patients undergoing foraminotomy and 1 undergoing laminectomy. Two of the procedures were performed on the same day as the posterior fixation surgery.</p><p>Conclusion: Surgeons should be aware that patients with cervical spine injuries who undergo posterior fixation surgery have a relatively high frequency of neurological deterioration.</p>

Journal

  • Journal of Spine Research

    Journal of Spine Research 15 (4), 700-706, 2024-04-20

    The Japanese Society for Spine Surgery and Related Research

Keywords

Details 詳細情報について

  • CRID
    1390581378931810176
  • DOI
    10.34371/jspineres.2024-0403
  • ISSN
    24351563
    18847137
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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