FEATURES OF THE TACTICS OF SURGICAL TREATMENT OF FLEXION-DISTRACTION INJURIES OF THE SUBAXIAL CERVICAL SPINE
https://doi.org/10.14531/ss2017.4.32-38
Abstract
Objective. To analyze results of surgical treatment and correction of deformities associated with flexion-distraction injuries of the subaxial cervical spine.
Material and Methods. A retrospective analysis of treatment results in 78 patients who underwent anterior and combined stabilization of subaxial dislocations in 2010–2016 was carried out. The data of clinical examination and of MRI and MSCT studies were subjected to statistical processing.
Results. Significant (p < 0.05) loss of the achieved intraoperative correction of shearing and kyphotic types of deformities was noted after 3 months in the group of patients with unilateral and bilateral articular process fractures treated by anterior spinal fusion.
Conclusion. Unilateral or bilateral articular process fractures accompanied by bilateral dislocations at the level of damaged spinal segment are risk factors for the loss of post-traumatic deformity correction achieved after isolated anterior stabilization.
About the Authors
Victor V. Rerikh
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan;
Novosibirsk State Medical University
Russian Federation
Russian Federation
DMSc, head of the Department of Spinal Pathology, Novosibirsk Research Institute of Traumatology and Orthopаedics n.a. Ya.L. Tsivyan; professor of traumatology and orthopedics in Novosibirsk State Medical University
Frunze str., 17, Novosibirsk, 630091
Alexey D. Lastevsky
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
researcher in the Department of Spinal Pathology, Novosibirsk Research Institute of Traumatology and Orthopаedics n.a. Ya.L. Tsivyan
Frunze str., 17, Novosibirsk, 630091
Artashes R. Avetisyan
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
MD, PhD, researcher in the Department of Spinal Pathology, Novosibirsk Research Institute of Traumatology and Orthopаedics n.a. Ya.L. Tsivyan
Frunze str., 17, Novosibirsk, 630091
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Review
For citations:
Rerikh V.V., Lastevsky A.D., Avetisyan A.R. FEATURES OF THE TACTICS OF SURGICAL TREATMENT OF FLEXION-DISTRACTION INJURIES OF THE SUBAXIAL CERVICAL SPINE. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2017;14(4):32-38. https://doi.org/10.14531/ss2017.4.32-38
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