Comparison of the technique of anterior cervical distraction and screw elevating-pulling reduction and conventional anterior cervical reduction technique for traumatic cervical spine fractures and dislocations

Li, Haoxi; Huang, Yu‐Feng; Cheng, Changzhi; Lin, Zhenlang; Wu, Desheng

doi:10.1016/j.ijsu.2017.02.057

Cited by 6 publications

(2 citation statements)

References 24 publications

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“…Although several studies exist on cervical fractures, spinal cord injury, and early surgery,[15161823] our study focuses on patients who meet all four criteria: spinal cord injury, subaxial vertebral body fracture, anterior-only surgical approach, and no use of preoperative traction. Our study is novel in that it proposes rapid anterior surgical correction of spinal instability in the case of spinal cord injury.…”

Section: Discussionmentioning

confidence: 99%

Early ventral surgical treatment without traction of acute traumatic subaxial cervical spine injuries

Gattozzi¹,

Yekzaman²,

Jack³

et al. 2018

Surg Neurol Int

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Background:Spinal cord decompression after cervical spinal cord injury (SCI) is the standard of care. However, there is a lack of consensus regarding the optimal management of these injuries, including the role of traction and timing of surgery. Here, we report the safety/efficacy of ventral surgery without preoperative traction for intraoperative fracture reduction following acute cervical SCI.Methods:We prospectively collected a series of patients who sustained acute traumatic subaxial cervical (C3–7) spine fractures between 2004 and 2016. Patients underwent anterior cervical decompression and fusion within 24 h of injury without the utilization of preoperative traction.Results:Thirty-six patients (27 male, 9 female), averaging 35 years of age, sustained 25 motor-vehicle accidents, 4 sports-related injuries, and 7 falls. Fracture dislocations were seen in 26 patients, whereas burst fractures were seen in 10. The majority of injuries occurred at the C4–5 (13 patients) and C5–6 (13 patients) levels. Complete SCI occurred in 10 patients, and incomplete SCI in 26 patients. All patients underwent anterior surgery only; 16 required vertebrectomy in addition to anterior cervical discectomy and fusion. Intraoperative reduction was achieved in all patients using a Cobb elevator or distraction pins without the use of preanesthesia traction. There were no intraoperative complications. Postoperatively, there were one postoperative hematoma, two wound/hardware revisions, one subsequent posterior fusion, and one reoperation anteriorly after screw pullout. The average hospital length of stay was 10.6 days (range 1–39).Conclusion:Early direct surgical stabilization/fusion for acute SCI because of subaxial cervical spine fractures is both safe and effective in selected cases when performed anteriorly without preoperative traction in select cases.

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Section: Discussionmentioning

confidence: 99%

Early ventral surgical treatment without traction of acute traumatic subaxial cervical spine injuries

Gattozzi¹,

Yekzaman²,

Jack³

et al. 2018

Surg Neurol Int

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“…In 2017, Li et al 58 believed that the conventional anterior approach techniques still had many disadvantages. Attention should be paid to intervertebral instrument insertion depth and the prevention of secondary spinal cord injury caused by instantaneous springing at the time of reduction.…”

Section: Table 1 Summary Of Close Reduction Techniques For Lower Cerv...mentioning

confidence: 99%

Reduction of Lower Cervical Facet Dislocation: A Review of All Techniques

Liu¹

2023

Neurospine

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Objective: The surgical treatment of lower cervical facet dislocation is controversial. Great advancements on reduction techniques for lower cervical facet dislocation have been made in the past decades. However, there is no article reviewing all the reduction techniques yet. The aim is to review the evolution and advancements of the reduction techniques for lower cervical facet dislocation.Methods: The application of all reduction techniques for lower cervical facet dislocation, including closed reduction, anterior-only, posterior-only, and combined approach reduction, is reviewed and discussed. Recent advancements on the novel techniques of reduction are also described. The principles of various techniques for reduction of cervical facet dislocation are described in detail.Results: All reduction techniques are useful. The anterior-only surgical approach appears to be the most popular approach. Moreover, many novel or modified reduction and fixation methods have been introduced in recent years.Conclusion: The selection of surgical approach depends on a combination of factors, including surgeon preference, patient factors, injury morphology, and inherent advantages and disadvantages of any given approach.

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Comparison of a novel anterior-only approach and the conventional posterior–anterior approach for cervical facet dislocation: a retrospective study

Liu

2019

Eur Spine J

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Comparison of the technique of anterior cervical distraction and screw elevating-pulling reduction and conventional anterior cervical reduction technique for traumatic cervical spine fractures and dislocations

Cited by 6 publications

References 24 publications

Early ventral surgical treatment without traction of acute traumatic subaxial cervical spine injuries

Early ventral surgical treatment without traction of acute traumatic subaxial cervical spine injuries

Reduction of Lower Cervical Facet Dislocation: A Review of All Techniques

Comparison of a novel anterior-only approach and the conventional posterior–anterior approach for cervical facet dislocation: a retrospective study

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