ANTERIOR DECOMPRESSION, FUSION AND PLATING IN CERVICAL SPINE INJURY: OUR EARLY EXPERIENCE

Riaz A. Raja, Asadullah Makhdoom, Aftab Ahmed Qureshi

Abstract


Objective: To evaluate the efficacy of anterior cervical decompression, fusion and titanium plate
fixation in sub axial cervical spine injuries in respect of neurological outcome, postoperative stability
and early rehabilitation. The Descriptive case series study was conducted at Department of
Neurosurgery, Liaquat University Hospital, Jamshoro, Sindh Pakistan during year 2005 to 2007.
Methods: Patients with cervical spine injuries were admitted during study period were included in
this study. All cases were evaluated for their clinical features. During initial phase, level and degree
of neurological injury was assessed using ASIA impairment scale. Cervical traction was applied to
all patients. Operative and post operative record with x-rays and MRI were maintained. Patients with
Injury to C3–6 underwent decompression, fusion and local titanium plate implant fixation by anterior
approach. The follow-up ranged from 6 to 12 months with clinical and radiological assessment.
Results: 37 cases of sub axial cervical spine injuries included in this study during year 2005 to
2007. Out of these, 28 (75.67%) were males and 9 (24.32%) females. Age range was 8–60 years
mean (32–40%). Common mode of injury was fall. Post operative follow up showed good clinical
and radiological outcome, bony fusion and favour early rehabilitation. No immediate complication
found except temporary dysphagia. Conclusion: Anterior decompression, fusion and titanium plate
fixation is an effective method with good neurological and radiological outcome.
Keywords: Cervical spine injury, anterior cervical decompression

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