C2–C3 Anterior Cervical Fusion

医学 颈椎前路椎间盘切除融合术 吞咽困难 脊髓病 外科 回顾性队列研究 放射性武器 颈椎 脊髓 精神科
作者
Michael A. Finn,Joel D. MacDonald
出处
期刊:Clinical spine surgery [Ovid Technologies (Wolters Kluwer)]
卷期号:29 (10): E536-E541 被引量:18
标识
DOI:10.1097/bsd.0b013e318292b3ca
摘要

Study Design: Retrospective review of patients at a university hospital. Objective: To describe the anterior approach for cervical discectomy and fusion (ACDF) at C2–C3 level and evaluate its suitability for treatment of instability and degenerative disease in this region. Summary of Background Data: The anterior approach is commonly used for ACDF in the lower cervical spine but is used less often in the high cervical spine. Methods: We retrospectively reviewed a database of consecutive cervical spine surgeries performed at our institution to identify patients who underwent ACDF at the C2–C3 level during a 10-year period. Demographic data, clinical indications, surgical technique, complications, and immediate results were evaluated. Results: Of the 11 patients (7 female, 4 male; mean age 46 y) identified, 7 were treated for traumatic fractures and 4 for degenerative disk disease. Three patients treated for myelopathy showed improvement in mean Nurick grade from 3.6 to 1.3. Pain was significantly improved in all patients who had preoperative pain. Solid bony fusion was achieved in 5 of 7 patients at 3-month follow-up. Complications included dysphagia in 4 patients (which resolved in 3), aspiration pneumonia, mild persistent dysphonia, and construct failure at C2 requiring posterior fusion. One patient died of a pulmonary embolism 2 weeks postoperatively. Conclusions: ACDF at the C2–C3 level is an option for the treatment of high cervical disease or trauma but is associated with a higher rate of approach-related morbidity. Familiarity with local anatomy may help to reduce complications. ACDF at C2–C3 appears to have a fusion rate similar to ACDF performed at other levels.

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
香蕉觅云应助一叶扁舟。采纳,获得10
1秒前
安详的书本完成签到 ,获得积分10
1秒前
冷酷思远发布了新的文献求助10
2秒前
CSPC001完成签到,获得积分10
3秒前
4秒前
所所应助rjj001022采纳,获得10
4秒前
劉劉完成签到 ,获得积分10
5秒前
未来完成签到,获得积分10
5秒前
6秒前
利利完成签到,获得积分10
6秒前
聚乙烯醇完成签到,获得积分10
8秒前
9秒前
大道无形我有型完成签到,获得积分10
9秒前
11秒前
老水发布了新的文献求助10
11秒前
kyycr完成签到,获得积分10
12秒前
NexusExplorer应助耶zyf采纳,获得10
12秒前
12秒前
啊实打实的完成签到,获得积分20
12秒前
隐形曼青应助月亮煮粥采纳,获得10
12秒前
13秒前
13秒前
火速阿百川完成签到,获得积分10
14秒前
rjj001022完成签到,获得积分10
14秒前
别当真发布了新的文献求助10
15秒前
优雅的金连完成签到,获得积分10
16秒前
YHY完成签到,获得积分10
16秒前
18秒前
18秒前
老水完成签到,获得积分10
19秒前
Yeah完成签到,获得积分10
20秒前
利利发布了新的文献求助10
20秒前
爱吃姜的面条完成签到,获得积分10
21秒前
英俊的铭应助vv采纳,获得10
21秒前
yizhi猫完成签到,获得积分10
22秒前
23秒前
25秒前
123发布了新的文献求助10
25秒前
飘逸定帮发布了新的文献求助10
25秒前
Jasper应助Cherry采纳,获得10
26秒前
高分求助中
中国国际图书贸易总公司40周年纪念文集 大事记1949-1987 2000
TM 5-855-1(Fundamentals of protective design for conventional weapons) 1000
草地生态学 880
Threaded Harmony: A Sustainable Approach to Fashion 799
Queer Politics in Times of New Authoritarianisms: Popular Culture in South Asia 500
Livre et militantisme : La Cité éditeur 1958-1967 500
Retention of title in secured transactions law from a creditor's perspective: A comparative analysis of selected (non-)functional approaches 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3058079
求助须知:如何正确求助?哪些是违规求助? 2714263
关于积分的说明 7439873
捐赠科研通 2359489
什么是DOI,文献DOI怎么找? 1250095
科研通“疑难数据库(出版商)”最低求助积分说明 607383
版权声明 596392