Efficacy and safety of decompression graft fixation and anterior cervical interlocking plate for cervical fractures
Objective The purpose of this study was to compare the efficacy and safety of decompression and bone grafting internal fixation and internal fixation with anterior cervical interlocking plate in the treatment of cervical fracture,and to provide a reference for clinical treatment.Methods Totally 160 patients with cervical spine fractures admitted to Nan-yang First People's Hospital from June 20,2020,to June 20,2022,were randomly divided into a plate group(n=80)and a fixation group(n=80)using a random number table method.The plate group was treated with anterior cervical inter-locking plate,while the fixation group was treated with decompression and bone grafting internal fixation.The changes in Cobb angle,atlanto-dental anterior space,nerve-related function,pain intensity,psychological mood,and Japanese Or-thopedic Association(JOS)score were detected,and the incidence of complications and clinical efficacy were statistically analyzed using SPSS 26.0.Results The operation time in the plate group was(119.84±11.97)minutes,which was higher than that in the fixation group(86.57±8.65)minutes,with a statistically significant difference,t=20.150,P＜0.001.The blood loss in the plate group was(257.61±25.76)mL,which was higher than that in the fixation group(128.94±12.89)mL,with a statistically significant difference,t=39.950,P＜0.001.The Cobb angle(3.54±0.35)° and atlanto-dental anterior space(2.28±0.22)mm in the fixation group were lower than those in the plate group(21.91 ±2.19)° and(4.98±0.49)mm,with statistically significant differences,t=74.090 and t=38.940,both P＜0.001.The motor function score(75.97±7.59)and touch sensation score(89.67±8.96)in the fixation group were higher than those in the plate group(62.87±6.28)and(73.08±7.30),with statistically significant differences,t=11.890 and t=11.120,both P＜0.001.The Visual Analog Scale(VAS)score(4.97±0.49)in the fixation group was lower than that in the plate group(7.73±0.77),with a statistically significant difference,t=27.0 5 0,P＜0.001.The Self-Rating Anxi-ety Scale(SAS)score(30.84±3.08)in the fixation group was lower than that in the plate group(46.91±4.69),and the JOS score(25.94±2.59)was higher than that in the plate group(15.08±1.50),with statistically significant differ-ences,t=26.620 and t=32.450,P＜0.001.Conclusions Decompression and bone grafting internal fixation is superior to anterior cervical interlocking plate in the treatment of cervical spine fractures,effectively improving the effectiveness and safety of treatment and promoting rapid postoperative recovery.However,the study has certain limitations due to the small sample size,and further multi-center studies with increased sample size are needed for confirmation.
decompression and internal fixationanterior cervical interlocking platecervical fracturenerve function
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