Study on the treatment of lower cervical spine fracture and dislocation with one-stage anterior and posterior combined surgery
Objective To explore the effect of one-stage anterior and posterior combined surgery for the treatment of lower cervical spine fractures and dislocations,and to find a better surgical method for patients with lower cervical spine fracture and dislocation.Methods A total of 42 patients with lower cervical spine fracture and dislocation received the treatment of one-stage anterior and posterior combined surgery in Tengzhou Central People's Hospital from January 2020 to December 2021 were selected as the study subjects.The time of surgery,intraoperative bleeding volume,hospital stay,degree of pain,cervical function and spinal function were observed.Results All 42 patients successfully completed the surgery,with an average surgical time of(125.06±24.53)minutes,an average intraoperative bleeding volume of(452.21±36.97)mL,and an average hospital stay of(9.71±1.95)days.The VAS score of patients after surgery one month was significantly lower than that before surgery and JOA score was significantly higher than that before surgery,the proportion of D grades and E grades in ASIA grading at the last follow-up were higher than those before surgery,and the differences were statistically significant(P＜0.05).Conclusion In the treatment of lower cervical spine fractures and dislocations,the application of one-stage anterior and posterior combined surgery could achieve satisfactory effects,not only effectively alleviating pain symptoms,promoting the recovery of cervical and spinal cord functions,but also achieving the goals of spinal reconstruction and decompression of the circumspinal,and could also be an important means of treating severe lower cervical spine fractures and dislocations.
One-stage anterior and posterior combined surgeryFracture and dislocation of lower cervical spineEffect analysis
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