Radiological changes in sagittal parameters after C1-C2 arthrodesis and their clinical correlation: is there a difference between traumatic and non-traumatic causes?
| Autor: | Gayatri Vishwakarma, Kuldeep Bansal, Harvinder Singh Chhabra, Kalyan Kumar Varma Kalidindi, Jeevan Kumar Sharma |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
0301 basic medicine
Orthodontics business.industry General Neuroscience Arthrodesis medicine.medical_treatment General Medicine Clinical correlation Sagittal plane 03 medical and health sciences 030104 developmental biology 0302 clinical medicine medicine.anatomical_structure Radiological weapon Non traumatic Medicine Sagittal alignment sense organs skin and connective tissue diseases business 030217 neurology & neurosurgery |
| Zdroj: | International Journal of Neuroscience. 133:505-511 |
| ISSN: | 1543-5245 0020-7454 |
| DOI: | 10.1080/00207454.2021.1929213 |
| Popis: | Compensatory changes in cervical sagittal alignment after C1-C2 arthrodesis have been reported in a few studies. No studies have explored the differences in these compensatory changes between traumatic and non-traumatic pathologies. Conflicting reports exist on the correlation between cervical sagittal parameters and neck pain or function.Medical records of 81 consecutive patients [Jan 2010-Dec 2018] who underwent Harms arthrodesis were retrospectively reviewed. 53 patients were included in the final analysis. Radiological parameters [C0-C1, C1-C2, C2-C7 angles and T1 slope] and clinical parameters [VAS (Visual analogue scale) and NDI (Neck disability index)] were compared between the two groups, Group A (traumatic) and Group B (non-traumatic).The 53 patients [Group A (The sub-axial sagittal profile was strongly correlated with the ΔC1-C2 angle in both groups. Group B showed greater changes in sagittal parameters after Harms fixation and Group A showed greater improvement in long-term functional outcomes. The final functional outcomes were not related to the initial or final radiological sagittal profile in both groups. |
| Databáze: | OpenAIRE |
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