Options for surgical treatment of cervical fractures in patients with spondylotic spine: a case series and review of the literature
| Autor: | Renato Hiroshi Salvioni Ueta, David Del Curto, Délio Eulálio Martins, Eduardo Barros Puertas, Marcelo Wajchenberg, Pedro Luz Alves |
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| Rok vydání: | 2015 |
| Předmět: |
Ankylosing
Adult Joint Instability Male medicine.medical_specialty Spondyloarthropathy Dislocations Case Report Surgical procedures medicine Humans Spondylitis Ankylosing In patient Surgical treatment Spondylitis Medicine(all) business.industry Joint instability General Medicine Middle Aged medicine.disease Surgery medicine.anatomical_structure Tomography x ray computed Cervical fractures Cervical Vertebrae Spinal Fractures Presentation (obstetrics) Tomography X-Ray Computed business Cervical vertebrae |
| Zdroj: | Journal of Medical Case Reports |
| ISSN: | 1752-1947 |
| DOI: | 10.1186/s13256-015-0720-7 |
| Popis: | Introduction The surgical treatment of unstable cervical fractures is challenging for spinal surgeons. Unstable cervical fractures associated with spondyloarthropathy and deformities that alter function, form and stability present a greater challenge. Having multiple options to manage this difficult situation is important to all spine surgeons and the results of each case depends on the singular characteristics of patients. The purpose of this case report is to describe the main forms of presentation of unstable cervical subaxial fractures in the spondylotic spine and their surgical treatments. Case presentation We present three cases of Caucasian men aged 30, 53 and 59 years with spondylosis with unstable cervical fractures and alternatives choices for surgical treatment, and a review of the literature. Each patient underwent a different surgical procedure of the cervical subaxial spine using an isolated anterior, posterior or combined approach demonstrating good outcomes in all cases. Conclusions The treatment of subaxial cervical spinal fractures is complex, and when these fractures are associated with the deformities caused by spondyloarthropathies they can be thought provoking for spine surgeons such as orthopedists or neurosurgeons. The isolated anterior, posterior and combined approaches are safe and effective for treating these pathologies. |
| Databáze: | OpenAIRE |
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