| Anterior discectomy and fusion with internal fixation for unstable hangman's fracture. | |
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MedLine Citation:
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PMID: 18853157 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Between 1999 and 2004, 28 patients (average age: 41, range: 18-70 years) with unstable hangman's fracture underwent anterior discectomy and fusion with internal fixation at our unit. According to the Levine-Edwards classification, all cases were unstable with type II (10 cases), type IIA (17 cases) and type III (1 case). An average follow-up of 15 months was achieved (range: 3-48 months). The average operative time was 107 min (80-131 min). No patient received blood transfusion. No patient experienced worsening neurological function postoperatively. No other intra- or postoperative complication was observed. All patients were relieved from axial pain. Neurological status improved postoperatively in all four cases with neurological deficit. Each patient showed evidence of a solid anterior C2-3 interbody fusion after six months. No bone graft or plate screws complication was observed in any of the cases during the follow-up period. In our experience the anterior approach with primary internal stabilisation may be a feasible and safe method to treat unstable hangman's fracture. |
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Authors:
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Hao Xu; Jie Zhao; Jiandong Yuan; Cong Wang |
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Publication Detail:
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Type: Journal Article Date: 2008-10-14 |
Journal Detail:
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Title: International orthopaedics Volume: 34 ISSN: 1432-5195 ISO Abbreviation: Int Orthop Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-01-05 Completed Date: 2010-03-25 Revised Date: 2011-07-18 |
Medline Journal Info:
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Nlm Unique ID: 7705431 Medline TA: Int Orthop Country: Germany |
Other Details:
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Languages: eng Pagination: 85-8 Citation Subset: IM |
Affiliation:
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Department of Orthopaedics, Changhai Hospital, Second Military Medical University, No. 168, Changhai Road, Shanghai 200433, People's Republic of China. xuhaomouse2004@yahoo.com.cn |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Axis / injuries, surgery* Bone Plates Bone Screws Bone Transplantation Cervical Vertebrae / injuries, surgery* Diskectomy / methods* Fracture Fixation, Internal Fracture Healing Humans Length of Stay Middle Aged Pain / etiology, physiopathology Retrospective Studies Spinal Fractures / surgery* Spinal Fusion / instrumentation, methods* Spondylolisthesis / complications, pathology, surgery* Treatment Outcome Young Adult |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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