Guijun Cao1, Chunyang Meng2, Weihong Zhang2, Xiangqing Kong2. 1. Qingdao UniversityQingdao 266000, China; Department of Spine Surgery, The Affiliated Hospital of Jining Medical UniversityJining 272000, China. 2. Department of Spine Surgery, The Affiliated Hospital of Jining Medical University Jining 272000, China.
Abstract
OBJECTIVE: to compare the clinical outcomes of anterior fusion with ROI-C(TM) and titanium plate in the treatment of Hangman's fractures. METHODS: From Dec 2005 to Jan 2015, a total of 21 patients with Hangman's fracture, who underwent anterior internal fixation with titanium plate or ROI-C(TM), were retrospectively reviewed. All patients underwent anteroposterior, lateral, and flexion-extension radiography and computed tomography of cervical spine preoperatively and postoperatively at 3 days and 3 months. Cervical visual analog scale (VAS) score, Bazaz dysphagia score, angular displacement (AD), horizontal displacement (HD), fusion rate, and blood loss were measured. RESULTS: The VAS and Bazaz dysphagia score at postoperative 3 days were significantly lower in ROI-C(TM) group, as compared to titanium plate group (P<0.05). AD and HD were significantly decreased in both groups after operation (P<0.05). The postoperative rate of complete reduction of spondylolisthesis was significantly higher in ROI-C(TM) group than that in titanium plate group (P<0.05). The operative time and blood loss was significantly decreased in ROI-C(TM) group, as compared to titanium plate group (P<0.05). CONCLUSION: ROI-C(TM) device showed superiority to titanium plate in the treatment of Hangman's fractures, suggesting that anterior operation with ROI-C(TM) device may be a better choice for treating Hangman's fractures.
OBJECTIVE: to compare the clinical outcomes of anterior fusion with ROI-C(TM) and titanium plate in the treatment of Hangman's fractures. METHODS: From Dec 2005 to Jan 2015, a total of 21 patients with Hangman's fracture, who underwent anterior internal fixation with titanium plate or ROI-C(TM), were retrospectively reviewed. All patients underwent anteroposterior, lateral, and flexion-extension radiography and computed tomography of cervical spine preoperatively and postoperatively at 3 days and 3 months. Cervical visual analog scale (VAS) score, Bazaz dysphagia score, angular displacement (AD), horizontal displacement (HD), fusion rate, and blood loss were measured. RESULTS: The VAS and Bazaz dysphagia score at postoperative 3 days were significantly lower in ROI-C(TM) group, as compared to titanium plate group (P<0.05). AD and HD were significantly decreased in both groups after operation (P<0.05). The postoperative rate of complete reduction of spondylolisthesis was significantly higher in ROI-C(TM) group than that in titanium plate group (P<0.05). The operative time and blood loss was significantly decreased in ROI-C(TM) group, as compared to titanium plate group (P<0.05). CONCLUSION:ROI-C(TM) device showed superiority to titanium plate in the treatment of Hangman's fractures, suggesting that anterior operation with ROI-C(TM) device may be a better choice for treating Hangman's fractures.
Authors: Jan Goffin; Adrian Casey; Pierre Kehr; Klaus Liebig; Bengt Lind; Carlo Logroscino; Vincent Pointillart; Frank Van Calenbergh; Johannes van Loon Journal: Neurosurgery Date: 2002-09 Impact factor: 4.654