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[Traumatic spondylolisthesis of the axis]
1Klinika traumatologie LF MU v Urazové nemocnici, Brno.
Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca
|October 23, 2003
Summary
This study evaluated 26 patients with traumatic axis spondylolisthesis, finding all achieved osseous healing. Treatment varied by injury type, with anterior surgical approaches often used for unstable fractures.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Spine Surgery
Context:
- Traumatic spondylolisthesis of the axis is a complex injury with varied treatment approaches.
- This study retrospectively analyzed 26 cases treated between 1995 and 2002.
- The Effendi classification system was used to categorize injuries into three types.
Purpose:
- To retrospectively evaluate treatment outcomes for patients with traumatic spondylolisthesis of the axis.
- To analyze the effectiveness of different treatment modalities based on injury classification.
- To contribute to the ongoing discussion regarding optimal management strategies.
Summary:
- Seven Type I, 18 Type II, and one Type III traumatic axis spondylolisthesis cases were identified.
- Type I injuries were primarily treated conservatively (halo vest or Philadelphia collar).
- Type II and III injuries predominantly underwent surgical treatment, often via an anterior approach, with successful osseous healing in all patients.
Impact:
- All patients achieved successful osseous healing without complications like pseudoarthrosis or repeat surgery.
- Neurological status remained stable, and cervical spine range of motion was unaffected post-healing.
- Findings support anterior surgical approaches for unstable fractures and conservative management for stable injuries.