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Anterior stabilization of pathologic dens fractures.
L Sjöström1, S Olerud, G Karlström
1Department of Orthopedics, University Hospital, Uppsala, Sweden.
Acta Orthopaedica Scandinavica
|October 1, 1990
Summary
This study stabilized pathologic dens fractures using an anterior surgical approach. Patients experienced immediate pain relief and regained mobility, demonstrating the effectiveness of this minimally invasive technique.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Oncology
Background:
- Pathologic fractures of the dens can lead to significant pain and instability.
- Surgical intervention is often required to address these complex spinal conditions.
- Minimally invasive techniques are sought to improve patient outcomes and reduce recovery times.
Purpose of the Study:
- To evaluate the efficacy of an anterior surgical approach for stabilizing pathologic dens fractures.
- To assess the impact of this technique on pain relief and patient mobility.
- To determine the feasibility of tumor removal and instability neutralization via the anterior route.
Main Methods:
- Six patients with pathologic dens fractures underwent stabilization.
- The surgical procedure utilized an anterior approach.
- Screws and methyl methacrylate cement were employed for fixation.
Main Results:
- All six patients reported immediate pain relief post-surgery.
- Patients were mobilized without the need for external support.
- The anterior approach facilitated both tumor removal and stabilization of the dens.
Conclusions:
- Anterior surgical stabilization of pathologic dens fractures is an effective treatment.
- This approach provides rapid pain relief and functional recovery.
- The anterior approach offers a viable option for addressing both instability and tumor burden at the dens.