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Cervical corpectomy in delayed presentation of irreducible cervical dislocation: experience with eight cases
Dhiraj Sonawane1, Harshit Dave1, Shrikant Savant1
1Department of Orthopaedics, Grant Medical College & Sir J.J. Group of Hospitals, Byculla, Mumbai, India.
Objective:
To describe a single-staged procedure for the management of neglected subaxial cervical spine injuries.
Methods:
Between January 2012 and December 2014, 12 patients presented to us with healed cervical sub axial dislocations. The deformities could not be reduced using skull traction. Eight were operated with anterior cervical corpectomy. American spinal injury Association (ASIA) grade, Neck Disability index (NDI), and Visual analog scale (VAS) score were recorded throughout the patient course and CT was done at 12 months for assessment of fusion.
Results:
Four patients improved from ASIA C to ASIA D, two patients improved from ASIA B to ASIA E, one patient improved from ASIA D to ASIA E and one patient remained static at ASIA B. All patients except one showed evidence of fusion on CT scan at 12 months. NDI improved from preoperative range (18-32, mean 25) to postoperative range (8-16 mean, 11.25), VAS from preoperative range (3-6, mean 4.25) to postoperative range (1-3, mean 1.75).
Conclusions:
Single-stage in situ fixation does not disrupt ongoing natural healing and has good clinical and radiological outcomes.
