Effects of combined anterior and posterior approach on short-term neurological function in patients with cervical spine fracture complicated by spinal cord injury
Abstract：Objective To investigate the effects of combined anterior and posterior approach on shorter-term neurological function in patients with cervical spine fracture complicated by spinal cord injury in order to provide reference for clinical treatment .Methods The clinical data of 89 patients with cervical spine fracture complicated by spinal cord injury who were admitted and treated in our hospital from May 2014 to January 2009 were retrospectively analyzed .According to different surgical procedure modes ,these patients were divided into simple anterior approach group (anterior approach group , n =28), simple posterior approach group ( posterior approach group , n =23 ) and combined anterior and posterior approach group ( combination group , n =38 ) .The postoperative vertebral reduction and neurological function recovery were observed and compared among the three groups .Results After surgery the proportion of D +E in the combination group was 80.59%, which was significantly higher than those in anterior approach group and posterior approach group (60.53% and 58.62%, respectively) ( P <0.05).However there was no significant difference in the proportion of D +E between anterior approach group and posterior approach group ( P >0.05).On 12 months after surgery,the Cobb scores in combination group were significantly lower than those in anterior approach group and posterior approach group , however , the JOA scores were significantly higher than those in anterior approach group and posterior approach group ( P <0.05).Besides there were no significant differences in Cobb angle , I -B slipslip distance , JOA scores between anterior approach group and posterior approach group ( P >0.05).Conclusion As compared with single approach operation , the combined anterior and posterior approach can significantly improved the recovery of vertebral body and neurological function in patients with cervical spine fracture complicated by spinal cord injury ,without severe complications ,thus, it is worth being widely applied in clinical practice .
Keywords：cervical spine fracturespinal cord injurysurgical approachnerve functionshort-term effects
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 2146-2148 )