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Journal of Korean Neurosurgical Society > Volume 21(1); 1992 > Article
Journal of Korean Neurosurgical Society 1992;21(1): 36-41.
Internal Fixation of the Unstable Cervical Spine Fracture and Subluxation.
Eul Soo Jung, Sam Kyu Ko, Oh Lyong Kim, Yong Chul Chi, Byung Yearn Choi, Soo Ho Cho
Department of Neurosurgery, College of Medicine, Yeungnam University, Taegu, Korea.
Recently various kinds of anterior or posterior cervical instruments have been used for stabilization of unstable cervical spinal injury. Every device has different characteristics, so none can cover all of the various types of unstable injuries. Forty six patients of unstable cervical spine fracture and subluxation underwent stabilizing operation using the anterior Caspar plate(6 cases) and the Roy-Camille posterior plate system(40 cases) during recent 3-years. Each approach employed depends on the site of compression and mechanism of injury. Six patients who had complete neurological injury expired after the surgery. The follow-up period for the 40 patients was from 5 to 32 months(average-17.5 months). During follow-up period, 16 out of 22 patients(72.7%) who had a neurological deficit showed minimal to moderate improvement and only 4 patients(10%) complained of significant arm or neck pain. The only complication of instrumentation was 5 cases of screw breakout, but 3 of them did not have any problem. Radiologically 37 patients(92.5%) had firm fixation after surgery.
Key Words: Stabilization; Unstable cervical spine injury; Anterior or posterior cervical instrument
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