Outcome of lateral mass fixation in sub axial cervical spine injuries a prospective study.
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 6
Abstract
Lateral mass screw fixation with or without supplemental bone grafting is a contemporary option for treating subaxial cervical spine injuries. A prospective study was done on twenty one (n=21) adult patients withtreated with lateral mass screw fixation in lower cervical spine injuries by modified Magerl technique between April 2012 to April 2016.In more than 50% cases, mechanism of injury of cervical spine were due to fall from height. Most of the patients were between 18-30 yrs of age. Seventy to eighty per cent of all cases were rated C and D on the ASIA scale. Neurological improvement of at least one grade seen in more than 50% of patients with incomplete cord injuries.More than 90% patients went on to develop a solid fusion within an average of 14 months. Complications were very rare.So on conclusion Posterior lateral mass fixation using the modified Magerl’s technique is a safe and effective procedure for traumatic instability of the lower cervical spine in terms of patient tolerance, early mobilization and functional outcomes with a higher fusion rate.
Authors and Affiliations
Sabyasachi Santra, Partha Sarathi Sarkar, Kiran Kumar Mukhopadhyay, Sagar Mukhopadhyay, Joydeep Mandal
Keywords
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