RESULTS OF THE SURGICAL MANAGEMENT FOR SUBAXIAL INSTABILITY BY POSTERIOR CORRECTION FIXATION IN USING THE CERVICAL PEDICLE SCREW METHOD AT CAN THO CENTRAL GENERAL HOSPITAL
Main Article Content
Abstract
Background: Cervical spine instability is a medical condition or injury caused by the instability of the ligaments, tendons, and bones around the spine, which can result in nerve damage, numbness, tingling, weakness, or quadriplegia might result from being nearby. Objectives: 1. To describe clinical and subclinical characteristics in patients with lower cervical spine instability; 2. To evaluate of the results of surgery to treat instability of the lower cervical spine by Cervical Pedicle Screw. Materials and methods: A cross-sectional on 43 cases lower cervical spine instability with indications for surgery Cervical Pedicle Cervical. Results: Their mean age was 52.8 years, male accounted for 95%, the most common causes of trauma (57.6%), the most common spine level of C45-6, accounting for 58.2%. The average surgery time was 211.8 minutes. The mean intraoperative blood loss was 235.8 mL, the average Cobb C2-7 angle right after surgery was 17.050 ±1.250, with a value of 15.90±0.750 at the last follow-up. According to Dae Jean Jo's grading, the accuracy level of the cervical pedicle screws was 92.19% (grade 0 had 80.51%, grade 1 had 11.68%), and 7.81% of the screws were put incorrectly (grade 2 had 6.49% and grade 3 accounted for 1.2%). Conclusions: The treatment of lower cervical spine instability through posterior cervical pedicle screw fixation ensures solid stabilization of the cervical spine and supports effective neurological recovery.
Keywords
Lower Cervical instability, Cervical myelopathy, Cervical Pedicle Screws
Article Details
References
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