Comparative Clinical Results of Surgical Approach Anterior Versus Posterior Fusion

Authors

1 Professor, Department of Neurosurgery, School of Medicine, Mashhad University of Medical Sciences, Iran

2 Radiologist, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

3 Neurosurgeon, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Introduction: In this retrospective study, we compared odontoid fractures type two patients treated with two methods of anterior and posterior surgery.
Methods: In this cross-sectional retrospective study, 39 patients under 65 years old with odontoid fractures type two and its subtypes witch had anterior and posterior surgery were included in the study. Necessuray experiments and information included open mouth radiography, AP, letral and CT scan if needed, and also demographic information, mechanism of injury, occurrence of neurologic symptoms at the time of admission, the length of hospital and ICU stay, and length of surgery were completed. Finally, the data were analyzed by SPSS software.
Results: Among 39 pateints, 25(64.1%) were male and 14(35.9%) were female. The length of ICU stay and surgery in posterior group were significantly higher than anterior group (p<0.05). Any complications such as: displacement, loosening, CSF fistula, esophageal rupture, hypoglossal nerve rupture were not not created or exacerbated. Fusion rate in 12 month was sinnificantly higher in posterior group but after 24 month there was not any significant changes between two groups.
Conclusion: According to the results, posterior surgery is the standard and selective method for the treatment of these odontoid type two fractures which have good clinical results and fewer complications.

Keywords

References

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medical journal of mashhad university of medical sciences
Volume 63, Issue 2
July and August 2020
Pages 2309-2317

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