[Reduction and early surgical stabilization of fractures and fracture-luxations in cervical vertebral and spinal cord injuries].
A series of 21 patients with cervical spinal trauma, 12 patients with complete spinal lesion and 9 with incomplete spinal lesion, is reported. All these patients have been treated with surgical reduction and stabilization at average 9 hours after trauma. The authors point out pre- and intraoperative anesthesiological problems connected with early surgical operation and discuss the postoperative complications. At the follow-up of average 2 years the results were: among the 12 patients with complete spinal lesion, 2 died, 2 improved until the deambulation, 7 didn't change and 1 had no follow-up; among the 9 patients with incomplete spinal lesion, 7 improved until the deambulation, 1 didn't change and 1 worsened. Independently of the neurological recovery, the early surgical stabilization enables to reduce remarkably the incidence of the complications, to start precociously a rehabilitation, to improve the patient's expectation of life.
Caroli
G C
GC
Parisini
P
P
Laguardia
A M
AM
Ranocchi
R
R
Salfi
C
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D000758:Anesthesia; D002574:Cervical Vertebrae / Q000293:injuries*; D005260:Female; D005592:Fracture Fixation; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013119:Spinal Cord Injuries / Q000601:surgery*; D013997:Time Factors
Riduzione e stabilizzazione chirurgica precoce delle fratture e fratture-lussazioni nei traumi vertebro-midollari cervicali.