
Simultaneously Combined Anterior‐Posterior Approaches for Subaxial Cervical Circumferential Reconstruction in a Sitting Position
Author(s) -
Han Yue,
Xia Qun,
Hu Yongcheng,
Zhang Jidong,
Lan Jie,
Ma Xinlong
Publication year - 2015
Publication title -
orthopaedic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.666
H-Index - 23
eISSN - 1757-7861
pISSN - 1757-7853
DOI - 10.1111/os.12200
Subject(s) - medicine , sitting , surgery , implant , anterior cervical discectomy and fusion , laminectomy , fixation (population genetics) , cervical spine , cervical vertebrae , spinal cord , population , environmental health , pathology , psychiatry
The purpose of this article is to introduce and analyze the feasibility of simultaneously combined anterior‐posterior approaches for subaxial cervical circumferential reconstruction in sitting position. A retrospective case review was performed for above surgery procedure. A 79‐year‐old man was confirmed subaxial cervical fracture and dislocation with facet locked by radiological examination, and the involved levels were C 5‐6 . According to American Spinal Injury Association ( ASIA ) classification, the impairment scale was grade B. And the Subaxial Cervical Spine Injury and Severity Score (SLIC) were 9. The patient was restricted in sitting position with traction on a halo in extension to immobilize the head during the operation. A posterior laminectomy and pedicle screws insertion to the involved cervical spine was performed firstly. And then the anterior discectomy and strut graft were accomplished through an anterior cervical approach. The final fixation was finished by clamping the strut graft with pedicle screw system. Total blood loss was 600 ml and the total operating time was 150 min. The patient was followed up for 6 months. The symptom of neck pain improved distinctly and no evidence about implant failure was noted. Neurological status improvement was confirmed and the ASIA scale was improved to grade C. We believed that the simultaneously combined anterior‐posterior approach in sitting position was safe and more advantageous for appropriate cases.