Open AccessOPTIONS FOR SURGICAL TREATMENT OF CHRONIC C2 ODONTOID FRACTURES
Author(s) -
А. А. Кулешов,
A N Shkarubo,
N. A. Eskin,
Marchel S. Vetrile,
Igor N. Lisyansky,
Sergey N. Makarov,
G. P. Ponomarenko,
I V Chernov
Publication year - 2019
Publication title -
russian journal of spine surgery (khirurgiya pozvonochnika)
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.138
H-Index - 3
eISSN - 2313-1497
pISSN - 1810-8997
DOI - 10.14531/ss2019.1.16-24
Subject(s) - medicine , cervical spine , neck pain , surgery , range of motion , vertebra , decompression , spinal cord injury , spinal cord , cervical spondylosis , alternative medicine , pathology , psychiatry
The paper presents a review of three clinical cases of treating patients with chronic fractures of the odontoid process of C2 vertebra using various combinations of surgical techniques. In all cases, complete decompression of the spinal cord and stabilization of the upper cervical segment of the spine were achieved. A decrease in the range of motion in the cervical spine was observed, which did not affect patient satisfaction. A gradual regression of the neurological status and increase in muscle strength were recorded. Comparative analysis of the neurological status was carried out before and after surgical treatment. When assessing the general condition of patients using the index of disability due to pain in the neck (NDI), an improvement in the quality of life was noted. These data show the opportunities and peculiarities of methods for treating patients with chronic C2 odontoid fractures. Type of publication: description of clinical cases. Evidence level: IV.
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