Advanced

Fusion or stabilization alone for acute distractive flexion injuries in the mid to lower cervical spine?

Feldborg Nielsen, C; Annertz, M LU ; Persson, L LU ; Wingstrand, H LU ; Säveland, H LU and Brandt, L LU (1997) In European Spine Journal 6(3). p.197-202
Abstract

Long-term pain problems and residual restricted mobility were evaluated for patients sustaining acute distractive flexion injuries to the cervical spine. To assess which of two alternative surgical approaches gives better long-term outcomes, 58 patients were studied, 29 in each group. The results of posterior wire stabilization without fusion according to Brandt were contrasted with those of the Cloward technique. We found significantly more late pain problems and restricted neck mobility in the group treated with wiring without fusion than in those managed with anterior fusion. We conclude that this continuing pain may be due to residual mobility in the damaged degenerated non-fused motion segment, and that the difference between the... (More)

Long-term pain problems and residual restricted mobility were evaluated for patients sustaining acute distractive flexion injuries to the cervical spine. To assess which of two alternative surgical approaches gives better long-term outcomes, 58 patients were studied, 29 in each group. The results of posterior wire stabilization without fusion according to Brandt were contrasted with those of the Cloward technique. We found significantly more late pain problems and restricted neck mobility in the group treated with wiring without fusion than in those managed with anterior fusion. We conclude that this continuing pain may be due to residual mobility in the damaged degenerated non-fused motion segment, and that the difference between the two groups may reflect the difference in the quality and rate of fusion achieved by the two surgical approaches.

(Less)
Please use this url to cite or link to this publication:
author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adolescent, Adult, Aged, Bone Wires, Case-Control Studies, Cervical Vertebrae, Child, Female, Follow-Up Studies, Humans, Joint Dislocations, Male, Middle Aged, Neck Pain, Postoperative Complications, Range of Motion, Articular, Retrospective Studies, Spinal Fractures, Spinal Fusion, Time Factors, Treatment Outcome, Journal Article
in
European Spine Journal
volume
6
issue
3
pages
6 pages
publisher
Springer
external identifiers
  • scopus:0030747563
ISSN
0940-6719
language
English
LU publication?
no
id
1ea4ee8a-e42d-439e-ae65-59865f4e2480
alternative location
https://link.springer.com/article/10.1007/BF01301436
date added to LUP
2018-01-31 11:42:01
date last changed
2018-05-29 11:51:18
@article{1ea4ee8a-e42d-439e-ae65-59865f4e2480,
  abstract     = {<p>Long-term pain problems and residual restricted mobility were evaluated for patients sustaining acute distractive flexion injuries to the cervical spine. To assess which of two alternative surgical approaches gives better long-term outcomes, 58 patients were studied, 29 in each group. The results of posterior wire stabilization without fusion according to Brandt were contrasted with those of the Cloward technique. We found significantly more late pain problems and restricted neck mobility in the group treated with wiring without fusion than in those managed with anterior fusion. We conclude that this continuing pain may be due to residual mobility in the damaged degenerated non-fused motion segment, and that the difference between the two groups may reflect the difference in the quality and rate of fusion achieved by the two surgical approaches.</p>},
  author       = {Feldborg Nielsen, C and Annertz, M and Persson, L and Wingstrand, H and Säveland, H and Brandt, L},
  issn         = {0940-6719},
  keyword      = {Adolescent,Adult,Aged,Bone Wires,Case-Control Studies,Cervical Vertebrae,Child,Female,Follow-Up Studies,Humans,Joint Dislocations,Male,Middle Aged,Neck Pain,Postoperative Complications,Range of Motion, Articular,Retrospective Studies,Spinal Fractures,Spinal Fusion,Time Factors,Treatment Outcome,Journal Article},
  language     = {eng},
  number       = {3},
  pages        = {197--202},
  publisher    = {Springer},
  series       = {European Spine Journal},
  title        = {Fusion or stabilization alone for acute distractive flexion injuries in the mid to lower cervical spine?},
  volume       = {6},
  year         = {1997},
}