Fusion or stabilization alone for acute distractive flexion injuries in the mid to lower cervical spine?
(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)
- author
- Feldborg Nielsen, C ; Annertz, M LU ; Persson, L LU ; Wingstrand, H LU ; Säveland, H LU and Brandt, L LU
- publishing date
- 1997
- 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
- pmid:9258639
- 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
- 2024-01-14 14:33:22
@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}}, 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}}, 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?}}, url = {{https://link.springer.com/article/10.1007/BF01301436}}, volume = {{6}}, year = {{1997}}, }