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Posterior wiring without bony fusion in traumatic distractive flexion injuries of the mid to lower cervical spine. Long-term follow-up in 30 patients

Feldborg Nielsen, C; Annertz, M LU ; Persson, L LU ; Wingstrand, H LU ; Säveland, H LU and Brandt, L LU (1991) In Spine 16(4). p.72-467
Abstract

Thirty-four patients with traumatic distractive flexion injuries in the mid to lower cervical spine were treated with posterior wire stabilization without bony fusion from January 1981 through May 1987. Fifteen had cord involvement, and nine had root involvement. Ten were neurologically intact. Thirty patients were followed for a mean of 38 months. Two neurologically intact patients had root deficits postoperatively. One patient was reoperated because of redislocation due to a spinous process fracture. Mean loss of lordosis was 7.5 degrees. Eight patients had a wire break at follow-up, but no case of late instability was observed. Sixteen patients had signs of spontaneous anterior interbody fusion at follow-up, and 11 patients had signs... (More)

Thirty-four patients with traumatic distractive flexion injuries in the mid to lower cervical spine were treated with posterior wire stabilization without bony fusion from January 1981 through May 1987. Fifteen had cord involvement, and nine had root involvement. Ten were neurologically intact. Thirty patients were followed for a mean of 38 months. Two neurologically intact patients had root deficits postoperatively. One patient was reoperated because of redislocation due to a spinous process fracture. Mean loss of lordosis was 7.5 degrees. Eight patients had a wire break at follow-up, but no case of late instability was observed. Sixteen patients had signs of spontaneous anterior interbody fusion at follow-up, and 11 patients had signs of posterior fusion. Twenty-four patients complained of late--but in most cases--minor pain. These results indicate that simple posterior wiring without bony fusion is a reliable method to obtain good immediate stability in traumatic distractive flexion injuries of the mid to lower cervical spine. The wires provide sufficient stability during the time of soft tissue healing.

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author
publishing date
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Contribution to journal
publication status
published
subject
keywords
Adult, Bone Wires, Cervical Vertebrae, Female, Follow-Up Studies, Humans, Internal Fixators, Joint Dislocations, Male, Range of Motion, Articular, Spinal Fractures, Time Factors, Journal Article, Research Support, Non-U.S. Gov't
in
Spine
volume
16
issue
4
pages
6 pages
publisher
Lippincott Williams & Wilkins
external identifiers
  • scopus:0025818877
ISSN
0362-2436
language
English
LU publication?
no
id
21ab18e2-1246-45b2-843d-de3a555802b5
alternative location
https://journals.lww.com/spinejournal/Abstract/1991/04000/Posterior_Wiring_Without_Bony_Fusion_in_Traumatic.15.aspx
date added to LUP
2018-01-31 13:35:58
date last changed
2018-02-04 04:35:14
@article{21ab18e2-1246-45b2-843d-de3a555802b5,
  abstract     = {<p>Thirty-four patients with traumatic distractive flexion injuries in the mid to lower cervical spine were treated with posterior wire stabilization without bony fusion from January 1981 through May 1987. Fifteen had cord involvement, and nine had root involvement. Ten were neurologically intact. Thirty patients were followed for a mean of 38 months. Two neurologically intact patients had root deficits postoperatively. One patient was reoperated because of redislocation due to a spinous process fracture. Mean loss of lordosis was 7.5 degrees. Eight patients had a wire break at follow-up, but no case of late instability was observed. Sixteen patients had signs of spontaneous anterior interbody fusion at follow-up, and 11 patients had signs of posterior fusion. Twenty-four patients complained of late--but in most cases--minor pain. These results indicate that simple posterior wiring without bony fusion is a reliable method to obtain good immediate stability in traumatic distractive flexion injuries of the mid to lower cervical spine. The wires provide sufficient stability during the time of soft tissue healing.</p>},
  author       = {Feldborg Nielsen, C and Annertz, M and Persson, L and Wingstrand, H and Säveland, H and Brandt, L},
  issn         = {0362-2436},
  keyword      = {Adult,Bone Wires,Cervical Vertebrae,Female,Follow-Up Studies,Humans,Internal Fixators,Joint Dislocations,Male,Range of Motion, Articular,Spinal Fractures,Time Factors,Journal Article,Research Support, Non-U.S. Gov't},
  language     = {eng},
  number       = {4},
  pages        = {72--467},
  publisher    = {Lippincott Williams & Wilkins},
  series       = {Spine},
  title        = {Posterior wiring without bony fusion in traumatic distractive flexion injuries of the mid to lower cervical spine. Long-term follow-up in 30 patients},
  volume       = {16},
  year         = {1991},
}