본문 바로가기
HOME> 논문 > 논문 검색상세

논문 상세정보

The Management of Bilateral Interfacetal Dislocation with Anterior Fixation in Cervical Spine : Comparison with Combined Antero-Posterior Fixation

Kim, Ki-Hong    (Department of Neurosurgery School of Medicine Kyungpook National University   ); Cho, Dae-Chul    (Department of Neurosurgery School of Medicine Kyungpook National University   ); Sung, Joo-Kyung    (Department of Neurosurgery School of Medicine Kyungpook National University  );
  • 초록

    Objective : Combined antero-posterior fixation has been a standard method for bilateral interfacetal dislocation in cervical spine. The purpose of this study is to evaluate the efficacy and complication of anterior cervical stabilization in treatment of bilateral interfacetal dislocation. Methods : A total of 65 cases of traumatic bilateral interfacetal dislocation in cervical spine who were managed in our institution, from Mar. 1997 to Feb. 2006, were included in this study. Closed reduction was tried in all cases before operation. If closed reduction was accomplished successfully, only anterior cervical fixation was performed (Group I), and attempted to place screws bicortically as possible with unicortical screws. If failed, posterior open reduction with fixation was first tried, followed by anterior cervical fixation (Group II). All patients were evaluated for neurological outcome and radiological evidence of healing. Results : The Group I included 47 patients and the Group II, 18 patients. The improvement of Frankel grade and increase of mean cervical lordosis angles were not statistically different between two groups. Screw-plate system used did not influence the outcome. On follow up, solid bone fusion was evident and there were no cases of instability in both groups. Conclusion : Our study demonstrated that anterior cervical fixation on BID is safe and effective in comparison with combined antero-posterior cervical fixation.


  • 주제어

    Cervical spine .   Dislocation .   Antero-posterior .   Fixation .   Stabilization.  

  • 참고문헌 (24)

    1. De Iure F, Scimeca GB, Palmisani M, Donati U, gasbarrini A, Bandiera S, et al : Fracture and dislocations of the lower cervical spine : surgical treatment. A review of 83 cases. Chir Organi Mov 88 : 397-410, 2003 
    2. Lehmann W, Blauth M, Briem D, Schmidt U : Biomechanical analysis of anterior cervical spine plate fixation systems with unicortical and bicortical screw purchase. Eur Spine J 13 : 69-75, 2004 
    3. Lu K, Lee Tc, Chen HJ : Closed reduction of bilateral locked facets of the cervical spine under general anaesthesia. Acta Neurochir (Wien) 140 : 1055-1061, 1998 
    4. Pan HC, Huang CI, Chen MT, Lee LS : Anterior cervical stabilization with the synthes cervical spine locking plate system. Zhoughua Yi Xue Za Zhi (Taipei) 62 : 852-858, 1999 
    5. Toh E, Nomura T, Watanabe M, Mochida J : Surgical treatment for injuries of the middle and lower cervical spine. International Orthopaedics 30 : 54-58, 2006 
    6. Woodring JH, Goldstein SJ : Fractures of the articular processes of the cervical spine. AJR Am J Roentgenol 132 : 341-344, 1982 
    7. Coe JD, Warden KE, Sutterlin CE, McAfee PC : Biomechanical evaluation of cervical spinal stabilization methods in a human cadaveric model. Spine 14 : 1122-1131, 1989 
    8. Hadley MN, Fitzpatrick BC, Sonntag VK, Browner CM : Facet fracture-dislocation injuries of the cervical spine. Neurosurgery 30 : 661-666, 1992 
    9. Vital JM, Gille O, Senegas J, Pointillart V : Reduction technique for uni- and biarticular dislocations of the lower cervical spine. Spine 23 : 949-954, 1998 
    10. Lukhele M : Fractures of the vertebral lamina associated with unifacet and bifacet cervical spine dislocations. S Afr J Surg 32 : 112-114, 1994 
    11. Reindl R, Ouellet J, Harvey EJ, Berry G, Arlet V : Anterior reduction for cervical spine dislocation. Spine 31 : 648-652, 2006 
    12. Johnson MG, Fisher CG, Boyd M, Pitzen T, Oxland TR, Dvorak MF : The radiographic failure of single segment anterior cervical plate fixation in traumatic cervical flexion distraction injuries. Spine 29 : 2815-2820, 2004 
    13. Berrington NR, van Staden JF, Willers JG, Van der Westhuizen J : Cervical intervertebral disc prolapse associated with traumatic facet dislocation. Surg Neurol 40 : 395-399, 1993 
    14. Kim SM, Lim TJ, Paterno J, Park J, Kim DH : A biomechanical comparison of three surgical approaches in bilateral subaxial cervical facet dislocation. J Neurosurg Spine 1 : 108-115, 2004 
    15. Do Koh Y, Lim TH, Won You J, Eck J, An HS : A biomechanical comparison of modern anterior and posterior plate fixation of cervical spine. Spine 26 : 925-939, 2001 
    16. Jin DD, Lu KW, Wang JX, Chen JT, Jiang JM : The selection of the surgical approach in the management of fracture and dislocation of lower cervical spine combined spinal cord injury. Zhonhua Wai Ke Za Zhi 21 : 1303-1306, 2004 
    17. Ordonez BJ, Benzel EC, Naderi S : Cervical facet dislocation : technique for ventral reduction and stabilization. J Neurosurg 92 : 18-23, 2000 
    18. Choi JY, Yoon DH, Chin DK, Kim YS : Locked Facet Syndrome of the Cervical Spine. J Korean Neurosurg Soc 26 : 1379-1384, 1997 
    19. Grant GA, Mirza SK, Chapman JR, Winn HR, Newell DW, Jones DT, et al : Risk of early closed reduction in cerical spine subluxation injuries. J Neurosurg 90 : 13-18, 1999 
    20. Razack N, Green BA, Levi AD : The management of traumatic cervical bilateral facet fracture-dislocation with unicortical anterior plates. J Spinal Disord 13 : 374-381, 2000 
    21. Sonntag VK : Management of bilateral locked facets of the cervical spine. Neurosurgery 8 : 150-152, 1981 
    22. Payer M : Immediate open anterior reduction and antero-posterior fixation/fusion for bilateral cervical locked facets. Acta Neurochir (Wien) 147 : 509-514, 2005 
    23. Jung ES, Ko SK, Kim OL, Chi YC, Choi BY, Cho SH : Internal Fixation of the Unstable Cervical Spine Fracture and Subluxation. J Korean Neurosurg Soc 21 : 36-41, 1992 
    24. Wolf A, Levi L, Mirvis S, Ragheb J, Huhn S, Rigamonti D, et al : Operative management of bilateral facet dislocation. J Neurosurg 75 : 883-890, 1991 

 저자의 다른 논문

  • 성주경 (20)

    1. 2000 "자발성 척수내혈종 - 증례보고 -" 대한신경외과학회지 = Journal of Korean Neurosurgical Society 29 (3): 411~419    
    2. 2000 "제 II 형 치상돌기 골절에서 전방경유 나사못 고정술" 대한신경외과학회지 = Journal of Korean Neurosurgical Society 29 (11): 1461~1468    
    3. 2000 "제 1, 2 경추간 판하철사고정술 없는 후방 경관절 나사못 고정술 및 골유합술" 대한신경외과학회지 = Journal of Korean Neurosurgical Society 29 (11): 1469~1475    
    4. 2000 "뇌동맥류 수술 환자에서 급성 수두증 병발후 단락술이 요하는 만성 수두증 합병의 임상적 및 형태학적 비교" 대한신경외과학회지 = Journal of Korean Neurosurgical Society 29 (11): 1476~1483    
    5. 2001 "대뇌 신경교종증 : 임상특징 및 예후에 관한 연구" 대한신경외과학회지 = Journal of Korean Neurosurgical Society 30 (12): 1399~1405    
    6. 2001 "뇌실 복강간 단락 부전의 기여인자" 대한신경외과학회지 = Journal of Korean Neurosurgical Society 30 (1): 79~84    
    7. 2005 "Intracranial Aneurysms in the 3rd and 4th Decades in Comparison with Those in the 8th and 9th Decades" Journal of Korean Neurosurgical Society = 대한신경외과학회지 38 (1): 28~34    
    8. 2005 "A Case of Spinal Intradural Extramedullary Cavernous Angioma" Journal of Korean Neurosurgical Society = 대한신경외과학회지 38 (1): 74~76    
    9. 2005 "Long-term Follow-up Results of Short-segment Posterior Screw Fixation for Thoracolumbar Burst Fractures" Journal of Korean Neurosurgical Society = 대한신경외과학회지 37 (6): 416~421    
    10. 2005 "Anterior Screw Fixation using Herbert Screw for Type II Odontoid Process Fractures" Journal of Korean Neurosurgical Society = 대한신경외과학회지 37 (5): 345~349    

 활용도 분석

  • 상세보기

    amChart 영역
  • 원문보기

    amChart 영역

원문보기

무료다운로드
유료다운로드

유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.

원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.

NDSL에서는 해당 원문을 복사서비스하고 있습니다. 위의 원문복사신청 또는 장바구니 담기를 통하여 원문복사서비스 이용이 가능합니다.

이 논문과 함께 출판된 논문 + 더보기