Ganeshkumar, M (2015) A study on functional outcome following surgical fixation for subaxial cervical spine injuries. Masters thesis, Madurai Medical College, Madurai.
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Abstract
BACKGROUND AND OBJECTIVES : Cervical spine injuries are one of the common causes of serious morbidity mortality following trauma. 6% of trauma patients have spine injuries of which >50% is contributed by cervical spine injury. Early recognition, immobilisation, preservation of spinal cord function, and stabilisation are the initial management of patients with cervical spine injuries. The purpose of this study was to evaluate functional outcome following surgical fixation for subaxial cervical spine injuries. METHODS : We evaluated 20 patients who underwent surgical fixation for subaxial cervical spine injures, concerning the ASIA motor score , ASIA impairment scale and SLIC score. Patient was evaluated by AP and lateral radiographs for fusion , neck pain , improvement in motor score by frankels grade. RESULTS: In this study all the cases are male with most of the patients are in the age group of 41-50 years. Fall from height is the most commom of injury followed by road traffic accident. C5-C6 # dislocation is most common spinal injury pattren. Incomplete neurological deficit are more in this study. Most of the cases are flexion distraction type of violence . Most of the cases presented with in one week of injury. Only 2 cases of 20 cases operated by global fusion ,both of them are presented late and found to have locked facets. 2 out of 3 cases are expired from complete neurological deficit. Mobilisation of neck started after 6 weeks. CONCLUSION: To conclude that early surgical stabilization of subaxial cervical spine injuries had good functional outcome , provided detailed clinical and radiological assessment ,proper preoperative planning , selection of surgical approaches , precision in surgical techniques and early rehabilitation program are needed in achieving good results and minimising complications.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | functional outcome ; surgical fixation ; subaxial cervical spine injuries |
| Subjects: | MEDICAL > Orthopaedics |
| Depositing User: | Subramani R |
| Date Deposited: | 25 Sep 2017 01:42 |
| Last Modified: | 25 Sep 2017 01:42 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/3311 |
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