Clinical Researches
C1,2 pedicle screw internal fixation and bone graft fusion in treating upper cervical instability via manual blunt reaming
Jia Xuejun, Tian Wei, Kou Jianming, Wang Xi, Hou Jianwen, Gao Chong, Yu Yang
Published 2017-06-15
Cite as Chin J Clinicians(Electronic Edition), 2017,11(12): 1921-1925. DOI: 10.3877/cma.j.issn.1674-0785.2017.12.002
Abstract
ObjectiveTo explore the clinical outcomes and complications of C1,2 pedicle screw internal fixation and bone graft fusion in treating upper cervical instability via manual blunt reaming.
MethodsFrom January 2011 to June 2016, 19 patients with upper cervical instability were treated by C1,2 pedicle screw internal fixation and bone graft fusion. All cases presented with atlantoaxial instability such as cranio-cervical junction pain.
ResultsA total of 76 screws were placed in the 19 cases. No injuries to the spinal cord or large blood vessels were reported. Blood loss ranged from 200 to 630 mL, with an average of 340 mL. Operative time ranged from 1.5 to 3.5 h, with an average of 2.6 h. The patients were followed for 5-20 months, with an average of 8 months. No screw loosening or breakage occurred and bony fusion was achieved in all cases. The clinical symptoms were improved to some extent after operation. The preoperative JOA scores were 4.5-15.8 (average, 9); mean postoperative JOA score was 14.8 ± 2.3.
ConclusionManual blunt reaming is both safe and reliable for the placements of C1,2 pedicle screws.
Key words:
Atlanto-axis; Pedicle screws; Internal fixation; Upper cervical instability
Contributor Information
Jia Xuejun
the Second People′s Hospital of Lianyungang City, Lianyungang 222000, China
Tian Wei
the Second People′s Hospital of Lianyungang City, Lianyungang 222000, China
Kou Jianming
the Second People′s Hospital of Lianyungang City, Lianyungang 222000, China
Wang Xi
the Second People′s Hospital of Lianyungang City, Lianyungang 222000, China
Hou Jianwen
the Second People′s Hospital of Lianyungang City, Lianyungang 222000, China
Gao Chong
the Second People′s Hospital of Lianyungang City, Lianyungang 222000, China
Yu Yang
the Gulou Hospital Attached to Nanjing University, Nanjing 210003, China