Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (39): 7299-7302.doi: 10.3969/j.issn.1673-8225.2011.39.020

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Locking plate fixation for cervicothoracic fracture and dislocation through anterior approach

Deng qiang1, Wang Xi-yang2, Wang Xin3, Ge Lei2, Duan Chun-yue2, Zhou Bing-yan2   

  1. 1Department of Spinal Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi  830054, Xinjiang Uygur Autonomous Region, China
    2Department of Spinal Surgery, Xiangya Hospital of Central South University, Changsha  410008, Hunan Province, China
    3Department of Etiology, School of Basic Medicine, Xinjiang Medical University, Urumqi  830054, Xinjiang Uygur Autonomous Region, China
  • Received:2011-06-18 Revised:2011-08-22 Online:2011-09-24 Published:2011-09-24
  • About author:Deng Qiang★, Master, Attending physician, Department of Spinal Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China dengqiang9788@yahoo.com
  • Supported by:

    the Natural Science Foundation of Xinjiang Uygur Autonomous Region, No. 2011211A043*

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Abstract:

BACKGROUND: Few studies about the long-term clinical results of cervicothoracic fracture and dislocation treated via the anterior approach and the spinal cord function after locking plate fixation.
OBJECTIVE: To find the feasibility and efficacy of locking plate fixation for cervicothoracic fracture and dislocation through the anterior approach. 
METHODS: Twelve patients with cervicothoracic fracture and spine cord injury were retrospectively analyzed from January 2007 to January 2011. All cases were treated with anterior decompression and reduction, bone graft, and locking plate fixation.
RESULTS AND CONCLUSION: All patients were followed up for 1 to 2 years, the mean follow-up time was 18 months. And all patients got complete bone fusion within 4 to 8 months postoperatively. There were no pull-out and breakage of screws or locking plate. Spinal cord functional recovery improved according Frankel standard. According to Frankel grades，there were 2 cases at grade A, 4 cases at grade B, 3 cases at grade C, 3 cases at grade D before implantation; 2 cases at grade A, 2 at grade C, 3 at grade D, 5 at grade E after implantation. One patients appeared with transient hoarse voice after surgery, and the symptoms were alleviated from 3 to 6 months after operation. Anterior decompression and reduction, bone graft, locking plate fixation have better effect for treatment of spine and spinal cord trauma in the cervicothoracic junction; the locking plate is helpful for the bone graft healing, reconstruction and stability in the cervicothoracic spine.

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