Anterior management of C2 fractures using miniplate fixation: outcome, function and quality of life in a case series of 15 patients

European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

Axel Franke¹ 

[1]German Armed Forces Central Hospital of Koblenz

关键词: Cervical spine injury;    Adults;    Axis;    Fracture;    Internal fixation;    Outcome;    Comorbidity;   

DOI  :  10.1007/s00586-018-5556-6

学科分类：骨科学

来源: Springer

【 摘 要 】

PurposeThe classification systems by Anderson and D’Alonzo, Effendi, Benzel and others have limitations when it comes to morphologically categorising fractures of the second cervical vertebral body (C2) that present with or without an additional fracture of the dens or with or without an extension of the fracture line into the vertebral arch and displacement. Currently, there are no definitive recommendations for the treatment of fractures at the junction of the dens with the vertebral body of C2 on the basis of outcome and stability data. Depending on patient anatomy, either anterior or posterior approaches can be used to fuse C1 and C2 and to achieve definitive surgical stabilisation. The anterior management of C2 fractures without C1–C2 fusion has the theoretical advantage that it preserves rotational motion at this motion segment and that the anterior approach is associated with lower morbidity. In the study presented here, we followed up a group of our patients who underwent anterior miniplate fixation for C2 fractures.

【 授权许可】

CC BY