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Anterior cage fixation for dorsal spine injuries- One year study.
Author(s)
Rizwan Masood Butt Department of Neurosurgery, PGMI, Lahore General Hospital, Lahore, Pakistan
Manzoor Ahmed Department of Neurosurgery, PGMI, Lahore General Hospital, Lahore, Pakistan
Abdullah Haroon Department of Neurosurgery, PGMI, Lahore General Hospital, Lahore, Pakistan
Ashraf Shaheen Department of Neurosurgery, PGMI, Lahore General Hospital, Lahore, Pakistan
Bashir Department of Neurosurgery, PGMI, Lahore General Hospital, Lahore, Pakistan
Attiue Rehman Department of Neurosurgery, PGMI, Lahore General Hospital, Lahore, Pakistan
Farukh Department of Neurosurgery, PGMI, Lahore General Hospital, Lahore, Pakistan
Asma Gilani Department of Neurosurgery, PGMI, Lahore General Hospital, Lahore, Pakistan
Azam Niaz Department of Neurosurgery, PGMI, Lahore General Hospital, Lahore, Pakistan
Nazir Ahmed Department of Neurosurgery, PGMI, Lahore General Hospital, Lahore, Pakistan
Abstract
This study was conducted during the year 2004 at Lahore General Hospital, Unit I, and department of Neurosurgery. We operated on 37 patients for thoracic cage interbody fixation after trauma. Age range was from 15 to 70 years. Maximum number of cases (41%) was between 21-30 years of age. Male involvement was seen in 29 (79%) patients. Majority (65%) belonged to rural community and agriculture and industry were the major setup of injury. Majority belonged to poor socioeconomic class i.e., 83% (3 1). Level of injury was 37% upper dorsal spine, Main fracture types were burst fractures, compression fractures and fracture dislocations. Correction of deformity was achieved in majority of cases. Associated chest injuries were seen in 28% cases. Timing of surgery was as early as possible but it ranged from 2 hours to as long as 3 months. Neurological deficit ranged from complete paraplegia to power grade 4. Complications of the procedure are cage displacement in 6%, loosening in 5% and infection in 8%. Neurological status improved in 88% while kyphosis improvement occurred in 77% of the patients. Anterior cage fixation is a safe and effective treatment method for traumatic dorsal spine instability involving vertebral bodies.
Publication Details
Page(s) 21-26
DOI DOI not available
Published Journal: Proceedings of sheikh zayed postgraduate medical institute, Volume: 20, Issue: 1, Year: 2006
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