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Traumatic Cervical Spondyloptosis: Stand-alone anterior or posterior fusion 2012

General Spine

Ameera, F, Ismail, MD
Nader, S, Dahdaleh, MD, Non ASSR Member
Brian, J, Dlouhy, MD, Non ASSR Member
Jeremy, D.W., Greenlee, MD, Non ASSR Member
Patrick, W., Hitchon, MD, Non ASSR Member
Wendy, R.K., Smoker, MD, Non ASSR Member

Poster

Purpose

To demonstrate that stand alone anterior or posterior cervical constructs provide adequate cervical restoration for traumatic cervical spondyloptosis and propose a treatment algorithm for such patients.

Methods & Materials

A retrospective review of the medical records of patients admitted with cervical fracture-dislocation who required surgical treatment over a period of 10 years (January 2001- February 2011) was performed. A total of 41 patients were identified, 5 of whom presented with traumatic cervical spondyloptosis. Their medical records were reviewed including; inpatient and outpatient records, operative reports and imaging studies. A literature search of traumatic cervical spondyloptosis from 1996-June 2011was conducted.

Results

Of our patients, 4 had posterior fusion only, and 1 had anterior fusion only with stable restoration. Follow up time ranged from 1.5 to 60 months. In the literature 8 cases of cervical spondyloptosis were reported; 4 patients underwent combined anterior and posterior fusion, 3 had anterior fusion only, and one refused surgery. Follow up time in the literature ranged from 2 to 24 months. Of the 13 cases of cervical spondyloptosis, 8 had stable cervical restoration using a stand-alone anterior or posterior approach. As several biomechanical and clinical factors are considered in surgical planning, and given the paucity of reports of cervical spondyloptosis in the literature, we propose a treatment algorithm illustrated in (fig 4).

Conclusion

Stand-alone anterior or posterior constructs provide adequate surgical restoration in traumatic cervical spondyloptosis, given appropriate surgical candidate selection.

References/Financial Disclosures

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