P.091 Anterior surgical fixation for cervical spine flexion-distraction injuries

Flexion-distraction injuries of the cervical spine.

A 29 year old woman during a non-professional, recreational, wrestling episode sustained a fall on her neck. She immediately experienced severe neck pain and felt weakness in her upper limbs. Her neurological examination in the emergency department, showed grade 3/5 motor strength in deltoid, biceps, brachioradialis, wrist and finger extensors bilaterally. The sensations were bilaterally decrea...

The radiographic failure of single segment anterior cervical plate fixation in traumatic cervical flexion distraction injuries.

STUDY DESIGN A radiographic review of 87 patients with either unilateral or bilateral facet dislocations or fracture/dislocations treated with anterior cervical discectomy, fusion, and plating. OBJECTIVE The primary objective of this study was to report the incidence of radiographic failure and factors that would predispose to this loss of alignment. The secondary objective was to report the ...

Influence of graft size on spinal instability with anterior cervical plate fixation following in vitro flexion-distraction injuries.

BACKGROUND CONTEXT Anterior cervical discectomy and fusion with plating (ACDFP) is commonly used for the treatment of distractive-flexion cervical spine injuries. Despite the prevalence of ACDFP, there is little biomechanical evidence for graft height selection in the unstable trauma scenario. PURPOSE This study aimed to investigate whether changes in graft height affect the kinematics of ins...

A Safe Surgical Procedure for Old Distractive Flexion Injuries of the Subaxial Cervical Spine

Study Design Retrospective review. Purpose To describe a safe and effective surgical procedure for old distractive flexion (DF) injuries of the subaxial cervical spine. Overview of Literature Surgical treatment is required in old cases when a progression of the kyphotic deformity and/or persistent neck pain and/or the appearance of new neurological symptoms are observed. Since surgical trea...

The Effect of Fixation Plate Length on Spinal Instability Following Anterior Cervical Plate Fixation for the Repair of in Vitro Flexion-Distraction Injuries