Surgical Treatment Spine Fractures The Value of Corpectomy Without Plating in the Lower Cervical Alt Servikal Omurga Klnklannln Cerrahi Tedavisinde Korpektomi ve Plakh ya da Fiizyonun Degeri

Objective: The aim of this study is to evaluate retrospectively the results of 37 patients who underwent anterior cervical corpectomy due to cervical spine fractures and fracture-dislocations. Methods: Skeletal traction with skull tongs was applied in 24 patients who had fracture-dislocations prior to surgery. Anterior interbody" fusion was performed in 13 patients using iliac autograft (Group I), and additional plating in 24 patients (Group II) for stabilisation of cervical spine after corpectomy. The patients were scored neurologically according to the functional grading scale of Benzel and Larson in order to assess the existence of correlation between timing of surgery and functional recovery during the follow-up. Results: The success of reduction was 75 %. Four patients (l0.81 %) died postoperatively. Of 29 out of remaining 33 patients with complete and incomplete deficit, 23 (79.31 %)showed at least one grade of functional recovery. There was no significant correlation between timing surgery and functional recovery (p>0.05). Among patients of group I, a total of 5 patients developed complications; three (23.07%) underwent revision surgery for early anterior graft dislodgement, while 2 (15.38%)developed an anterior kyfotic deformity. No such complication was observed in the patients of group II, which did differ significantly when compared to group I (p<0.05). COIlc1I1SiOlIS: It seems that anterior cervical corpectomy, when combined with plate and bone fusion, is appropriate for decompressive surgery in selected patients in the Ozet: AmaF Bu c;ah:;;mamn amaCI, servikal omurgada kmk ve kmk-dislokasyon nedeni ile anterior servikal korpektomi yapllan 37 hastanm sonuc;lanlll retrospektif degerlendirmektir. Yontem: Servikal omurunda kmk-dislokasyonu olan 24 hasta, cerrahiden bnce kafatasl kancalan ile iskelet traksiyonuna ahndl. Korpektomiden sonra servikal stabilizasyonu saglamak amaCl ile, 13 hastada (Crup 1) iliak kemik otogrefti kullanIlarak anterior fiizyon yapJllrken, 24 hastada (Grup II) bunlara ek oJarak plaklama yapildl. Hastalann takip dbneminde cerra hi zamalll ile nbrolojik iyile:;;mearasmda bir korelasyon olup olmadlgl Benzel ve Larson dereceleme skalasl kullallliarak degerlendirildi. BlIlgular: Kmk-dislokasyonu olan hastalarda redtiksiyon ba:;;an oram % 75 idi. Dbrt hasta (%10.81) post-operatif dbnemde kaybedildi. Geri kalan 33 hastanm 29'u tam veya kismi nbrolojik defisite sahipti ve bulann 23'ii (% 79.31) en az bir derece fonksiyonel iyile:;;megbsterdi. Cerrahinin zamam ile fonksiyonel nbrolojik iyile:;;mearasmda anlam1l bir korelasyon saptanamadl (p>0.05). Grup l'deki hastalann 5'inde komplikasyon geli:;;ti. Bunlann 3'iinde (%23.07) postoperatif greft kaymasl nedeni ile revizyon yapl1lrken, 2'sinde (%15.38) anterior ac;i1anmadeformitesi saptandl. Benzer bulgular grup lI'deki hastalarda gbzlenmedi. Bu, grup l' deki hastalarla kar:;;lla:;;tmldlgll1da istatiksel olarak anlamli idi (p<0.05). 5011I1/;:: Kemik fUzyon ve plaklama ile anterior servikaJ korpektomi, servikal omur klngl ve kmk