Evidence map›Paper›PMID 40837629›Full record

ArticleAfrican health sciences2025

Clinical observation of anterior decompression bone grafting and internal fixation in the treatment of lower cervical dislocation and analysis of influencing factors of early postoperative complications.

Yongjun Meng, Zhichao Gao, Xiaoliang Qian, Jian Luo, Xiaodong Chu

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Article in African health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yongjun MengDepartment of Orthopedic Surgery, The First Hospital of Linping District, Hangzhou, 311000, Hangzhou, China.
Zhichao GaoDepartment of Orthopedic Surgery, The First Hospital of Linping District, Hangzhou, 311000, Hangzhou, China.
Xiaoliang QianDepartment of Orthopedic Surgery, The First Hospital of Linping District, Hangzhou, 311000, Hangzhou, China.
Jian LuoDepartment of Orthopedic Surgery, The First Hospital of Linping District, Hangzhou, 311000, Hangzhou, China.
Xiaodong ChuDepartment of Orthopedic Surgery, The First Hospital of Linping District, Hangzhou, 311000, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the effect of anterior decompression with bone graft and internal fixation for dislocation of lower cervical vertebra, and to analyze the influencing factors of early postoperative complications. Methods: The retrospective study included 90 patients with lower cervical fractures and dislocations who received anterior decompression and internal fixation in our hospital from November 2018 to October 2021. Postoperative indexes, therapeutic effects, postoperative recovery of cervical and spinal functions and complications were observed. Univariate and multivariate Logistic regression analysis was conducted with early postoperative complications as the dependent variable. Results: All the 90 patients underwent surgical treatment successfully, the operation time was (85.11 ± 11.57) min, the intraoperative blood loss was (148.05±36.75) mL. Compared with preoperative results, Cobb Angle and anterior atlas space were significantly smaller at 6 months and 1 year after surgery (P < 0.05). No broken plate, broken nail and loose plate were observed in the patient one year after surgery, and the bone graft fusion was good. JOA score and ASIA score were significantly improved at 6 months and 1 year after surgery (P < 0.05). ASIA scores of patients with incomplete nerve injury were improved in different degrees 6 months and 1 year after surgery (P < 0.05). Of the 90 patients, 10 had related complications after surgery, with an incidence of 11.11%. The results of multivariate Logistic regression analysis indicated that the time from injury to operation and the longer operation time were both influencing factors of early postoperative complications (P < 0.05). Conclusion: Anterior cervical approach decompression bone grafting and internal fixation in the treatment of lower cervical fracture and dislocation has remarkable effects, which is helpful to promote the recovery of spinal nerve function. However, postoperative complications still exist, among which the time from injury to operation and the longer the operation time are both influencing factors of early postoperative complications, which should be paid attention to in clinic.

Indexed as

Bone TransplantationCervical VertebraeDecompression, SurgicalFracture Fixation, InternalJoint DislocationsPostoperative ComplicationsSpinal FracturesAdultFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultAnterior decompressionBone graft fusion internal fixationDislocationEarly complicationsInferior cervical vertebra

Identifiers

PMID40837629
PMCPMC12361966

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.