An analysis of predicting factors for surgical outcomes in traumatic cervical spine subluxation operated with cages and plates | ||
| Benha Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 16 December 2023 PDF (875.6 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2023.212842.1827 | ||
| Authors | ||
| ahmed M.Deabes* ; Shawky A. Elmeleigy; Mohamed S.Osman | ||
| Department of Neurosurgery, Faculty of Medicine, Benha University, Qalubia, Egypt | ||
| Abstract | ||
| Background: Accidents, falls, assaults, and sports all contribute to the prevalence of cervical subluxation. Purpose: Predictive indicators and the extent to which patients recover from surgery for severe cervical subluxation are explored. Study design: This is a retrospective series. Patient and methods: Between March 2019 and August 2021, data on 41 patients with cervical subluxation were gathered, including demographics, presentation, imaging results, surgery details, and the ASIA scale. Results: Age, sex, related injuries, degree, and level of subluxation were not significant in a study of 41 individuals with traumatic subluxations. The ASIA scale was demonstrated to be an important predictor of surgical success, and improvements in patient measurement on the other two criteria also accounted for the remaining significant p-value. The second aspect is the signal strength of cord edema, which allows for valuable assessment and prediction of the result; for example, in 15 patients, G2 had a high significant p-value 0.001, indicating an improvement of at least one grade in the ASIA scale. Seventeen patients (with a p-value 0.001) underwent surgery within three days, suggesting that is a substantial and favorable prognostic factor. Conclusion: The factors that determine whether or not a patient will heal from a cervical subluxation are identified in our research. Only the moment of operation was under anyone's control; the other two variables (pre-ASIA status and cord edema signal severity) were not. It has been proven that a greater degree of improvement and recovery may be expected after surgery if the procedure is scheduled optimally. | ||
| Keywords | ||
| cervical; subluxation; traumatic; cord odema | ||
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