Arthrodesis of the cervical spine for fractures and dislocations in children and adolescents. A long-term follow-up study.

摘要: Forty-two patients who had an arthrodesis for instability of the cervical spine resulting from trauma were followed clinically a minimum seven years (median, seventeen and six months). The ages at time injury ranged one year eleven months to fifteen months. On basis new post-traumatic neck score, which includes assessment pain, mobility, neurological status, function, thirty-two (76 per cent) excellent result, (14 good four (10 fair result. No patient poor There was no notable deterioration clinical result with increased duration follow-up. Current radiographs in flexion extension available thirty-one (74 forty-two patients. change stability, deformity, or fusion mass after healing follow-up, but there significant increase osteoarthrotic changes unfused segments follow-up (p = 0.0001). Complications included spontaneous sixteen (38 cent), mild pain dysesthesias iliac-crest donor site superficial infection bone-graft (2 incorrect level cent). One secondary juvenile rheumatoid arthritis, developed treatment original injury, she needed reoperation. We concluded that spinal fractures dislocations children adolescents can be accomplished safely, acceptable outcome, low rate complications, morbidity long-term Pain, function do not markedly, mobility may decrease Our associated changes, as seen on 0.05).