A Review of Spinal Twine Injury and Its Management

Abstract

There is no universal agreement on the best procedure for treating lower cervical dislocation because anterior reduction and interbody fusion fixation have not been directly compared to posterior reduction and short-segmental pedicle screw fixation. This study compares the long-term effects of severe cervical dislocation with spinal cord injury treated using an anterior versus a posterior method. A total of 149 patients (follow-up rate of 84.1%) could be followed for more than 10 years. 67 patients had posterior reduction and short-segmental pedicle screw fixation, while 92 patients underwent anterior reduction and interbody fusion and fixation. Surgical or post-operative problems as well as the Japanese Orthopaedic Association (JOA) scores, the Neck Disability Index (NDI), the American Spinal Injury Association grading (ASIA), Odom's criteria, cervical kyphosis, and operating parameters were assessed. 10 to 17 years were spent monitoring the patients. At the follow-up, there was no discernible difference between the two groups' primary JOA scores, NDI scores, or ASIA scores. The posterior method was linked to a larger loss of alignment at the last follow-up and by two years (P = 0.012 and P 0.001, respectively).