Anterior Only Surgery for Management of Traumatic Subaxial Cervical Spine Instability

arsany botros saleh

Status: Unknown

Conditions: Traumatic Cervical Spine Instability

Treatments: Procedure: anterior approach only in cervical spine trauma

Study type: Interventional

Funder types: Other

Identifiers

NCT03149497

assiutU100

Details and patient eligibility

About

Classic management of cervical spine sublaxation and dislocation is combined anterior and posterior approach. Unfortunately there are disadvantages for this approach like: increasing morbidity related to each approach, increasing surgical costs, increasing operative time as well as the risk of blood loss.

Anterior approach has the advantages of supine position, less surgical trauma and direct anterior decompression of neural elements. Disadvantages include less mechanical stability and postoperative dysphagia.

Enrollment: 30 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Acute traumatic cases of adult patients with sub axial cervical spine injury presenting to trauma unit of Assiut university hospital

Exclusion criteria

• Patients who need cervical corpectomy.
• Pediatric injuries

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

improved anterior approach only in traumatic cervical spine

Active Comparator group

Treatment:

Procedure: anterior approach only in cervical spine trauma

failed anterior approach only in traumatic cervical spine

Active Comparator group

Treatment:

Procedure: anterior approach only in cervical spine trauma