Anterior Only Surgery for Management of Traumatic Subaxial Cervical Spine Instability
Not Applicable
- Conditions
- Traumatic Cervical Spine Instability
- Interventions
- Procedure: anterior approach only in cervical spine trauma
- Registration Number
- NCT03149497
- Lead Sponsor
- arsany botros saleh
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 30
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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description improved anterior approach only in traumatic cervical spine anterior approach only in cervical spine trauma - failed anterior approach only in traumatic cervical spine anterior approach only in cervical spine trauma -
- Primary Outcome Measures
Name Time Method Radiological analysis 6 months Fusion state by:
Presence of crossing bone, mobility on motion films and CT scan
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Assiut University
🇪🇬Assiut, Egypt