Cao G, Meng C, Zhang W, Kong X. Operative strategy and clinical outcomes of ROI-C(TM) fusion device in the treatment of Hangman's fracture.
Int J Clin Exp Med 2015;
8:18665-18672. [PMID:
26770480 PMCID:
PMC4694380]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2015] [Accepted: 09/18/2015] [Indexed: 06/05/2023]
Abstract
OBJECTIVE
to compare the clinical outcomes of anterior fusion with ROI-C(TM) and titanium plate in the treatment of Hangman's fractures.
METHODS
From Dec 2005 to Jan 2015, a total of 21 patients with Hangman's fracture, who underwent anterior internal fixation with titanium plate or ROI-C(TM), were retrospectively reviewed. All patients underwent anteroposterior, lateral, and flexion-extension radiography and computed tomography of cervical spine preoperatively and postoperatively at 3 days and 3 months. Cervical visual analog scale (VAS) score, Bazaz dysphagia score, angular displacement (AD), horizontal displacement (HD), fusion rate, and blood loss were measured.
RESULTS
The VAS and Bazaz dysphagia score at postoperative 3 days were significantly lower in ROI-C(TM) group, as compared to titanium plate group (P<0.05). AD and HD were significantly decreased in both groups after operation (P<0.05). The postoperative rate of complete reduction of spondylolisthesis was significantly higher in ROI-C(TM) group than that in titanium plate group (P<0.05). The operative time and blood loss was significantly decreased in ROI-C(TM) group, as compared to titanium plate group (P<0.05).
CONCLUSION
ROI-C(TM) device showed superiority to titanium plate in the treatment of Hangman's fractures, suggesting that anterior operation with ROI-C(TM) device may be a better choice for treating Hangman's fractures.
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