An analysis of predicting factors for surgical outcomes in traumatic cervical spine subluxation operated with cages and plates

ahmed M.Deabes, Shawky A. Elmeleigy, Mohamed S.Osman
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Abstract

Background: Accidents, falls, assaults, and sports all contribute to the prevalence of cervical subluxation. Purpose: Predictive indicators and the extent to which patients recover from surgery for severe cervical subluxation are explored. Study design: A look back at the show's history. Patient and methods: Between March 2019 and August 2021, data on 41 patients with cervical subluxation were gathered, including demographics, presentation, imaging results, surgery details, and the ASIA scale. Results: Age, sex, related injuries, degree, and level of subluxation were not significant in a study of 41 individuals with traumatic subluxations. The ASIA scale demonstrated to be an important predictor of surgical success, and improvements in patient measurement on the other two criteria also accounted for the remaining significant p-value. The second aspect is the signal strength of cord edoema, which allows for valuable assessment and prediction of the result; for example, in 15 patients, G2 had a high significant p-value 0.001, indicating an improvement of at least one grade in the ASIA scale. Seventeen patients (with a p-value 0.001) underwent surgery within three days, suggesting that this is a substantial and favourable prognostic factor.
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外伤性颈椎脱位使用固定架和钢板手术效果预测因素分析
背景:意外事故、跌倒、攻击和运动都会导致颈椎脱位的发生。目的:探讨重度颈椎脱位手术的预测指标和患者的康复程度。研究设计:回顾演出历史。患者和方法:2019年3月至2021年8月期间,收集了41名颈椎脱位患者的数据,包括人口统计学、表现、影像学结果、手术详情和ASIA量表。结果如下在对41名外伤性颈椎半脱位患者的研究中,年龄、性别、相关损伤、半脱位程度和水平均无显著性差异。ASIA 量表被证明是预测手术成功与否的重要指标,患者在其他两个标准上的测量结果的改善也是剩余显著 p 值的原因。第二个方面是脐带水肿的信号强度,这可以对结果进行有价值的评估和预测;例如,在 15 名患者中,G2 的 p 值为 0.001,具有高度显著性,表明 ASIA 量表中至少有一个等级的改善。有 17 名患者(p 值为 0.001)在三天内接受了手术,这表明这是一个重要而有利的预后因素。
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