Operative Strategy and Clinical Outcomes of ROI-C(TM) Fusion Device in the Treatment of Hangman's Fracture

Overview

Journal Int J Clin Exp Med

Specialty General Medicine

Date 2016 Jan 16

PMID 26770480

Citations 3

Authors

Guijun Cao

Chunyang Meng

Weihong Zhang

Xiangqing Kong

Affiliations

Soon will be listed here.

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.

Citing Articles

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The clinical efficacy of anterior cervical discectomy and fusion with ROI-C device vs. plate-cage in managing traumatic central cord syndrome.

Song D, Deng Z, Feng T, Wang J, Liu Y, Wang H Front Surg. 2023; 9:1055317.

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Incidence of dysphagia and dysphonia after Hangman's fractures: Evidence from 93 patients.

Yang Y, Dai L, Ma L, Gao X, Liu H Medicine (Baltimore). 2018; 97(49):e13552.

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