Early ventral surgical treatment without traction of acute traumatic subaxial cervical spine  injuries

This study investigates the safety and effectiveness of early anterior cervical discectomy and fusion (ACDF) for subaxial cervical spine fractures without using preoperative traction. The researchers analyzed data from 36 patients who sustained acute traumatic subaxial cervical spine fractures between 2004 and 2016 and underwent ACDF within 24 hours of injury without preoperative traction. The study found that early ACDF without traction is a safe and feasible option for treating these types of injuries, with intraoperative reduction achieved in all patients and a majority showing neurological improvement.

• 1
  Intraoperative reduction was achieved in all patients using a Cobb elevator or distraction pins without the use of preanesthesia traction.
• 2
  Twenty‑five patients  (69.4%) demonstrated improvement in their neurological function.
• 3
  Patients with incomplete SCI recovered quicker than those with complete SCI