World Neurosurgery: X, 2024 · DOI: https://doi.org/10.1016/j.wnsx.2024.100283 · Published: March 1, 2024
This study examines the results of surgical treatment for injuries to the lower part of the neck (subaxial cervical spine). It looks at how well the surgery worked and what problems occurred, depending on the type of injury and the surgical method used. The study reviewed the cases of 271 patients who had surgery for these injuries at Kuopio University Hospital between 2003 and 2018. The results showed that surgery can be safe and effective, but the best surgical approach should be chosen based on the patient's specific injury. Patients who still had some motor function before surgery had a better chance of regaining neurological function.
Surgeons should tailor the surgical approach to the specific patient and injury characteristics to optimize outcomes and minimize complications.
Patients with partial spinal cord injuries (AIS grade C) should be prioritized for active treatment and rehabilitation due to their higher potential for neurological improvement.
The posterior surgical approach should be considered to reduce the risk of postoperative complications.