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KMID : 0378019750180040545
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New Medical Journal
1975 Volume.18 No. 4 p.545 ~ p.551
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Ealy Anterior body Fusion on Cervical Cord Injury
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Abstract
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The author had applied anterior fusion technique to seven patients of cervical injury who were
admitted to the neurosurgical_ department of B. N. U. H during the last year.
They were one case of spine tuberculosis, two cases of cervical H.N.P. and four cases of spine
fracture associated with cord injury. ; The obtained results are as follows,
1. The Cloward technique was done to two cases of cervical H. N. P. and one case of acute anterior cervical cord injury.
Smith--Robin technique was used in one case of cervical spine tuberculosis and 3 cases of comminuted fracture and compressed fracture dislocation of the cervical spine.
2. Preoperatively 20 pounds of power for skeletal traction and 7 pounds for Halter´s traction were applied to increase the width of the intervertebral space.
Additional traction was applied by the anesthesiologist and Cloward-spreader was fixed in the intervertebral space.
3. Drilling was performed with the drilling gard which was fixed about 2mm shorter than
previously measured antero-posterior diameter of the cervical vertebral body.
4. On drilling and removal of the vertebral body, bone marrow hemorrhage was controlled with
bone wax and epidural hemorrhage was controlled with gel foam to prevent hematoma formation. The bone dowel and graft bone was impacted into the previously drilled and removed intervertebral space.
5. The cervical spine had been obtained more good stabilization by increasing the width of the intervertebral space and appling traction.
The author thinks that the patients got early rehabilitation by this method.
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KEYWORD
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