Comparison Of Microendoscopic Discectomy System And Anterior Open Approach In Treatment Of Unstable Odontoid Fracture With Cannulated Screw Internal Fixation / Ben LIN in Acta Orthopaedica Belgica, Vol 80/4 (Décembre 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/4 (Décembre 2014) . - p.529-536 Titre : Comparison Of Microendoscopic Discectomy System And Anterior Open Approach In Treatment Of Unstable Odontoid Fracture With Cannulated Screw Internal Fixation Type de document : texte imprimé Auteurs : Ben LIN, Auteur Année de publication : 2014 Article en page(s) : p.529-536 Langues : Anglais (eng) Mots-clés : microendoscopic discectomy system  odontoid fracture  internal fixation  cannulated screw Résumé : This study intended to investigate the safety and efficacy of microendoscopic discectomy system compared with anterior open approach in the treatment of odontoid fracture with cannulated screw internal fiation. Thirty-two patients (25 male and 7 female) were enrolled and randomly assigned to different treatments. 15 patients were treated with microendoscopic discectomy system (Group MED) and 17 patients were treated with anterior open approach (Group AOA). The operating time, volume of blood loss, occurrence of complications, and fracture healing rate were compared. In Group MED, the mean operating time and blood loss volume were significant lower than those in Group AOA (P < 0.05). Nevertheless, all patients in both groups obtained bony union and cervical range of motion without significant difference statistically (P > 0.05). Three patients in Group AOA complained of transient dysphagia. We concluded that microendoscopic discectomy system for odontoid fracture treatment with cannulated screw is a safe, reliable and minimal invasive procedure compared with traditional open surgery. Permalink : ./index.php?lvl=notice_display&id=34674 [article] Comparison Of Microendoscopic Discectomy System And Anterior Open Approach In Treatment Of Unstable Odontoid Fracture With Cannulated Screw Internal Fixation [texte imprimé] / Ben LIN, Auteur . - 2014 . - p.529-536. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 80/4 (Décembre 2014) . - p.529-536 Mots-clés : microendoscopic discectomy system  odontoid fracture  internal fixation  cannulated screw Résumé : This study intended to investigate the safety and efficacy of microendoscopic discectomy system compared with anterior open approach in the treatment of odontoid fracture with cannulated screw internal fiation. Thirty-two patients (25 male and 7 female) were enrolled and randomly assigned to different treatments. 15 patients were treated with microendoscopic discectomy system (Group MED) and 17 patients were treated with anterior open approach (Group AOA). The operating time, volume of blood loss, occurrence of complications, and fracture healing rate were compared. In Group MED, the mean operating time and blood loss volume were significant lower than those in Group AOA (P < 0.05). Nevertheless, all patients in both groups obtained bony union and cervical range of motion without significant difference statistically (P > 0.05). Three patients in Group AOA complained of transient dysphagia. We concluded that microendoscopic discectomy system for odontoid fracture treatment with cannulated screw is a safe, reliable and minimal invasive procedure compared with traditional open surgery. Permalink : ./index.php?lvl=notice_display&id=34674

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