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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Late radiographic findings after the anterior cervical fusion for the cervical subaxial compressive flexion and vertical compression injuries in young patients

1
Department of Neurosurgery
2
Department of Orthopedics and Traumatology, Kaunas University of Medicine, Lithuania
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Author to whom correspondence should be addressed.
Medicina 2007, 43(7), 542; https://doi.org/10.3390/medicina43070068
Received: 2 June 2006 / Accepted: 18 May 2007 / Published: 23 May 2007
Objective. The aim of this study was to investigate the influence of patients’ age on the development of radiologic signs of degeneration of adjacent levels after the anterior fusion for the cervical spine injuries.
Material and methods
. A total of 45 patients who had compressive flexion and vertical compression injuries of the cervical spine (by Ferguson–Allen mechanistic classification) were included in the study. There were 40 male and 5 female patients with a mean age of 31.5 years (range 15–64). These patients were treated with anterior decompression, iliac bone grafting, and anterior plating. Twenty-two patients aged less than 30 years were in the first group; 23 individuals more than 30 years of age were in the second group. A long-term radiologic followup involved assessment of the fusion and examination of the changes at levels immediately above and below the fused vertebrae.
Results
. Hypermobility of the disc space above the fused vertebra was found in 9 (40.9%) patients from the first group vs. 3 (13%) from the second one (P<0.05). Narrowing and osteophytes of the disc space below the fused vertebra was found in 2 (9.1%) patients from the first group vs. 10 (43.5%) from the second one (P<0.05).
Conclusions
. Hypermobility of the motion segment above the fused vertebra was found more frequently in patients aged less than 30 years. Narrowing and osteophytes of the disc space below the fused vertebra were found more frequently in older patients.
Keywords: cervical spine; cervical spine injury; spine stabilization cervical spine; cervical spine injury; spine stabilization
MDPI and ACS Style

Špakauskas, B.; Ambrozaitis, K.V.; Tamašauskas, A.; Kontautas, E. Late radiographic findings after the anterior cervical fusion for the cervical subaxial compressive flexion and vertical compression injuries in young patients. Medicina 2007, 43, 542.

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