Clinical analysis of anterior cervical decompression bone grafting fixation in the teratment of lower cervical fractures and dislocations

Objective: To study the effects of anterior cervical decompression bone grafting fixation in the treatment of lower cervical fractures and dislocations.Methods: 62 cases of patients with lower cervical fractures and dislocations in our hospital from January 2005 to February 2010 were selected as research objects,and they were randomly divided into group A(anterior cervical decompression bone grafting fixation group,31 cases) and group B(cervical posterior decompression bone grafting fixation group,31 cases),then the operation time,blood loss,incidence of complications and JOA score,atlantodental anterior space,Cobb angle,quality of life score before and after the treatment were analyzed and compared.Results:The operation time of group A [(85.67±16.22) min] was shorter than that of group B [(120.34±15.68) min],blood loss [(125.86±32.75) ml] was less than that of group B[(258.69±33.12) ml],incidence of complications(6.45%) was lower than that of group B(12.90%),JOA score [(24.1±2.1) point] and quality of life score [the score of physiological,psychology,environment and social relations were(76.85±7.15),(78.59±7.69),(79.57±8.60),(76.68±7.66) scores] were all higher than group B [(65.93±7.17),(70.35±8.82),(69.80±7.92),(62.30±7.71) scores],atlantodental anterior space [(2.38±0.39) mm] and Cobb angle [(3.67±0.85)°] were smaller than those of group B [(3.89±0.49) mm,(6.20±1.28)°],there were significant differences in the two groups(P0.05 or P0.01).Conclusion: The effect of anterior cervical decompression bone grafting fixation in the treatement of lower cervical fractures and dislocations is better,advantages is more,and it can significantly improve the quality of life.