open access
Assessment of cervical range of motion in patients after axis fracture
- Medical Faculty of University of Rzeszów, Poland
- Department of Neurosurgery, St Luke Hospital, Tarnów, Poland
open access
Abstract
Surgical treatment of odontoid fractures with posterior C1/C2 fusion always leads to severe limitations in mobility of the cervical spine and head.
PurposeTo assess the mobility of the cervical spine in patients treated with various surgical methods after an axis body fracture.
Material and methodsA group of 61 subjects receiving surgical treatment in a group of 214 subjects treated for odontoid fractures at one ward of neurosurgery at a regional hospital. Studies also included odontoid peg and Hangman fractures. The range of motion of the head was compared to standards by the International Standard Orthopedic Measurements (ISOM) and to head mobility in a control group of 80 healthy subjects without any pathologies or complaints associated with the cervical spine. Ranges of motion were measured with the CROM goniometre with regard to flexion, extension, right and left lateral flexion and right and left rotation. The functional status was evaluated with Neck Disability Index (NDI) standard questionnaires indicated for patients with cervical spine pain.
ResultsExcept for flexion and extension, patients after odontoid fractures had a statistically significantly smaller range of motion of the cervical spine in all planes compared to the control group and ISOM standards.
ConclusionsOdontoid fractures lead to limitations in mobility of the cervical spine even after treatment with methods that in theory should preserve the C1/C2 mobility.
Abstract
Surgical treatment of odontoid fractures with posterior C1/C2 fusion always leads to severe limitations in mobility of the cervical spine and head.
PurposeTo assess the mobility of the cervical spine in patients treated with various surgical methods after an axis body fracture.
Material and methodsA group of 61 subjects receiving surgical treatment in a group of 214 subjects treated for odontoid fractures at one ward of neurosurgery at a regional hospital. Studies also included odontoid peg and Hangman fractures. The range of motion of the head was compared to standards by the International Standard Orthopedic Measurements (ISOM) and to head mobility in a control group of 80 healthy subjects without any pathologies or complaints associated with the cervical spine. Ranges of motion were measured with the CROM goniometre with regard to flexion, extension, right and left lateral flexion and right and left rotation. The functional status was evaluated with Neck Disability Index (NDI) standard questionnaires indicated for patients with cervical spine pain.
ResultsExcept for flexion and extension, patients after odontoid fractures had a statistically significantly smaller range of motion of the cervical spine in all planes compared to the control group and ISOM standards.
ConclusionsOdontoid fractures lead to limitations in mobility of the cervical spine even after treatment with methods that in theory should preserve the C1/C2 mobility.
Keywords
Range of motion, Odontoid fractures, Cervical spine, Surgical and conservative treatment
Title
Assessment of cervical range of motion in patients after axis fracture
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
334-340
Published online
2017-12-06
Page views
300
Article views/downloads
964
DOI
10.1016/j.pjnns.2017.11.013
Bibliographic record
Neurol Neurochir Pol 2018;52(3):334-340.
Keywords
Range of motion
Odontoid fractures
Cervical spine
Surgical and conservative treatment
Authors
Andżelina Wolan-Nieroda
Andrzej Maciejczak
Grzegorz Przysada
Adrian Kużdżał
Grzegorz Magoń
Michlina Czarnota
Mariusz Drużbicki
Agnieszka Guzik