open access

Vol 52, No 3 (2018)
Original research articles
Submitted: 2016-08-17
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Assessment of cervical range of motion in patients after axis fracture

Andżelina Wolan-Nieroda, Andrzej Maciejczak, Grzegorz Przysada, Adrian Kużdżał, Grzegorz Magoń, Michlina Czarnota, Mariusz Drużbicki, Agnieszka Guzik
DOI: 10.1016/j.pjnns.2017.11.013
·
Neurol Neurochir Pol 2018;52(3):334-340.

open access

Vol 52, No 3 (2018)
Original research articles
Submitted: 2016-08-17

Abstract

Background

Surgical treatment of odontoid fractures with posterior C1/C2 fusion always leads to severe limitations in mobility of the cervical spine and head.

Purpose

To assess the mobility of the cervical spine in patients treated with various surgical methods after an axis body fracture.

Material and methods

A 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.

Results

Except 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.

Conclusions

Odontoid 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

Background

Surgical treatment of odontoid fractures with posterior C1/C2 fusion always leads to severe limitations in mobility of the cervical spine and head.

Purpose

To assess the mobility of the cervical spine in patients treated with various surgical methods after an axis body fracture.

Material and methods

A 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.

Results

Except 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.

Conclusions

Odontoid fractures lead to limitations in mobility of the cervical spine even after treatment with methods that in theory should preserve the C1/C2 mobility.

Get Citation

Keywords

Range of motion, Odontoid fractures, Cervical spine, Surgical and conservative treatment

About this article
Title

Assessment of cervical range of motion in patients after axis fracture

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 52, No 3 (2018)

Pages

334-340

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

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