The effectiveness of the method of stabilizing segment C1-C2 Harms in fractures of the odontoid process of C2 vertebra type II
Objective. To determine the effectiveness of C2 dens fracture stabilization using Harms method, and to assess the quality of life of patients in the early and late postoperative period.Materials and methods. Analyzed 11 cases of C2 dens fractures type II, which were operated in the Depart...
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| Format: | Article |
| Language: | English |
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Romodanov Neurosurgery Institute
2015-09-01
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| Series: | Ukrainian Neurosurgical Journal |
| Online Access: | https://theunj.org/article/view/50113 |
| _version_ | 1797348306015223808 |
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| author | Valeriy Olkhov Kostyantyn Gorbatyuk Oleksandr Lemeshov |
| author_facet | Valeriy Olkhov Kostyantyn Gorbatyuk Oleksandr Lemeshov |
| author_sort | Valeriy Olkhov |
| collection | DOAJ |
| description |
Objective. To determine the effectiveness of C2 dens fracture stabilization using Harms method, and to assess the quality of life of patients in the early and late postoperative period.Materials and methods. Analyzed 11 cases of C2 dens fractures type II, which were operated in the Department of Neurosurgery Vinnytsia Regional Psychoneurological Hospital for the period 2012-2014. All operation were made using Harms method.Results. Efficacy was estimated via using the VAS score and the NDI before, 1 and 6 months after surgery. Moreover we performed CT before, 1-2 day after, and 6 month after the operation.Before surgery NDI in average was 46%, first days after the operation median - 28%. One month later, the median value of NDI is 19%. After 6 months and future NDI is not greatly changed (average 15%).VAS before operation was 6.2. First days after operation median score was 6. This score was being reduced to 2.2 after one month and progressively to 0.33 after 6 months.CT performing first days after operation were needed to confirm right positioning of screws. 6 months after the operation CT were been done to all patients. It showed good bone healing in fracture line.Conclusions. Harms method of C1-C2 stabilization is an effective method for surgical treatment of C2 II type fracture. Over 6 months after operation patients returns to their usual activity without pain. |
| first_indexed | 2024-03-08T12:03:55Z |
| format | Article |
| id | doaj.art-af32b74c09b0454cb7ed07a8e97fa67f |
| institution | Directory Open Access Journal |
| issn | 2663-9084 2663-9092 |
| language | English |
| last_indexed | 2024-03-08T12:03:55Z |
| publishDate | 2015-09-01 |
| publisher | Romodanov Neurosurgery Institute |
| record_format | Article |
| series | Ukrainian Neurosurgical Journal |
| spelling | doaj.art-af32b74c09b0454cb7ed07a8e97fa67f2024-01-23T13:31:37ZengRomodanov Neurosurgery InstituteUkrainian Neurosurgical Journal2663-90842663-90922015-09-013212510.25305/unj.50113The effectiveness of the method of stabilizing segment C1-C2 Harms in fractures of the odontoid process of C2 vertebra type IIValeriy Olkhov0Kostyantyn Gorbatyuk1Oleksandr Lemeshov2Department of nerve diseases with a course neurosurgery, National Pirogov Memorial Medical University, Vinnitsa, UkraineDepartment of nerve diseases with a course neurosurgery, National Pirogov Memorial Medical University, Vinnitsa, UkraineDepartment of nerve diseases with a course neurosurgery, National Pirogov Memorial Medical University, Vinnitsa, Ukraine Objective. To determine the effectiveness of C2 dens fracture stabilization using Harms method, and to assess the quality of life of patients in the early and late postoperative period.Materials and methods. Analyzed 11 cases of C2 dens fractures type II, which were operated in the Department of Neurosurgery Vinnytsia Regional Psychoneurological Hospital for the period 2012-2014. All operation were made using Harms method.Results. Efficacy was estimated via using the VAS score and the NDI before, 1 and 6 months after surgery. Moreover we performed CT before, 1-2 day after, and 6 month after the operation.Before surgery NDI in average was 46%, first days after the operation median - 28%. One month later, the median value of NDI is 19%. After 6 months and future NDI is not greatly changed (average 15%).VAS before operation was 6.2. First days after operation median score was 6. This score was being reduced to 2.2 after one month and progressively to 0.33 after 6 months.CT performing first days after operation were needed to confirm right positioning of screws. 6 months after the operation CT were been done to all patients. It showed good bone healing in fracture line.Conclusions. Harms method of C1-C2 stabilization is an effective method for surgical treatment of C2 II type fracture. Over 6 months after operation patients returns to their usual activity without pain.https://theunj.org/article/view/50113 |
| spellingShingle | Valeriy Olkhov Kostyantyn Gorbatyuk Oleksandr Lemeshov The effectiveness of the method of stabilizing segment C1-C2 Harms in fractures of the odontoid process of C2 vertebra type II Ukrainian Neurosurgical Journal |
| title | The effectiveness of the method of stabilizing segment C1-C2 Harms in fractures of the odontoid process of C2 vertebra type II |
| title_full | The effectiveness of the method of stabilizing segment C1-C2 Harms in fractures of the odontoid process of C2 vertebra type II |
| title_fullStr | The effectiveness of the method of stabilizing segment C1-C2 Harms in fractures of the odontoid process of C2 vertebra type II |
| title_full_unstemmed | The effectiveness of the method of stabilizing segment C1-C2 Harms in fractures of the odontoid process of C2 vertebra type II |
| title_short | The effectiveness of the method of stabilizing segment C1-C2 Harms in fractures of the odontoid process of C2 vertebra type II |
| title_sort | effectiveness of the method of stabilizing segment c1 c2 harms in fractures of the odontoid process of c2 vertebra type ii |
| url | https://theunj.org/article/view/50113 |
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