Feasibility of anterior screw fixation in children: a tomographic study

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art_FERNANDES_Feasibility_of_anterior_screw_fixation_in_children_a_2018.PDF (764.52 KB)
Citações na Scopus
6
Tipo de produção
article
Data de publicação
2018
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER
Autores
FERNANDES, Livia Gaspar
Citação
EUROPEAN SPINE JOURNAL, v.27, n.6, p.1388-1392, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Morphology measures of the odontoid process in children under 12 years old were carried out to demonstrate the viability of anterior internal fixation in this population once their active profile may not be compatible with successful conservative treatment. During a 6-month period, 36 tomographic examinations of the cervical spine region that provided visualization of the odontoid process were selected. Group 1 included children between 6 and 9 years of age, and group 2 contained children from 9 to 12 years of age. There were 23 (63.8%) male patients and 13 (36.2%) female patients. Patients diagnosed with a tumor, an infection, fracture non-union, or congenital malformation were excluded. Exams were ordered as part of a protocol applied to non-specific neck pain and pediatric trauma entries. The following parameters were analyzed: (1) screw attack angle, (2) height of the odontoid process, and (3) minimal transverse diameter of the odontoid process. In Groups 1 and 2, the average values of the screw attack angle were 55.9A degrees A +/- 2.3A degrees and 54.8A degrees A +/- 4.5A degrees, respectively; the average heights of the odontoid process were 26.58 +/- 3.28 and 29.48 +/- 3 mm, respectively, and the average minimal transverse diameter of the odontoid process were 6.57 +/- 1.08 and 6.23 +/- 0.88 mm, respectively. The minimal transverse diameter of the odontoid process was statistically higher in males than that in females, regardless of age (p = 0.007). In both groups, the minimal transverse diameter of the odontoid process allowed for the use of one 3.5-4.5 mm screw for anterior internal fixation. These slides can be retrieved under Electronic Supplementary Material. [GRAPHICS] .
Palavras-chave
Odontoid process, Axis, Computed tomography, Internal fixation, Children
URI
https://observatorio.fm.usp.br/handle/OPI/27008
Referências
  1. ANDERSON LD, 1974, J BONE JOINT SURG AM, VA 56, P1663, DOI 10.2106/00004623-197456080-00017
  2. Blauth M, 1996, Eur Spine J, V5, P63, DOI 10.1007/BF00307830
  3. Chi YL, 2007, EUR SPINE J, V16, P1157, DOI 10.1007/s00586-007-0331-0
  4. Daher Murilo Tavares, 2010, Coluna/Columna, V9, P322, DOI 10.1590/S1808-18512010000300013
  5. Duransoy YK, 2013, WSCJ, V4, P25
  6. Eap C, 2010, ORTHOP TRAUMATOL-SUR, V96, P748, DOI 10.1016/j.otsr.2010.04.013
  7. Fassett Daniel R, 2006, Neurosurg Focus, V20, pE7
  8. Feng G, 2012, CLIN ORTHOP RELAT R, V470, P2021, DOI 10.1007/s11999-012-2389-1
  9. Fulkerson DH, 2012, J NEUROSURG-PEDIATR, V9, P35, DOI 10.3171/2011.10.PEDS11256
  10. Geck MJ, 2014, J SPINAL DISORD TECH, V27, pE110, DOI 10.1097/BSD.0b013e318291ce46
  11. Gehweiler D, 2017, J ORTHOP RES, V35, P2154, DOI 10.1002/jor.23512
  12. Godard J, 1997, CHILD NERV SYST, V13, P105, DOI 10.1007/s003810050054
  13. Henry AD, 1999, J BONE JOINT SURG BR, V81B, P472, DOI 10.1302/0301-620X.81B3.9109
  14. Jenkins JD, 1998, J NEUROSURG, V89, P366, DOI 10.3171/jns.1998.89.3.0366
  15. Ji W, 2015, EUR SPINE J, V24, P2954, DOI 10.1007/s00586-015-4135-3
  16. Joaquim AF, 2015, NEUROSURG FOCUS, V38, DOI 10.3171/2015.1.FOCUS14781
  17. Jones A, 2005, SPINE, V30, pE28, DOI 10.1097/01.brs.0000149078.11647.80
  18. Jones TM, 2011, J AM ACAD ORTHOP SUR, V19, P600, DOI 10.5435/00124635-201110000-00004
  19. Khaleel ZL, 2014, J NEUROSURG-SPINE, V20, P172, DOI 10.3171/2013.10.SPINE13405
  20. Lustrin ES, 2003, RADIOGRAPHICS, V23, P539, DOI 10.1148/rg.233025121
  21. NUCCI RC, 1995, SPINE, V20, P264, DOI 10.1097/00007632-199502000-00002
  22. Stulik J, 2013, ACTA CHIR ORTHOP TR, V80, P106
  23. Tavares JO, 2007, J BONE JOINT SURG AM, V89A, P170, DOI 10.2106/JBJS.F.00239
  24. Torelli AG, 2012, ACTA ORTOP BRAS, V20, P75, DOI 10.1590/S1413-78522012000200003
  25. Tun K, 2009, EUR SPINE J, V18, P271, DOI 10.1007/s00586-008-0814-7
  26. Wang J, 1999, PEDIATR NEUROSURG, V30, P70, DOI 10.1159/000028766
  27. Zapalowicz Krzysztof, 2004, Neurol Neurochir Pol, V38, P317
  28. Zhao LJ, 2016, EUR SPINE J, V25, P1716, DOI 10.1007/s00586-016-4470-z

Coleções
Artigos e Materiais de Revistas Científicas - FM/MOT
Artigos e Materiais de Revistas Científicas - HC/IOT
Artigos e Materiais de Revistas Científicas - LIM/41