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OUTCOME OF FIXATION OF LATERAL MASS SECREWS AMONG PATIENTS SUFFERING FROM CERVICAL INJURY

Dr Ammar Ahmad

Objective: The aim of this research work is to find out the outcome among patients suffering from cervical injury after the fixation of the lateral mass screws. Methodology: 88 patients suffering from cervical injury, as diagnosed by radiology, were the participants of this research work. All the patients having less than twelve year of age and greater than seventy year of age, patients present with traumatic discs and compression of cord or present with surgery of spine in past were not the part of this research work. All the patients had to undergo fixation of LMS (Lateral Mass Screws) through posterior technique under complete fluoroscopic control. We used the Frankel grading to evaluate the medical condition of all present patients before surgery and after surgical intervention. Results: There were 68.180% (n: 60) male patients and 31.80% (n: 28) female patients. The range of the age of the patients was from 18 to 55 years with an average age of 32.0 ± 8.0 years. Major common injury level was C5-C6 in 52.0% (n: 46) patients. In accordance with the system of Frankel grading, 39.80% (n: 35) patients were in Grade-A, 17.050% (n: 15) patients were in Grade-B, 25.0% (n: 22) patients were in Grade-C, 13.60%) in Grade-D, 4.50% (n: 4) in Grade-E at the time of admission. After the surgical intervention, 18.20% (n: 16) patients were in Grade-A, 26.10% (n: 23) in Grade-B, 9.10% (n: 8) patients in Grade-C, 10.20% (n: 9) patients in Grade-D and 29.60% (n: 26) patients were in Grade-E with an improvement in neurological functionality in 58.0% (n: 51) as well as power in 42.0% (n: 37) patients. The most dangerous complications faced were the infections in respiratory function in 11.360% (n: 10) and infection of wound in 4.50% (n: 4) patients whereas 9.10% (n: 8) patients expired. Conclusion: The technique of LMS is very effectual and secure procedure for cervical fixation after suitable reduction. KEYWORDS: Infection, Neurological, Injury, Cervical, Wound, Complication, Lateral Mass Screws

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