[Characteristic and surgical treatment of cervicothoracic spine XXXX ].

@entity1 @entity3510 @entity174 @entity158 @entity1566 @entity4820
OBJECTIVE: To discuss the clinical characteristic and surgical treatment of cervicothoracic spine @entity174 complicated with @entity1566 . METHODS: Thirty-eight @entity1 with cervicothoracic @entity174 and @entity1566 were retrospectively analyzed from January 1998 to January 2007. There were 29 males and 9 females with an average age of 36.4 years ranging from 18 to 58 years. All @entity1 suffered from @entity158 and limitation of motion on cervicothoracic junction. According to American @entity3510 Association (ASIA) grades, 4 cases were in grade A, 13 cases in grade B, 10 cases in grade C, 7 cases in grade D and 4 cases in grade E. All @entity1 were treated with anterior decompressed, bone graft and Zephir plate fixation in cervicothoracic spine. RESULTS: All @entity1 were followed up for 1 to 10 years, the mean followed up time was 4.5 years. And all @entity1 got complete bone fusion within 4 to 6 months postoperatively. There were no pull-out and breakage of screws or plates. Spinal cord functional recovery improved on average 3.8 degree according AISA standard. Two @entity1 appeared transient hoarse voice after surgery, the symptoms were alleviated from 3 to 6 months after operation. Seven @entity1 were complicated with @entity4820 preoperatively, and the symptoms were disappeared after operation. CONCLUSION: The clinical situation of cervicothoracic spine @entity174 with @entity1566 is complicated. And anterior decompressed, bone graft and internal fixation performed on cervicothoracic spine @entity174 can achieve an efficient and safe clinical outcome.
