Management of Cranio-vertebral Trauma: By Gallies Fusion One Year Experience at Lahore General Hospital
Keywords:
Cranio-vertebral trauma, Gallies FusionAbstract
Cranio-vertebral trauma is rare entity faced in our Neurosurgical set up but estimated injuries may exceed 35% in some studies especially in road traffic accidents. After 1975 due to better on scene resuscitation the number of such injuries are increasing in our set up as well. To evaluate our data a study was conducted for one year from Jan. 2006 to June 2007 with six month/allow up of treated patients. This study was conducted in Department of Neurosurgery Lahore General Hospital Lahore Unit-1. Over one and half year. Five cases of Cranio-vertebral Trauma were recorded. Gender distribution revealed 1 (20.00%) Female and 4 (80.00%) Male patients. One (20.00%) patient was in pediatric age group and remaining were related to adult group. Main culprit was Road Traffic accident in 3 (60.00%) patients while one (20.00%) case of fall and one (20.00%) of assault were recorded. Patients were managed in a standard protocol and neurological out come -was measured immediate after operation then one, three and six months postoperatively using Frankel grading.
Conclusion: Out of all cases one case move from frankel grade C to B over the follow up of 6 months. In all cases Gallies fusion was done without any postoperative complication at least upto 6 months which confirm that Gallies fusion in Cranio-vertebral trauma is the best way of stabilization in cranio-cervical injuries which is simple, safer, cheaper and effective way affixing the spine posteriorly in devastating trauma of Cranio-vertebral region.
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