Journals / Medicine Science / 2021 / Cilt: 10 - Sayı: 1

Management of subaxial cervical spine trauma: Clinical results of early surgical decompression

Pages
207–211
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Decompression of the spine is standard approach after cervical spinal cord injury.In this study, 72 patients who underwent early decompression with the decision of surgery according to the classification system with the Subaxial Injury Classification and Severity Scale (SLICS) among 212 patients who developed spine fractures as a result of acute traumatic subaxial cervical trauma were examined.ASIA scoring system was used for neurological examination evaluation.Patients were included in the rehabilitation program, which lasted at least six months after the operation.Neurological recovery results were evaluated with ASIA scores obtained after the rehabilitation program.It has been shown that early surgery for subaxial cervical spine fractures contributes significantly to the patient's neurological recovery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Traumatic injuries of the subaxial cervical spine (C3-7); considered among the most common and most damaging injuries to the axial skeleton.
📊
Key Findings & Data:Traumatic injuries of the subaxial cervical spine (C3-7); considered among the most common and most damaging injuries to the axial skeleton.
💡
Conclusion & Impact:Decompression of the spine is standard approach after cervical spinal cord injury.In this study, 72 patients who underwent early decompression with the decision of surgery according to the classification system with the Subaxial Injury Classification and Severity Scale (SLICS) among 212 patients who developed spine fractures as a result of acute traumatic subaxial cervical trauma were examined.ASIA scoring system was used for neurological examination evaluation.Patients were included in the rehabilitation program, which lasted at least six months after the operation.Neurological recovery results were evaluated with ASIA scores obtained after the rehabilitation program.It has been shown that early surgery for subaxial cervical spine fractures contributes significantly to the patient's neurological recovery.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Traumatic injuries of the subaxial cervical spine (C3-7); considered among the most common and most damaging injuries to the axial skeleton. Decompression of the spine is standard approach after cervical spinal cord injury.In this study, 72 patients who underwent early decompression with the decision of surgery according to the classification system with the Subaxial Injury Classification and Severity Scale (SLICS) among 212 patients who developed spine fractures as a result of acute traumatic subaxial cervical trauma were examined.ASIA scoring system was used for neurological examination evaluation.Patients were included in the rehabilitation program, which lasted at least six months after the operation.Neurological recovery results were evaluated with ASIA scores obtained after the rehabilitation program.It has been shown that early surgery for subaxial cervical spine fractures contributes significantly to the patient's neurological recovery.

🔖

Cite This Article

YILDIZHAN, S., ASLAN, A., BOYACI, M. G., RAKİP, U., KILINÇ, K. A. (2021). Management of subaxial cervical spine trauma: Clinical results of early surgical decompression. Medicine Science, Cilt: 10 - Sayı: 1, 207–211. https://ajindex.com/articles/276743

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Wilson JR, Grossman RG, Frankowski RF, et al. A clinical prediction model for long-term functional outcome after traumatic spinal cord injury based on acute clinical and imaging factors. J Neurotrauma. 2012;29:2263–71
  2. Klein GR, Vaccaro AR: Cervical spine trauma: upper and lower. Vaccaro AR, Betz RR, Zeidman SM (eds), Principles and practice of spine surgery, Philadelphia: Mosby, 2003;441-62
  3. Kwon BK, Vaccaro AR, Grauer JN, et al. Subaxial cervical spine trauma. J Am Acad Orthop Surg. 2006;14:78-89
  4. Vaccaro AR, Hulsert RJ, Patel AA, et al.The subaxial cervical spine injury classification system: a novel approach to recognize the importance of morphology, neurology, and integrity of the disco-ligamentous complex. Spine (Phila Pa 1976). 2007;32:2365-74
  5. Uhrenholt L, Charles AV, Hauge E, et al. Pathoanatomy of the ower cervical spine facet joints in motor vehicle crash fatalities. J Forensic Leg Med. 2009;16:253-60
  6. Lowery DW, Wald MM, Browne BJ, et al. Epidemiology of cervical spine injury victims. Ann Emerg Med. 2001;38:12-6
  7. Hadley MN, Walters BC, Aarabi B, et al. Clinical assessment following acute cervical spinal cord injury. Neurosurgery. 2013;72:40-53
  8. Hoffman JR, Mower WR, Wolfson AB, et al. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. National Emergency X-Radiography Utilization Study Group. N Eng J Med. 2000;343:94-9
  9. Aarabi B, Walters BC, Dhall SS, et al. Subaxial cervical spine injury classification systems. Neurosurgery. 2013;72:170-86
  10. Carlson GD, Gorden CD, Oliff HS, et al. Sustained spinal cord compression: Part I: Time-dependent effect on long-term pathophysiology. J Bone Joint Surg Am. 2003;85:86–94
  11. Feuchtbaum E, Buchowski J, Zebala L. Subaxial cervical spine trauma. Curr Rev Musculoskelet Med. 2016;9:496–504
  12. Koller H, Reynolds J, Zenner J, et al. Mid to long-term outcome of instrumented anterior cervical fusion for subaxial injuries. Eur Spine J. 2009;18:630–53
  13. Park JH, Roh SW, Rhim SC. A single-stage posterior approach with open reduction and pedicle screw fixation in subaxial cervical facet dislocations. J Neurosurg Spine. 2015;23:35–41
  14. Sekhon LH, Fehlins MG. Epidemiyology, demographics and pathophysiology of acute spinal cord injury. Spine. 2001;26:2-12
  15. Karamehmetoglu SS, Unal S, Karacan I, et al. Traumatic spinal cord injuries in Istanbul, Turkey. An epidemiological study. Paraplegia. 1995;33:469-71
  16. Ho CH, Wuerm