Journals / Ulusal Travma Dergisi / 1999 / Cilt: 5 - Sayı: 1
Cervical spine injuries
- Journal
- Ulusal Travma Dergisi
- Pages
- 31–34
- DOI
- —
Abstract
We evaluated Cervical Spine Injuries (QSI) of 70 patients admitted to Trauma and Emergency Surgical Unit at Istanbul Medical School between January 1991-December 1995. The cause ofinjurywas motor vehicle accident in (57%) and fall in (21 %). In addition to plain cervical radiography performed in all patients, computerized Tomography (80 %) and Magnetic Resonance Imaging (MRl) (10 %) were performed. Conservative treatment was performed in 92.8 % and surgical treatment to 7.1% of the cases. Of the total 70 patients, 38 (55,7 %) were discharged, 10 (5.7 %) were lost and 22 were referred to other clinics for treatment. Because CSI cause high mortality and morbidity! patients with multiple trauma should undergo a complete neurological examination following stabilization of the respiratory and hemodynamic status and CSI should be considered unless otherwise is proven by radiological methods.
Özet
Istanbul Tip Fakiiltesi Travma ve AdlCerrahi Birimine Ocak 1991 -Arahk 1995 tarihleri arasmda basvuran 70 servikal omur yaralanmah (SOY) olgu gozden gecirildi. Olgulann %5Tsi arac kazasina, %21'i diismeye bagh olusmustur. Hastalann tamaminda cekilen direkt grafilere Have olarak, % 80 bilgisayarh tomotgrafi (BT) ve %10 (manyetik rezonans goruntuleme MRG) tetkikleri yapildi. Vakalann %92.8'inde konservatif tedavi, %7.1'inde cerrahi girisim uygulandt. Hastalann %55.Tsi taburcu olurken, %15.Tsi kaybedilmis, %28.5'inin tedavileri diger kliniklerde surdurulmustiir. SOYlart yiiksek oranda mortality ve morbiditeye sebep olduguicin, politravmatize hastalann solunum vedolastm kontroliinii takiben aynntih norololjik muayene yaptlmah vegoruntiileme metodlan He aksi ispatlanmcaya kadarSOYvargibi dUsuniilmelidir.