Cervical spinal injury: experience with 82 cases

Alam, Nausher; Haque, Mahmudul; Kamaluddin, .; Sarker, Asit Chandra; Murshed, Akm; Khan, M.S.K; Saha, Shantonu Kumer; Rahman, MM; Chowdhury, Tanvir Ahmed; Chowdhury, Forhad Hossain

doi:10.1016/s0531-5131(02)01168-8

Cited by 4 publications

(9 citation statements)

References 7 publications

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“…Hence, these 2 findings are contrasting. Studies by other researchers, [15][16][17][18] which found no significant influence in cervical spine injury in motorcyclists, may not have looked specifically at the significance of the crash modes as a factor in the risk assessment.…”

Section: Helmet and Cervical Injurymentioning

confidence: 94%

Relationship Between Cervical Spine Injury and Helmet Use in Motorcycle Road Crashes

Ooi

Wong

Yeap

et al. 2011

Asia Pac J Public Health

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Motorcycle helmets have been proven to prevent head injury and reduce fatality in road crashes. However, certain studies indicate that the helmet increases the mass to the head, and thus the potential of neck injury due to the flexion/extension of the head-neck segment in a road crash may increase. This study was conducted to evaluate the effects of motorcycle helmets and the ways in which the accidents that occurred affected the incidence of cervical spine injury. Nevertheless, it is not intended to and does not discredit the fact that helmet use prevents many motorcyclists from sustaining serious and fatal head injuries. A total of 76 cases were collected and analyzed based on the data collected from real-world crashes. The Abbreviated Injury Scale (AIS) was used to assess the severity of injury, whereas the statistical Pearson χ(2) correlation method was used for analysis. The results showed that motorcycle helmets did not affect the severity of cervical spine injury. However, when the samples were further subcategorized into different crash modes, it was found that helmets affect the incidence of a severe cervical spine injury. In frontal collisions, the use of helmets significantly reduces the severity of cervical spine injury, whereas in rear-end, side impact, and skidded accidents, the use of helmets increases the probability of a severe cervical spine injury. However, in the latter crash modes, a motorcyclist without a helmet will have to trade-off with head injury. A logistic regression model has been developed with respective crash modes and the probabilities of risk in having severe cervical spine injury have been calculated. Future designs in motorcycle helmets should therefore consider the significance of nonfrontal accidents and the interaction of helmet with other parts of the body by possibly considering the weight of the helmet.

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Section: Helmet and Cervical Injurymentioning

confidence: 94%

Relationship Between Cervical Spine Injury and Helmet Use in Motorcycle Road Crashes

Ooi

Wong

Yeap

et al. 2011

Asia Pac J Public Health

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“…Data from the literature show that traumatic cervical spine injuries occur in young adults with a male majority, which are consistent with the results of our series. 1,5 Of 231 patients with traumatic cervical spine injuries over the study period, 22 patients (9.5%) had surgery for UCS injuries, which is lower than the study by Alam et al 1 (22.22%) and Dickman et al 6 (25%).…”

Section: Discussionmentioning

confidence: 64%

“…In fact, when they do occur, they are serious and life-threatening due to compression of the medulla oblongata. 1 Imaging is essential for diagnosis. The CT scan, performed in all our patients, is a key examination for the characterization of osteoarticular lesions, without overshadowing the standard radiography which, in order to be complete, must include a certain number of views: the frontal and lateral views.…”

Section: Discussionmentioning

confidence: 99%

“…1 They are a serious pathology because of the damage to the osteoarticular, discoligamentary, and possibly bulbomedullary structures that they may cause. 1,2 However, the incidence of neurological deficit is relatively low in UCS trauma in contrast to lower cervical spine (LCS) trauma. 3 The optimal management of these injuries is complex and should theoretically combine a rapid return to satisfactory autonomy while limiting the morbidity and mortality associated with prolonged inactivity and/or hospitalization.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Treatment of Upper Cervical Spine Trauma: Experience in a Regional Neurosurgery Unit in a Country with Limited Health Care Resources—About 22 Consecutives Cases

Faye,

Barry,

Ilunga

et al. 2023

Asian J Neurosurg

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Objectives Representing approximately 22% of cervical spine injuries, upper cervical spine injuries are becoming more frequent with the increase in road traffic accidents. The purpose of our study is to evaluate the results of our surgical series and to compare them with the literature. Materials and Methods In this monocentric retrospective study of over three years (June 2019–May 2022), all the patients with traumatic injuries of the upper cervical spine with a surgical treatment and a minimum of 12 months follow-up were included. Results The average age was 32.7 years, with a predominance of young patients. The predominant cause of injury was road traffic accident (86.3%). The clinical symptoms were cervical pain, associated with a motor deficit in two cases. Jefferson fracture associated with odontoid fracture was the most frequent injury (36.3%), followed by Hangman fracture (22.7%). Ten patients were treated with the Harms technique, four with occipitocervical C0-C2-C3 fixation, two with anterior screw insertion of the odontoid, and six with anterior C2-C3 arthrodesis. The average duration of follow-up was 12.2 months. The outcome was favorable in 21 cases and average in 1 case. Surgical morbidity and mortality were inexistent. Conclusion This short series shows the effectiveness of surgical treatment in the managing traumatic injuries of the upper cervical spine and in the regression of the pain with a low risk of surgical morbidity and mortality.

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“…Bilateral facet dislocation is the most severe form of cervical spine injury seen in about 5% of cases [1,2]. Facet dislocation is a hyperflexion-distraction injury with the involvement of both the anterior and posterior columns.…”

Section: Introductionmentioning

confidence: 99%

Surgical approaches in advanced cervical trauma

Abukhadra

Hewedy²

2023

Egyptian Journal of Medical Research

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‫ــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ‬ ‫ـــــ‬ ‫ـــــــــــــــــــــــــــــــــــــــــــــــــ‬ Background: Bilateral cervical facet dislocations present with severe neurological deficit and an unstable spine. Cervical dislocations with locked facets account for more than 50% of all cervical injuries. The rapid reduction should give the patient the best chance for neurological recovery from compression of the spinal cord or nerve root, or at least prevent progressive secondary spinal cord injury, however, the proper method for reduction and operation is still controversial. Purpose: To evaluate the surgical outcome in cervical spine injury with bilateral facet dislocation. Patients and Methods: In this study, all the records of sixteen patients with cervical bilateral facet dislocations were reviewed. The SLIC scoring was used for surgical decisions. These cases were managed in our department by open reduction and internal fixation from Jan 2018 to March 2020. Clinically we used the Frankel scale to evaluate our patients. Of our 16 patients, nine cases were managed by the anterior approach; four cases were managed by the posterior approach. And three cases needed a combined approach. Results: Mean age was 38 years. A road traffic accident was the cause of 80%. One patient had no neurological deficit. C5/6 and C 6/7 were the commonest injured segments

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Cervical spinal injury: experience with 82 cases

Cited by 4 publications

References 7 publications

Relationship Between Cervical Spine Injury and Helmet Use in Motorcycle Road Crashes

Relationship Between Cervical Spine Injury and Helmet Use in Motorcycle Road Crashes

Surgical Treatment of Upper Cervical Spine Trauma: Experience in a Regional Neurosurgery Unit in a Country with Limited Health Care Resources—About 22 Consecutives Cases

Surgical approaches in advanced cervical trauma

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