Traumatic cervical spine injury: Short-and medium-term prognostic factors in 102 patients

Abstract

Background: Traumatic cervical spine injuries (CSIs) can be defined as osteodiscoligamentous lesions and are frequent in the young and active population. These lesions are often associated with significant devastating neurological deficits. Here, we sought to establish short-and medium-term prognostic factors that could help predict future outcomes. Methods: We retrospectively reviewed 102 adults admitted for traumatic CSI over an 11-year period (January 2004–December 2014). Patients were graded using Frankel scale as exhibiting good or poor outcomes. Results: Two risk factors that significantly predicted results for CSI included original poor Frankel grades (e.g., A and B) and initial neurovegetative disorders (e.g., respectively, P = 0.019 and P = 0.001). However, we did not anticipate that two other risk factors, operative delay and mechanism of trauma, would not significantly adversely impact outcomes. Conclusion: Here, we identified two significant risk factors for predicting poor outcomes following CSI; poor initial Frankel Grades A and B and neurovegetative disorders at the time of original presentation.

Treatment of Upper Cervical Spinal Cord Injury (Unstable C1-C2) by Direct Visualization and Nailing Technique and the Advantages of Early MRI

“…In severe injuries, the edema and hematoma can appear and increase in the first 48 hours and decrease gradually in the next three weeks, while hematoma indicates that Asia grade in the patient is A, or B, or some patients with C grade [ 23 ]. Grade A and B and neurodegenerative disorders at admission affect the prognosis [ 24 ]. Whatever is fractured type affected the C1-C2 stability.…”

C1C2 Wiring and Posttraumatic Atlantoaxial Dislocation: An Effective and Cheap Surgical Procedure in a Developing Country

“…However, in pediatric patients, complications such as 30% of screw pulling out in suboccipital area, 10.4% of other complications rate including vertebral artery injuries and mortality rate of up to 9% after complex spine decompression and fixation should be taken into consideration [20] [26] [27] [28] [29]. Abboud et al reported worse Frankel grade (A or B) and neurovegetative disorders at presentation to be strongly statistically correlated with poor prognosis factor and higher mortality in 102 cases of cervical spine trauma over a study period of 11 years [4] [10] [30]. Despite the existence of those both latter factors in one of our patients (Case 1), his condition improved dramatically, moving from ASIA A with neurovegetative disorders preoperatively, to ASIA E postoperatively without any symptoms.…”

Development of a Novel Risk Stratification Score to Predict 30-Day Mortality in Cervical Trauma Patients

“…S urgical management of cervical spine trauma carries a high risk of complications and mortality. [1][2][3][4] Various studies have reported on the mortality rate for patients with cervical spine injuries, which may be as high as 79%. 1,5,6 A variety of factors may influence perioperative mortality, and there is a need for appropriate risk stratification.…”

“…Surgical management of cervical spine trauma carries a high risk of complications and mortality 1–4 . Various studies have reported on the mortality rate for patients with cervical spine injuries, which may be as high as 79% 1,5,6 .…”