Among Patients with a Cervical Spinal Injury Due to Flexion-Distraction, Plain Radiographs Are Not Sufficient to Exclude Associated Cervical Spine Injury

2005 ◽  
Vol 12 (Supplement 1) ◽  
pp. 138-138
Author(s):  
T. W. Barrett
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spinal Injury ◽  
Spine Injury ◽  
Plain Radiographs ◽  
Cervical Spinal Injury

scholarly journals Determination of Early Neurological Outcome by ASIA score following Delayed Anterior Decompression and Stabilization of Lower Cervical Spine Injury

2018 ◽  
Vol 4 (2) ◽  
pp. 82-86
Author(s):  
Mohammed Ashraful Haque ◽  
SK Sader Hossain ◽  
Md Mahfuzur Rahman ◽  
Md Rafiqul Islam ◽  
Sadika Kadir ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Neurological Outcome ◽  
Cervical Spine Injury ◽  
Spinal Injury ◽  
Donor Site ◽  
Csf Leak ◽  
Spine Injury ◽  
Lower Cervical Spine ◽  
Anterior Decompression ◽  
Cross Sectional

Background: Surgical management of lower cervical spine injury is a very important issue among these patients. Objective: The purpose of the present study was todetermine the early neurological outcome of delayed anterior decompression and stabilization of lower cervical spine injury. Methodology: This cross sectional study was carried out in the Department of Neurosurgery at Dhaka Medical College and Hospital, Dhaka, Bangladesh within the period of January 2010 to July 2011 for a period of one year and 6 months. Neurological outcome following anterior decompression and stabilization of lower cervical spine injury was observe. Patients presented with lower cervical spine injury were included in this prospective study. Quantification of neurologic deficit in lower cervical spine injury patients were carried out by following The American Spinal Injury Association (ASIA) impairment scale. Early neurological outcome was also assessed after operation by using ASIA impairment scale in the follow up period at one, three and six months interval. Result: A total of 31 patients were included in this study. Based on the ASIA impairment scale, preoperatively, 6.4 5% of the injuries were grade A, 16.13 % of the injuries were Grade B, 16.13% of the injuries were Grade C and 35.48 % of the injuries were Grade D. early post-operative complications include dysphagia in 3 5.48% cases, donor site infection in 9.67% cases, CSF leak in 3.22%; catheter related urinary tract infection 9.67% and bed sore occurred in 6.45% cases. Conclusion: In conclusion significant neurological recovery can be expected following delayed anterior decompression and stabilization of lower cervical spine in lower cervical spine injury patient. Journal of National Institute of Neurosciences Bangladesh, 2018;4(2): 82-86

scholarly journals Have changes in computerised tomography guidance positively impacted detection of cervical spine injury in children? A review of the Trauma Audit and Research Network data

Trauma ◽  
2020 ◽  
pp. 146040862093938
Author(s):  
Catherine Nunn ◽  
Samantha Negus ◽  
Tomas Lawrence ◽  
Fiona Lecky ◽  
Damian Roland
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Major Trauma ◽  
Spinal Injury ◽  
Clinical Care ◽  
Research Network ◽  
Spine Injury ◽  
Computerised Tomography ◽  
Trauma Centres ◽  
Reported Data

Background Clinically significant damage to the cervical spine in children is uncommon, but missing this can be life-changing for patients. The balance between rarity and severity leads to inconsistent scanning, with both resource and radiation implications. In 2014, the United Kingdom’s National Institute for Health and Care Excellence updated their computerised tomography neck imaging guidance in children. The aim of this study was to assess if the change in guidance had resulted in a change in diagnosis or imaging rates. Methods A retrospective review of the national Trauma Audit and Research Network’s data for computerised tomography spine imaging in children in 2012–2013 was compared to the same data sample collected in 2015–2016. Results The percentage of children presenting with neck trauma who were imaged reduced from 15.5 to 14.1% with an increase in confirmed cervical spine injury from 1.6 to 2.3% between the two time periods. The specificity of computerised tomography scanning increased from 10 to 16.4%. There was variation in scan rates, with major trauma centres scanning a greater percentage of children of all ages and with all injury scores, than trauma units. Discussion This study suggests national guidance can impact clinical care in a relatively short timeframe. Variation in how guidance is applied, with major trauma centres scanning proportionately more children with a lower yield, could be because scanning is more readily available, or because trauma protocols encourage more scans. Twenty per cent of injuries were not found on the initial computerised tomography, in keeping with previously reported data, because the injuries were ligamentous or cord contusion. This suggests a role for early magnetic resonance imaging in children with suspected spinal injury.

Preinjury cervical alignment affecting spinal trauma

2002 ◽  
Vol 97 (1) ◽  
pp. 57-62 ◽  
Author(s):  
Dennis J. Maiman ◽  
Narayan Yoganandan ◽  
Frank A. Pintar
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spinal Injury ◽  
Fracture Pattern ◽  
Spine Injury ◽  
Spinal Alignment ◽  
Initial Alignment ◽  
Content Type ◽  
Head Neck ◽  
Fine Print

Object. The authors tested the hypothesis that initial alignment of the head—neck complex affects cervical spine injury mechanism, trauma rating, injury classification based on stability, and fracture pattern. Methods. Thirty intact human cadaveric head—neck complexes were prepared by fixing the thoracic end in polymethylmethacrylate. The cranium was unconstrained. The initial spinal alignment was described in terms of eccentricity, defined as the anteroposterior position of the occipital condyles with respect to the T-1 vertebral body. The specimens were subjected to impact loading delivered using an electrohydraulic testing device. Outcomes after injury were identified using radiography and computerized tomography. The mechanisms of injury were classified according to fracture pattern into compression—extension, compression—flexion, hyperflexion, and vertical compression. Trauma was graded according to the Abbreviated Injury Scale rating system. Based on clinical assessment, injuries were classified as stable or unstable. Injuries were also classified into bone fracture or nonfracture groups. Analysis of variance tests were used to determine the influence of eccentricity on spinal injury outcomes. Eccentricity significantly influenced the mechanism of injury (p < 0.0001), trauma rating (p < 0.005), and fracture (p < 0.0001) classification. Statistically significant differences, however, were not apparent when the classification of injury was based on stability considerations. Conclusions. Spinal alignment is a strong determinant of the biomechanics of impact-induced cervical spine injury.

scholarly journals Fatal Cervical Spine Injury Following a Bicycle Crash

2017 ◽  
Vol 23 (1) ◽  
pp. 3-6
Author(s):  
Lars Uhrenholt ◽  
Lene Warner Thorup Boel ◽  
Asser Hedegaard Thomsen
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spinal Injury ◽  
Head Injuries ◽  
Spine Injury ◽  
Protective Effects ◽  
Safety Measures ◽  
Cervical Spine Injuries ◽  
Bicycle Helmets ◽  
Mandatory Use

Abstract Spinal injury following direct loading of the head and neck is a rare sequel of bicycle crashes. Fatal head injuries following bicycle crashes have been described in great detail and safety measures such as bicycle helmets have been developed accordingly. Less frequently, however, potentially severe cervical spine injuries have been described. We present the case of a middle-aged female who sustained an ultimately fatal cervical spine injury following a collision with a car whilst biking wearing a helmet. We discuss the literature regarding the protective effects of bicycle helmets, the relevance to cervical spine injury and legislation on mandatory use of helmets for injury prevention.

Traumatic Cervical Spine Injury Pattern– A Snapshot

2012 ◽  
Vol 23 (3) ◽  
pp. 111-116
Author(s):  
M Joshi ◽  
Mahima Agrawal
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Spinal Injury ◽  
Tertiary Care ◽  
Injury Pattern ◽  
Spine Injury ◽  
Rehabilitation Centre ◽  
Cross Sectional

Abstract Study design and subjects Cross-sectional descriptive study of pattern of cervical spine injury at a tertiary care rehabilitation centre in Rajasthan. Objectives To observe the socio demographic profile and injury pattern in cervical spinal cordinjury. Methods One hundred and forty-one clients of traumatic cervical spine injury (CSI) were admitted from 1st December 2010 to 15th October 2011 at the Department of Physical Medicine and Rehabilitation, S.M.S. Medical College and Hospital, Jaipur. Detailed clinical, neurological evaluation as per American Spinal Injury Association Classification (ASIA) and radiological assessment were done along with identification of mechanism of injury, mode of evacuation and presence of associated injuries. Data analysis was done in October 2011 and results were compiled and analysed. Results Mean age in our sample was 35.87 ± 14.38 years that comprised 11 females (7.8%) and 130 males (92.2%) of whom 78 (55.3%) fell in the age group of 25 to 55 years. Majority 64 (45.4%) were illiterate, 80 (56.8%) being farmers and labourers. Greater fraction had road traffic accidents i.e., 66 (46.81%) and fall from height 56 (39.72%) as the mechanism of trauma. Only 69 (49.8%) could arrange an ambulance for transport. Majority of the injured i.e., 84 (59.57%) presented with neurologically complete picture as per ASIA classification and the most common involvement being of 5th and 6th cervical segments i.e., 103 (73.15%). Conclusion This study evaluated the demographic variables of cervical spine injury for better understanding of impact that it has and further for better allocation of our health resources, distribution and planning

Airway management: Uncleared cervical spine injury

2005 ◽  
Vol 2 (2) ◽  
pp. 99-101 ◽  
Author(s):  
TVSP Murthy ◽  
Parmeet Bhatia ◽  
RL Gogna ◽  
T Prabhakar
Keyword(s):  
Cervical Spine ◽  
Airway Management ◽  
Cervical Spine Injury ◽  
Spine Injury

Stabilization for sub axial cervical spine injury

2004 ◽  
Vol 1 (1) ◽  
pp. 43-47
Author(s):  
PK Sahoo ◽  
Prakash Singh ◽  
HS Bhatoe
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spine Injury

Etiology of hospital-acquired pneumonia in patients with complicated cervical spine injury. A retrospective study

2020 ◽  
pp. 104-114
Author(s):  
S.A. Pervukhin ◽  
E.A. Filichkina ◽  
I.A. Statcenko ◽  
A.V. Palmash ◽  
I.V. Vitkovskaya ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Retrospective Study ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Hospital Acquired Pneumonia ◽  
Hospital Acquired
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