A Clinical Analysis of Treatment of Acute Cervical Spinal Injury.
- Author:
In Soo KIM
1
;
Dong Won KIM
;
Ki Suk CHOI
;
Byng Gyu PARK
;
Jang Chul LEE
;
Man Bin YIM
;
In Hong KIM
Author Information
1. Department of Neurosurgery, School of Medicine, Keimyung University, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Cervical spinal cord injury;
Frankel classification;
Surgical stabilization;
Immobilization
- MeSH:
Activities of Daily Living;
Braces;
Classification;
Diving;
Follow-Up Studies;
Humans;
Immobilization;
Male;
Motor Vehicles;
Neck;
Neurosurgery;
Retrospective Studies;
Spinal Cord Injuries;
Spinal Injuries*;
Spine;
Traction
- From:Journal of Korean Neurosurgical Society
1992;21(5):522-529
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A retrospective study of 100 cervical spinal cord injury patients admitted consequtively to the Department of Neurosurgery, Dongsan Medical Center, Keimyung University between March, 1985 and June, 1989 was conducted. The average age was 42 and 84(84%) were male. The majority sustained their spinal cord injury in a motor vehicle accident(50%) or in a diving accident(36%). Thirty-three percent(33/100) of these patients had surgical intervention by anterior approach(14/33), posterior approach(17/33) and total laminectomy(2/33). The others were only immobilized by traction or neck brace. Not only neurological recovery in operated and nonoperated patients but also complete and incomplete injury was compared. The degree of the neurological injury was classified by the Frankel classification. 12 cases turned out to be more aggravated than the condition at admission, among them 9 cases were middle and low cervical incomplete injuries. At final follow-up no appreciable differences in achievement in activities of daily living and mobility were noted between patients treated with surgical stabilization of the cervical spinal column and those treated nonsurgically.
