Clinical Analysis of Lower Cervical Spine-Injuried Patients.
- Author:
Young Rok PARK
1
;
Soon Ki HONG
;
Chul HU
;
Hun Joo KIM
;
Yong Pyo HAN
Author Information
1. Department of Neurosurgery, Yonsei University, Wonju College of Medicine, Wonju, Korea.
- Publication Type:Original Article
- Keywords:
Lower cervical spine injury;
Initial neurological state;
Outcome;
Plain cervical X-ray;
Computed tomography
- MeSH:
Humans;
Mortality;
Operative Time;
Spinal Canal;
Spine;
Weights and Measures
- From:Journal of Korean Neurosurgical Society
1992;21(6):622-628
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The authors analyzed 32 cases with lower cervical spine injuries according to their etiologies, the findings of cervical spine X-ray and computed tomography, initial neurological grading scales and time of operation. The results are summarized as follow: 1) Lower cervical spine injuries occurred in 32 of the 49 cervical spine injuried patients. 2) The important factors affecting on outcome were the initial neurological state(p=0.038) and the degree of spinal canal narrowing on cervical computed tomogram(p=0.046). 3) The degree of prevertebral soft tissue swelling and displacement of vertebral body on initial cervical spine X-ray did not significantly affect on outcome(p=0.052). 4) The most suitable operative time for lower cervical spine injuries was 10-20 days after injuries, and the mortality was 9.3%.