Clinical Analysis of Upper Cervical Spine Injuriesur.
- Author:
Se Hoon KIM
1
;
Yong Gu CHUNG
;
Jun Hyuk SONG
;
Jung Keun SUH
;
Ki Chan LEE
;
Hoon Kap LEE
Author Information
1. Department of Neurosugery, College of Medicine, Korea University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Cervical spine injury;
Upper cervical injury;
Clinical analysis
- MeSH:
Accidents, Traffic;
Follow-Up Studies;
Humans;
Incidence;
Korea;
Mortality;
Neck Pain;
Range of Motion, Articular;
Seoul;
Spine*
- From:Journal of Korean Neurosurgical Society
1996;25(2):343-351
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
This review of upper cervical spine injuries includes 51 patients admitted to Korea University Hospital, Seoul during the period 1 Jan. 1990 to 31 Dec. 1994. The incidence of upper cervical injury was 13.6% in the 375 spine injury cases and 31.7% in the 161 cervical spine injuries. The most common type of injury was odontoid fracture, ie. 16 cases or 31.3%. The male-to-female ratio was 2.6:1 and the 4th decade showed peak incidence. 33 cases(64.7%) of the injuries were caused by traffic accidents. The chief complaints on admission were neck pain with limited range of motion in 39 cases(76.5%), motor weakness in 3 cases(5.9%), and sensory disturbance in 2 cases(3.9%). Operative treatment was performed in 23 patients resulted in neurologic improvement in 22 Cases(95.7%) and 28 patients were managed by conservative treatment with 25 cases(89.3%) of neurologic improvement. Mortality rate of the upper cervical spine injury was 3.9%. The above represents our experience with 51 patients suffering from upper cervical injuries. Management and follow-up guidelines are also reviewed.
