Upper Cervical Spine Injuries: Profile and Management of 120 Cases.

Autor:	Carneiro-Filho GS; Chief of Spine Section - Departament of Neurosurgery, Hospital da Restauração, Recife, Pernambuco, Brazil., de Macêdo LP; Hospital da Restauração, Recife, Pernambuco, Brazil livio21@gmail.com., Andrade LI; Department of Neurosurgery, Hospital da Restauração, Recife, Pernambuco, Brazil., Alves-Sá BF; Department of Neurosurgery, Hospital da Restauração, Recife, Pernambuco, Brazil., Sousa LAM; Universidade Católica de Pernambuco, Recife, Pernambuco, Brazil., Medeiros Quirino SC; Department of Neurosurgery - Spine Surgery, Hospital da Restauração, Recife, Pernambuco, Brazil., Chaves JR; Department of Neurosurgery - Spine Surgery, Hospital da Restauração, Recife, Pernambuco, Brazil., Bezerra-Júnior DL; Department of Neurosurgery - Spine Surgery, Hospital da Restauração, Recife, Pernambuco, Brazil., Almeida NS; Department of Neurosurgery, Hospital da Restauração, Recife, Pernambuco, Brazil., Azevedo-Filho HRC; Department of Neurosurgery, Hospital da Restauração, Recife, Pernambuco, Brazil.
Jazyk:	angličtina
Zdroj:	International journal of spine surgery [Int J Spine Surg] 2022 Dec; Vol. 16 (6), pp. 1001-1008. Date of Electronic Publication: 2022 Jul 13.
DOI:	10.14444/8321
Abstrakt:	Objectives: To identify the profile and management of patients with upper cervical spine injury. Methods: Retrospective cohort study of patients with upper cervical spine injuries managed at Hospital da Restauração between 2014 and 2020. Results: It presents the profile of 145 injuries recorded by location and classification among the 120 patients, and the management performed. Men are more affected than women, almost half of the patients (42.5%) were aged 16 to 29 years. Neurological deficit was present in 18 cases (15%). Twenty cases presented injury involving the level C1. Most injuries (109 [90.8%]) occurred at the C2 level, the most frequent of which were as follows: isolated type II odontoid fracture (29.2%), miscellaneous fracture of C2 (20%), and isolated hangman's fracture (13.3%). The most used management in type II odontoid fracture was C1-C2 posterior arthrodesis (17/42) followed by odontoid osteosynthesis (12/42). Regarding isolated hangman's fracture, conservative management was performed in 37.5% (6/16), and the technical approach most performed was anterior C2-C3 discectomy and interbody fusion (5/16). Conclusions: Upper cervical spine injury has a higher prevalence in young men and is most often caused by traffic accidents. The main level affected is C2, and type II odontoid fracture is the most frequent subtype. C1 injury is related to conservative treatment, while C2 or combined C1-C2 injury is related to surgical approach. The management of these injuries is mainly performed with surgical treatment, with C1-C2 posterior arthrodesis and anterior odontoid osteosynthesis representing most of the approaches. Competing Interests: Declaration of Conflicting Interests: The authors report no conflicts of interest or financial disclosures with respect to the research, authorship, and/or publication of this article. (This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery. Copyright © 2022 ISASS. To see more or order reprints or permissions, see http://ijssurgery.com.)
Databáze:	MEDLINE
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