Surgical Treatment of Upper Cervical Spine Trauma: Experience in a Regional Neurosurgery Unit in a Country with Limited Health Care Resources-About 22 Consecutives Cases.

Autor: Faye M; Neurosurgery Unit, Thies Regional Hospital, Dakar, Senegal.; Neurosurgery Department, Fann Teaching Hospital, Dakar, Senegal.; Neurosurgery Department, Idrissa Pouye General Hospital, Dakar, Senegal., Barry LF; Neurosurgery Unit, Thies Regional Hospital, Dakar, Senegal., Ilunga RM; Neurosurgery Unit, Thies Regional Hospital, Dakar, Senegal., Nacoulma V; Neurosurgery Unit, Thies Regional Hospital, Dakar, Senegal., Sy EHCN; Neurosurgery Department, Fann Teaching Hospital, Dakar, Senegal., Diop A; Neurosurgery Unit, Thies Regional Hospital, Dakar, Senegal., Donyo TYA; Neurosurgery Department, Fann Teaching Hospital, Dakar, Senegal., Atakla HG; Neurosurgery Department, Fann Teaching Hospital, Dakar, Senegal., Cisse Y; Neurosurgery Unit, Thies Regional Hospital, Dakar, Senegal.; Neurosurgery Department, Fann Teaching Hospital, Dakar, Senegal., Wague D; Neurosurgery Department, Fann Teaching Hospital, Dakar, Senegal., Koumare IB; Neurosurgery Department, Fann Teaching Hospital, Dakar, Senegal., Gaye M; Neurosurgery Department, Idrissa Pouye General Hospital, Dakar, Senegal.
Jazyk: angličtina
Zdroj: Asian journal of neurosurgery [Asian J Neurosurg] 2023 Sep 13; Vol. 18 (3), pp. 609-613. Date of Electronic Publication: 2023 Sep 13 (Print Publication: 2023).
DOI: 10.1055/s-0043-1772761
Abstrakt: Objectives  Representing approximately 22% of cervical spine injuries, upper cervical spine injuries are becoming more frequent with the increase in road traffic accidents. The purpose of our study is to evaluate the results of our surgical series and to compare them with the literature. Materials and Methods  In this monocentric retrospective study of over three years (June 2019-May 2022), all the patients with traumatic injuries of the upper cervical spine with a surgical treatment and a minimum of 12 months follow-up were included. Results  The average age was 32.7 years, with a predominance of young patients. The predominant cause of injury was road traffic accident (86.3%). The clinical symptoms were cervical pain, associated with a motor deficit in two cases. Jefferson fracture associated with odontoid fracture was the most frequent injury (36.3%), followed by Hangman fracture (22.7%). Ten patients were treated with the Harms technique, four with occipitocervical C0-C2-C3 fixation, two with anterior screw insertion of the odontoid, and six with anterior C2-C3 arthrodesis. The average duration of follow-up was 12.2 months. The outcome was favorable in 21 cases and average in 1 case. Surgical morbidity and mortality were inexistent. Conclusion  This short series shows the effectiveness of surgical treatment in the managing traumatic injuries of the upper cervical spine and in the regression of the pain with a low risk of surgical morbidity and mortality.
Competing Interests: Conflict of Interest None declared.
(Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
Databáze: MEDLINE
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