Blunt cervical spine injury in adult polytrauma: incidence, injury patterns and predictors of significant ligament injury on CT

Chilvers, G.; Janjua, Umair; Choudhary, Surabhi

doi:10.1016/j.crad.2017.06.122

Cited by 11 publications

(4 citation statements)

References 13 publications

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“…Meanwhile, the specificity and sensitivity of different diagnostic methods for clinical use were compared. There was no significant difference in the specificity and sensitivity of the single diagnosis, whereas the accuracy, sensitivity, and specificity of the combined diagnosis were higher, which was basically consistent with the results of Dareez et al and Chilvers et al [ 16 , 17 ]. It has been confirmed that CT and MR combined diagnosis is synergistic in minimizing misdiagnosis or missed diagnosis, and plays a positive role in realizing early accurate differential diagnosis.…”

Section: Discussionsupporting

confidence: 91%

Diagnostic Value of Magnetic Resonance (MR) Combined with Computed Tomography (CT) in Patients with Stress Injury of Femoral Neck

et al. 2020

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Section: Discussionsupporting

confidence: 91%

Diagnostic Value of Magnetic Resonance (MR) Combined with Computed Tomography (CT) in Patients with Stress Injury of Femoral Neck

et al. 2020

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“…In addition to the serious trauma of bone tissue, the fracture fragments and broken cervical intervertebral disc tissue generated in CSI may compress and stimulate the spinal cord, leading to neurological dysfunction [ 15 ]. Therefore, the treatment principle for SCI is to completely decompress the spinal canal and reconstruct the anterior column of the cervical spine, so as to restore the normal sequence and stability of the cervical spine and avoid nerve injury [ 16 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of NHP66 Bioactive Cage on Patients with Cervical Spine Injury in Short-Track Speed Skating

Yang

Liu

Yin

et al. 2022

Computational and Mathematical Methods in Medicine

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Background. Short-track speed skating (STSS) is an extreme sport in pursuit of extreme speed and explosive force. In such a sport, once athletes fall down, they are susceptible to serious cervical spine injury (CSI) under the inertia of high-velocity movement. Nanohydroxyapatite/polyamide 66 (NHP66) bioactive cage is a high-tech product of nanotechnology in the medical field in recent years. With a structure similar to that of human cortical bone, NHP66 bioactive cage has extremely high toughness and strength, which tailors to the needs of STSS. Objective. This study mainly analyzed the therapeutic effect of NHP66 on patients with CSI in STSS, aiming to provide new opportunities for the treatment of this patient population. Methods. A total of 51 patients with CSI treated in our hospital were enrolled, including 19 cases of short-track speed skaters (observation group) and 32 cases of car accidents, falls from heights, or collision injuries (control group). The relevant surgical indicators (operation time, intraoperative blood loss, etc.), the incidence of adverse reactions, the Cobb angle of cervical lordosis before and after surgery, and the fusion segment height of the cage were observed and compared between the two groups. Postoperative pain was evaluated by the visual analog scale (VAS), improvement of spinal cord injury was assessed by the American Spinal Cord Injury Association (ASIA) Impairment Scale, and bone fusion, bone subsidence, and other motor functions were assessed by the Japanese Orthopaedic Association (JOA) score rating system. Results. The operation time, intraoperative blood loss, and incidence of adverse reactions in the observation group were significantly lower than those in the control group. The Cobb angle of cervical lordosis and the fusion segment height of cage increased significantly higher in both groups after surgery. In addition, the VAS scores of the observation group 2 h and 3 d after operation were significantly lower than those of the control group. In terms of improvement of spinal cord injury, ASIA and JOA scores in the observation group were significantly higher than those before treatment and in the control group. There was no significant difference in bone fusion activity between the two groups. Conclusions. In this study, it is found through experiments that NHP66 has higher safety and application value than autogenous iliac bone, confirming that NHP66 can achieve significant results as a cage for anterior cervical decompression and iliac bone graft fusion and internal fixation in short-track speed skaters after CSI.

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“…Компьютерная томография рекомендована, если рутинные рентгенограммы недостаточно информативны, сомнительны либо явно демонстрируют травматические изменения, а также если клиническое подозрение на травму сохраняется, несмотря на то, что результаты FCS не отличаются от нормы. Компьютерная томография превосходит обычную рентгенографию с заявленной чувствительностью 100% и специфичностью 99% [54].…”

Section: рентгенография с функциональными пробамиunclassified

The classifications of subaxial cervical spine traumatic injuries. Part 1. General principles

2019

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http://theunj.org patients with spinal cord injury determine the progressively increasing costs for medical and social life support expenses. A large number of experimental and clinical studies, improvement of methods for surgical correction and stabilization of the damaged vertebral motor segment undoubtedly dictate certain changes in the tactics of treatment. The classification of traumatic spinal injuries is of key importance in determining the approaches, timing and volume of surgical intervention. Following the care algorithms helps to minimize the negative effects of traumatic damage to both the spine and the spinal cord and contributes to the maximum possible recovery of neurological functions. The last few decades have been characterized by the gradual replacement of the previously widely used "morphological" classifications of traumatic injuries of the cervical spine to "clinical" ones, based on an analysis of some heterogeneous factors determining treatment tactics. The first part of the review deals with a detailed description of the main criteria used in developing modern "clinical" classifications of subaxial cervical spine traumatic injuries. Besides, modern views on imaging methods and algorithms for determining the need to perform diagnostic procedures at primary hospitalization in patients with suspected cervical spine traumatic injury are presented.

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Blunt cervical spine injury in adult polytrauma: incidence, injury patterns and predictors of significant ligament injury on CT

Cited by 11 publications

References 13 publications

Diagnostic Value of Magnetic Resonance (MR) Combined with Computed Tomography (CT) in Patients with Stress Injury of Femoral Neck

Diagnostic Value of Magnetic Resonance (MR) Combined with Computed Tomography (CT) in Patients with Stress Injury of Femoral Neck

Efficacy of NHP66 Bioactive Cage on Patients with Cervical Spine Injury in Short-Track Speed Skating

The classifications of subaxial cervical spine traumatic injuries. Part 1. General principles

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