Neurological outcome in surgically treated patients with incomplete closed traumatic cervical spinal cord injury

Singhal, Balraj; Mohammed, Adil; Samuel, J.; Mües, J.; Kluger, P.

doi:10.1038/sc.2008.29

Cited by 16 publications

(8 citation statements)

References 20 publications

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“…The distribution of cervical fractures, more prevalent in the lower cervical spine, is in accordance with the current literature [29,30,31]. However, publications report that the higher cervical spine is more frequently involved than the lower cervical spine [32].…”

Section: Discussionsupporting

confidence: 79%

Risk Factors for Neurological Deficiency One Year after Blunt-Induced Traumatic Cervical Fracture

2009

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Background/Aims: Little is known about the risk factors of neurological deficiency after blunt cervical fracture. This study was performed to identify factors predicting neurological deficiency after blunt cervical fracture. Methods: Within our Level I Trauma Center, we performed a retrospective case-control study. Patients with a cervical fracture after blunt trauma between January 2000 and December 2005 were identified. In total, 76 patients sustained a cervical fracture and survived 1 year after trauma. All patient files were reviewed. Patient and trauma characteristics were registered in an electronic database. Results: 26 patients were referred to the Neurology Department. Of these, 14 patients had complaints of sensory or motor loss and 12 patients were seen for sensory and motor loss. Involvement of the seventh cervical vertebrae (p = 0.030) and spinal cord compression were found to be independent significant risk factors for sensory or motor loss. The injury severity score (p = 0.001) and involvement of the vertebral body (p = 0.042) were significantly associated with sensory and motor loss. Conclusion: During patient evaluation, the identified variables should be taken into account. If one understands the risk factors, then it is possible to explain the expected outcome after the spine fracture.

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Section: Discussionsupporting

confidence: 79%

Risk Factors for Neurological Deficiency One Year after Blunt-Induced Traumatic Cervical Fracture

2009

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“…In other words patients with bigger neurological deficits were in the long fixation group. The size of neurological recovery was, on average, in both groups one Frankel grade which has also been reported by other authors [24].…”

Section: Discussionsupporting

confidence: 89%

Short vs long posterior fixation of thoracolumbar spine injuries

et al. 2016

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Introduction. More than a quarter of total number of posterior fixations of thoracolumbar spine is unsuccessful. Material and methods. The aim is to compare short and long fixation of thoracolumbar spine injuries. During the period of 2006 to 2015 we examined 99 patients at the Department of Orthopedic Surgery and Traumatology of Clinical Center of Vojvodina. Short fixation was performed in 63 cases and long fixation in 36 cases. All patients underwent clinical, radiographic and neurological evaluation. Mean age in the short fixation group was 47 (18-66) and in the long fixation group it was 43 (17-70). Mean follow-up time was 4,5 years. Results. Implants were extracted in 14 cases of short and in 4 cases of long fixation. Collapse of anterior part of vertebral body developed in 28,45% in the short fixation group and in 22,43% in the long fixation group whereas angulation value was 10,2 o and 12,3 o respectively. Mean low back outcome scale value was 61 points in the short fixation group and 50 in the long fixation group. There were 22 patients with neurological deficit. Full recovery was recorded in 8 patients (36,4%) of the short fixation group and in 17 patients (22,7%) of the long fixation group. Complications developed in 15 patients (23,8%) of the short fixation group and 11 (30,6%) of the long fixation group. Conclusion. Short fixation is biomechanically weaker but provides a better functional recovery than long fixation.

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“…In this study gender distribution of the study cases, male population constituted 90% of total cases, while the female made up the remaining 10%. Singhal, et al [13] observed a male predominance (Male-75.4% & Female-24.6%). One of the major causes of male predominance is being the major working force of the society and is more constantly exposed to the external environment, which probably accounts for this discrepancy.…”

Section: Resultsmentioning

confidence: 96%

Anterior Cervical Discectomy and Fusion (ACDF) with Stabilization by cervical locking plate and screw in traumatic sub-axial incomplete cervical spine injury: Early experience

Sarker¹,

Islam²,

Mahmud³

et al. 2022

Int. J. Orthop. Sci.

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Introduction: Cervical spine injuries represent 2 to 6% of adult blunt trauma, and one third of all spinal injuries. Anterior approach of operative management of cervical spinal injury with incomplete neurological lesion has least analyzed in our settings, the present study has been designed to evaluate the outcome of ACDF and stabilization by cervical plate and screw for managing traumatic cervical spine injury with incomplete neurological deficit. Methods: This study was conducted at NITOR, Dhaka, from July 2016 to June 2018.Twenty available patients meeting the inclusion & exclusion criteria were included. All cases were properly evaluated preoperatively and underwent ACDF & stabilization with cervical plate and screws. Follow up was done for 5 to 12 months. The final assessment was done by ASIA impairment scale, MRC grading, Bridewell fusion grade, Denis work & pain scale and modified Odom's criteria. Results: Highest number of patients 10 (50%) were in ASIA grade B, 7(35.0%) patients were in ASIA grade D and 3(15.0%) patients were in ASIA grade C on admission. But in last follow up, highest number of patients were in ASIA grade E (45%). The ASIA grade has improved 1 grade in 55% cases. Bridewell fusion grade showed anterior fusion grade I in 55% of cases, grade II in 45% cases. 60% of cases were in W2 group of Denis work scale after last follow up. Early post-operative complications were dysphagia (20%), respiratory distress (5%) and neck pain (20%). Late post-operative complications were neck pain (10%), donor site pain (5%) and bed sore (5%). According to modified Odom's criteria, 65% of the cases were found excellent. Conclusion: On the basis of the results in this study, it can be said that anterior cervical decompression, stabilization and fusion by bone graft of the patients who have traumatic unstable cervical spine injury with incomplete neurological lesion will provide effective benefit.

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Neurological outcome in surgically treated patients with incomplete closed traumatic cervical spinal cord injury

Cited by 16 publications

References 20 publications

Risk Factors for Neurological Deficiency One Year after Blunt-Induced Traumatic Cervical Fracture

Risk Factors for Neurological Deficiency One Year after Blunt-Induced Traumatic Cervical Fracture

Short vs long posterior fixation of thoracolumbar spine injuries

Anterior Cervical Discectomy and Fusion (ACDF) with Stabilization by cervical locking plate and screw in traumatic sub-axial incomplete cervical spine injury: Early experience

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