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

Upper Cervical Spine Injuries: Profile and Management of 120 Cases

International Journal of Spine Surgery, 2022 · DOI: 10.14444/8321 · Published: July 1, 2022

Spinal Cord InjurySurgeryTrauma

Simple Explanation

This study examines injuries to the upper cervical spine (UCS), which can cause significant health and economic problems, especially in young people. The study looks at the characteristics of these injuries and how they are treated in a group of 120 patients at a hospital in Brazil. The goal is to improve preventive measures and ensure appropriate treatment for these types of injuries.

Study Duration
6 Years
Participants
120 patients with upper cervical spine injuries
Evidence Level
Not specified

Key Findings

  • 1
    UCS injuries are more common in young men, often resulting from traffic accidents.
  • 2
    The C2 level is the most frequently affected, with type II odontoid fractures being the most common specific injury.
  • 3
    C1 injuries often receive conservative treatment, while C2 or combined C1-C2 injuries usually require surgery.

Research Summary

The study aimed to identify the profile and management of patients with upper cervical spine injuries at Hospital da Restauração between 2014 and 2020. The study found that 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.

Practical Implications

Preventive Measures

Target preventive actions towards young men and traffic accidents.

Treatment Protocols

Develop specific treatment protocols based on the level and type of injury (C1 vs. C2).

Surgical Techniques

Prioritize surgical training in C1-C2 posterior arthrodesis and anterior odontoid osteosynthesis.

Study Limitations

  • 1
    Retrospective study design
  • 2
    Single-center study
  • 3
    Potential for incomplete data due to exclusion criteria

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