Relationship between Types of Cervical SpineTrauma and Occurrence of Neurological Deficits

Syaiful Anwar; Agus Hadian Rahim; Farhan Anwary

doi:10.15850/amj.v4n2.1084

Relationship between Types of Cervical SpineTrauma and Occurrence of Neurological Deficits

Syaiful Anwar, Agus Hadian Rahim, Farhan Anwary

Abstract

Background: About 3,500 people died each year due to neck injury, according to a study in the USA. Trauma at cervical spine level causes injury in soft tissue, cervical vertebrae, and spinal cord that can cause neurological deficits. The aim of this study was to analyze the relationship between type of cervical trauma and the occurrence of neurological deficits.

Methods: An analytic study was carried out to 121 medical records of patients diagnosed with cervical spine trauma at Dr. Hasan Sadikin General Hospital Bandung in the period of January 2010−December 2012. Data were classified according to age, sex, period of initial visit to hospital, mechanism of trauma, cervical trauma type, fracture’s or dislocation’s location (without any other vertebral injury) and neurological status. The collected data were analyzed using Chi-Square test and presented in tables.

Results: There were 121 cases of cervical spine trauma. Most patients were male and in the productive age group (30−44 years). Most of the initial visits to the hospital were in 2010 and most of the mechanism was traffic accident (46.28%), while soft tissue injury was the most common type of cervical trauma (54.54%) and lower cervical vertebrae was the most common location of fractures or dislocations (76.36%). Sixty two patients were recorded with neurological deficits. Chi-Square test of relationship between the type of cervical trauma and the occurrence of neurological deficit was statistically significant (p=0.000).

Conclusions: There is relationship between the type of cervical trauma and occurrence of neurological deficits.

DOI: 10.15850/amj.v4n2.1084

Keywords

Cervical spine trauma, neurological deficit, soft tissue injury

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References

Torretti JA, Sengupta DK. Cervical spine trauma. Indian J Orthop. 2007; 41(4):255−67.

David BL, Brian SG, Edmond AH, Francisco T, Eric LL, John DH, et al. Neck trauma. Medscape. 2012. [Cited 2013 February 27]. Available from: http://emedicine.medscape.com/article/827223-overview#a0199

Thompson WL, Stiell IG, Clement CM, Brison RJ. Association of injury mechanism with risk cervical spine fractures. CJEM. 2009;11:14−22.

Milby AH, Halpern CH, Guo W, Stein SC. Prevalence of cervical spinal injury in trauma. Neurosurg Focus. 2008; 25(5):E10.

Moore KL, AFD. Clinically Oriented Anatomy. 5th ed. Baltimore : Lippincot Williams and Wilkins. 2006. p. 478−545, 1046−83.

Rahim AH. Vertebra. Jakarta: Sagung Seto.2012. p. 46−9

Nathens AB. National Trauma Data Bank 2010 Annual Report. Chicago: Ammerican College Surgeon; 2010.

Graber MA, Kathol M. Cervical spine radiograph in trauma patient. Am Fam Physician. 2005;59(2)331−42

Ning GZ, Yu TQ, Feng SQ, Zhou XH, Ban DX, Liu Y, et al. Epidemiology of traumatic spinal cord injury in Tianjin, China. Spinal Cord. 2011;49(3):386−90.

Van den Berg ME, Castellote JM, Mahillo-Fernandez I, de Pedro-Cuesta J. Incidence of spinal cord injury worldwide : a Systematic Review. Neuroepidemiology. 2010;34(3):184−92.

Lawrence SC, Robert B, Molly GK. Spinal cord injuries. 2012. [Cited 2013 February 28]. Available from: http://emedicine.medscape.com/article/793582-overview

Miles KA, Maimaris C, Finlay D, Barnes MR . The incidence and prognostic of radiological abnormalities in soft tissue injuries to the cervical spine. Skeletal Radiol. 2006;17(7):493−6

Sopiyudin DM. Statistik untuk kedokteran dan kesehatan. 5th ed. Jakarta: Salemba Medika. 2008.

Ryan MD, Henderson JJ. The Epidemiology of fracture and fracture–dislocation of the Cervical Spine. Injury. 2007;23(1):38−40.

DOI: https://doi.org/10.15850/amj.v4n2.1084