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KMID : 0359819960250020343
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Journal of Korean Neurosurgical Society
1996 Volume.25 No. 2 p.343 ~ p.351
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Clinical Analysis of Upper Cervical Spine Injuriesur
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김세훈
정용구/송준혁/서중근/이기찬/이훈갑
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Abstract
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This review of upper cervical spine injuries includes 51 patients admitted to Korea University Hospital. Seoul during the period 1 Jan. 1990 to 31 Dec. 1994.
The incidence of upper cervical injury was 13.6% in the 375 spine injury cases and 31.7% in the 161 cervical spine injuries.
The most common type of injury was odontoid fracture. ie. 16 cases or 31.3%. The male-to-female ratio was 2.6:1 and the 4th decade showed peak incidence. 33 cases (64.7%) of the injuries were caused by traffic accidents. The chief complaints on
admission were neck pain with limited range of motion in 39 cases (76.5%). motor weakness in 3 cases (5.9%). and sensory disturbance in 2 cases (3.9%).
Operative treatment was performed in 23 patients resulted in neurologic improvement in 22 cases (95.7%) and 28 patients were managed by conservative treatment with 25 cases (89.3%) of neurologic improvement. Mortality rate of the upper cervical
spine
injury was 3.9%.
The above represents our experience with 51 patients suffering from upper cervical injuries. Management and follow-up guidelines are also reviewed.
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KEYWORD
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