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KMID : 0371620020170010001
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Journal of Wonkwang Medical Science
2002 Volume.17 No. 1 p.1 ~ p.10
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Lower Cervical Spine Injury
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Shim Dae-Moo
Kim Tae-Kyun
Song Ha-Heon
Chae Soo-Uk
Ha Dae-Ho
Kim Yeung-Jin
Cho Jae-Deuk
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Abstract
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Historically, injuries of lower cervical spine were associated with a poor prognosis and result in some type of neurologic deficit. But, the incidence of cervical spine injury is increasing because of motor vehicle accidents, followed by falls and diving activities, etc. Proper initial in-field management and early identification and institution of definitive treatmem are crucial to obtaining a favorable prognosis.The Allen and Ferguson classification system divided into six pathogenesis or categories; Compression flexion, vertical compression, distraction flexion, compression extension, distraction extension, and lateral flexion injuries. If allows for a convenient mechanistic description of the biomechanical deficiencies present after cervical injury.Distinguishing between complete and partial spinal cord injuries (SCIs) is important for determining a patient’s overall functional prognosis as well as an acute in-hospital treatment plan. Early mismanagement may result in preventable neurologic compromise. The current recommendation for selection of imaging studies put forth by the American College of Radiology are predicated on patient’s symptom and an overall suspicion of injury. Plain radiograph can be extremely effective in diagnosing cervical trauma. It consists of three or five-films cervical spine series. A magnetic resonance imaging (MRI) scan is recommended for patients with a neurologic deficit but negative plain radiographic findings.The goals of treatment are to maximize neurologic recovery, to maximize the degree of neurologic and medical comorbidities, to obtain spinal stability, to improve patient functionally, and to help the patient to cope psychologically. In cases of SCIs, high dose each type of fracture have a treatment option which included closed reduction, external stabilization device (cervical and cervicothoracic orthoses, halo vest), and corpectomy and plating or fusion.
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KEYWORD
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Cervial spine injury, Lower cervical spine
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FullTexts / Linksout information
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Listed journal information
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