Résumé
De 1965 à 1990 le Département du Rachis du Centre de Réadaptation de Konstancin a soigné 1330 patients présentant des lésions rachidiennes dans la région C5-Th1 et admis à l'hôpital dans la période post-traumatique initiale. Les causes les plus fréquentes des blessures étaient par ordre de fréquence, les chutes du haut d'une charette, les plongeons et les, accidents de la route. Ce travail présente une analyse des relations existant entre les degrés de l'atteinte médullaire et le mécanisme de la lésion rachidienne, ainsi que les résultats respectifs des traitements conservateurs ou chirurgicaux. Les lésions médullaires les plus sérieuses ont été celles survenant lors de lésions rachidiennes à type d'écrasement ou lors des dislocations provoquées par un mécanisme de flexion. Les lésions de meilleur pronostic ont été les fractures-tassement typiques des vertèbres. Une amélioration neurologique notable a été obtenue chez plus de 50% des patients. L'amélioration a été plus importante et plus fréquente chez les patients opérés.
Summary
From 1965 through 1990 the Spinal Department of the Metropolitan Rehabilitation Center in Konstancin provided treatment to 1330 patients with spinal injury in the C5-T1 area dmitted to hospital in the early post-traumatic period. The most common causes of injury were falls from a horse cart, diving, and road accidents, in that order. This paper presents an analysis of the dependencies between the degree of spinal cord injury and the mechanism of spinal injury, as well as the results of conservative and surgical treatment. The most serious lesions of the spinal cord were those following spinal injuries of a crush character and dislocations by a flexion mechanism. The injuries with the best prognosis were typical compression fractures of the vertebrae. Significant neurologic improvement was obtained in over 50% of patients. Improvement was greatest and most frequent in patients who received surgical treatment.
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Kiwerski, J.E. Traumatic lesions of the lower cervical spine in Poland. Eur Spine J 2, 42–45 (1993). https://doi.org/10.1007/BF00301054
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DOI: https://doi.org/10.1007/BF00301054