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Traumatic lesions of the lower cervical spine in Poland

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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References

  1. 1.

    Cloward RB (1971) Recent advances in surgery of the cervical spine. Proceedings of the German Society for Neurosurgery, vol 2. Excerpta Medica, Amsterdam, pp 285–293

    Google Scholar 

  2. 2.

    Frankel HL, et al (1969) The value of postural reduction on the initial management of closed injuries of the spine with paraplegia and tetraplegia. Paraplegia 7:179–193

    Google Scholar 

  3. 3.

    Glynn MK, et al (1983) Fusion of the cervical spine for instability. Clin Orthop 179:97–104

    Google Scholar 

  4. 4.

    Haftek J, Rudnicki SZ, Kiwerski J (1968) Acute trauma of the cervical segment of the spinal cord. In: Weiss M (ed) Compensation of the spinal cord function. PZWL, Warsaw, pp 75–85

    Google Scholar 

  5. 5.

    Kiwerski J (1980) Cervical spine injuries caused by diving into water. Paraplegia. 18:37–41

    Google Scholar 

  6. 6.

    Kiwerski JE (1982) Anterior interbody fusion in treatment of cervical spine trauma. Int Orthop 6:255–258

    Google Scholar 

  7. 7.

    Kiwerski J (1986) The results of early conservative and surgical treatment of cervical spinal cord injured patients. Int J Rehabil Res 9:148–154

    Google Scholar 

  8. 8.

    Kiwerski JE (1989) The natural history of neurological recovery in patients with tetraplegia, Paraplegia 27:41–42

    Google Scholar 

  9. 9.

    Kiwerski J (1991) Differentiation of spinal damage through compression mechanism. Paraplegia 29:411–417

    Google Scholar 

  10. 10.

    Kiwerski JE (1991) The influence of the mechanism of cervical spine injury on the degree of spinal cord lesions. Paraplegia 29:531–537

    Google Scholar 

  11. 11.

    Kiwerski JE (1992) Respiratory problems in patients with quadriplegia after a high lesion of the cervical spinal cord. Int J Rehabil Res 15

  12. 12.

    McAfee PC (1982) The unstable burst fracture. Spine 7:356–362

    Google Scholar 

  13. 13.

    McMichan JC, Michel L, Westbrook RR (1980) Pulmonary dysfunction following traumatic quadriplegia. JAMA 243: 528–535

    Google Scholar 

  14. 14.

    Robinson RA (1975) Techniques of exposure and fusion of the cervical spine. Clin Orthop 109:78–86

    Google Scholar 

  15. 15.

    Svendgaard NA, et al (1982) Treatment of severe cervical spine injuries by anterior fusion. Acta Neurochir (Wien) 60: 91–99

    Google Scholar 

Download references

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Correspondence to J. E. Kiwerski.

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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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Mots-clés

  • Rachis cervical
  • Mécanismes traumatiques
  • Arthrodèse antérieure
  • Résultats opératoires

Key words

  • Cervical spine
  • Trauma mechanism
  • Anterior fusion
  • Operative results