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Journal of Korean Neurosurgical Society 1992;21(6): 622-628. |
| Clinical Analysis of Lower Cervical Spine-Injuried Patients. |
| Young Rok Park, Soon Ki Hong, Chul Hu, Hun Joo Kim, Yong Pyo Han |
| Department of Neurosurgery, Yonsei University, Wonju College of Medicine, Wonju, Korea. |
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| ABSTRACT |
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The authors analyzed 32 cases with lower cervical spine injuries according to their etiologies, the findings of cervical spine X-ray and computed tomography, initial neurological grading scales and time of operation. The results are summarized as follow: 1) Lower cervical spine injuries occurred in 32 of the 49 cervical spine injuried patients. 2) The important factors affecting on outcome were the initial neurological state(p=0.038) and the degree of spinal canal narrowing on cervical computed tomogram(p=0.046). 3) The degree of prevertebral soft tissue swelling and displacement of vertebral body on initial cervical spine X-ray did not significantly affect on outcome(p=0.052). 4) The most suitable operative time for lower cervical spine injuries was 10-20 days after injuries, and the mortality was 9.3%. |
| Key Words:
Lower cervical spine injury; Initial neurological state; Outcome; Plain cervical X-ray; Computed tomography |
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