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Journal of Korean Neurosurgical Society 1996;25(2): 343-351.
Clinical Analysis of Upper Cervical Spine Injuriesur.
Se Hoon Kim, Yong Gu Chung, Jun Hyuk Song, Jung Keun Suh, Ki Chan Lee, Hoon Kap Lee
Department of Neurosugery, College of Medicine, Korea University, Seoul, Korea.
ABSTRACT
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.
Key Words: Cervical spine injury; Upper cervical injury; Clinical analysis
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