Identifiable risk factors for secondary neurologic deterioration in the cervical spine-injured patient.
This was a retrospective prevalence study.
A review of structural cervical spine injuries (fracture or dislocation) treated at a regional spine injury referral center from 1987 to 1992 was undertaken to identify and analyze patients who had secondary neurologic deterioration after they had arrived and had primary assessment in stable neurologic condition (intact or compromised, but not evolving).
Summary of Background Data
Multiple case reports and cohort studies have suggested possible risk factors for late neurologic deterioration without probabilities analysis.
Information was obtained retrospectively from clinical records and radiographs.
Three-hundred-twelve cases were reviewed.
Thirty-one were excluded and 281 were analyzed.
An index group of 15 patients (5%) had motor neurologic deterioration after primary assessment at the referral center.
Control group « A » was composed of 70 patients (25%) who had a motor neurologic deficit on admission and did not deteriorate.
Control group « B » was the balance of 196 patients (70%) with structural cervical injuries, but no neurologic compromise.
Factors distinguishing the index group from control subjects included flexural mechanism of injury and chronic multilevel spinal arthritis with ankylosis.
Cervical traumatized patients with flexural injury or chronic multilevel spinal arthritis with ankylosis are at increased risk of having secondary motor neurologic deterioration.
Mots-clés Pascal : Traumatisme, Système nerveux pathologie, Système ostéoarticulaire pathologie, Rachis, Complication, Epidémiologie, Facteur risque, Homme, Prévalence, Trouble neurologique
Mots-clés Pascal anglais : Trauma, Nervous system diseases, Diseases of the osteoarticular system, Spine, Complication, Epidemiology, Risk factor, Human, Prevalence, Neurological disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0000697
Code Inist : 002B16H. Création : 01/03/1996.