logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Identifiable risk factors for secondary neurologic deterioration in the cervical spine-injured patient.

    Article - En anglais

    Study Design

    This was a retrospective prevalence study.

    Objective.

    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.

    Methods

    Information was obtained retrospectively from clinical records and radiographs.

    Three-hundred-twelve cases were reviewed.

    Thirty-one were excluded and 281 were analyzed.

    Results

    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.

    Conclusion

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0000697

    Code Inist : 002B16H. Création : 01/03/1996.