Volume 25, Issue 3 (11-2023)
yafte 2023, 25(3): 13-22 |
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Khamesi E, Tabibkhooei A. Investigation of the neurological prognosis after traumatic cervical spinal cord injury in Rasoul Akram Hospital in the period 2011-2016. yafte 2023; 25 (3) :13-22
URL: http://yafte.lums.ac.ir/article-1-3588-en.html
URL: http://yafte.lums.ac.ir/article-1-3588-en.html
Department of Neurological Surgery, shohadaye ashayer Hospital, Lorestan university of Medical Sciences, Khorramabad
Abstract: (1014 Views)
Background: Cervical spine trauma may be associated with neurological disorders depending on the mechanism of trauma, the cross-sectional area affected by the trauma, and the severity of the trauma;the occurence of these neurological disorders may also affect the surgical treatment prognosis. The aim of the present study was to investigate the neurological prognosis after traumatic cervical spinal cord injury.
Materials and Methods: In this retrospective study, the intended data were collected through the admission hospital records and imaging archives of Rasoul Akram Hospital during 2011-2016. The records of patients who were treated for cervical spinal cord injury in the last year were collected and then age, gender, and other variables were extracted for each patient. The data were entered into the SPSS software and the results were reported.
Results: The results showed that falls (41.2%) and motorcycle accidents (54.9%) were the most common cause of trauma, andthat the lower level of the cervical spine (C3-C7) was most commonly affected. The overall prevalence of neurological lesions at the time of admission to the department room was 29.4%, and 7.8% had died during hospitalization and before surgery. Predictive factors for neurological disorders were female sex, direct trauma during fightsand trauma to the lower cervical area.
Conclusion: The present results indicate that the prevalence of complications and neurologic disorders after cervical spinal cord injuries is approximately 30% and that the extent of these complications in these patients is related to gender, trauma mechanism, and cross-sectional area of the injured cervical spine.
Materials and Methods: In this retrospective study, the intended data were collected through the admission hospital records and imaging archives of Rasoul Akram Hospital during 2011-2016. The records of patients who were treated for cervical spinal cord injury in the last year were collected and then age, gender, and other variables were extracted for each patient. The data were entered into the SPSS software and the results were reported.
Results: The results showed that falls (41.2%) and motorcycle accidents (54.9%) were the most common cause of trauma, andthat the lower level of the cervical spine (C3-C7) was most commonly affected. The overall prevalence of neurological lesions at the time of admission to the department room was 29.4%, and 7.8% had died during hospitalization and before surgery. Predictive factors for neurological disorders were female sex, direct trauma during fightsand trauma to the lower cervical area.
Conclusion: The present results indicate that the prevalence of complications and neurologic disorders after cervical spinal cord injuries is approximately 30% and that the extent of these complications in these patients is related to gender, trauma mechanism, and cross-sectional area of the injured cervical spine.
Type of Study: Applicable |
Subject:
جراحی
Received: 2022/12/16 | Accepted: 2023/09/27 | Published: 2023/11/1
Received: 2022/12/16 | Accepted: 2023/09/27 | Published: 2023/11/1
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