PDF(Pubmed)
Abstract：
Objectives Representing approximately 22% of cervical spine injuries, upper cervical spine injuries are becoming more frequent with the increase in road traffic accidents. The purpose of our study is to evaluate the results of our surgical series and to compare them with the literature. Materials and Methods In this monocentric retrospective study of over three years (June 2019-May 2022), all the patients with traumatic injuries of the upper cervical spine with a surgical treatment and a minimum of 12 months follow-up were included. Results The average age was 32.7 years, with a predominance of young patients. The predominant cause of injury was road traffic accident (86.3%). The clinical symptoms were cervical pain, associated with a motor deficit in two cases. Jefferson fracture associated with odontoid fracture was the most frequent injury (36.3%), followed by Hangman fracture (22.7%). Ten patients were treated with the Harms technique, four with occipitocervical C0-C2-C3 fixation, two with anterior screw insertion of the odontoid, and six with anterior C2-C3 arthrodesis. The average duration of follow-up was 12.2 months. The outcome was favorable in 21 cases and average in 1 case. Surgical morbidity and mortality were inexistent. Conclusion This short series shows the effectiveness of surgical treatment in the managing traumatic injuries of the upper cervical spine and in the regression of the pain with a low risk of surgical morbidity and mortality.
摘要：
目标代表大约22%的颈椎损伤，随着道路交通事故的增加，上颈椎受伤变得越来越频繁。我们研究的目的是评估我们手术系列的结果，并将其与文献进行比较。材料与方法在这项为期三年（2019年6月至2022年5月）的单中心回顾性研究中，纳入所有接受手术治疗和至少12个月随访的上颈椎外伤患者.结果平均年龄32.7岁,以年轻患者为主。伤害的主要原因是道路交通事故（86.3％）。临床症状为颈椎疼痛,在两种情况下与运动障碍有关。与齿状突骨折相关的Jefferson骨折是最常见的损伤（36.3％），其次是Hangman骨折（22.7%）。10名患者接受了Harms技术治疗，四例枕颈C0-C2-C3固定术，两个前螺钉插入齿状突，和六个前C2-C3关节固定术。平均随访时间为12.2个月。结果良好21例，平均1例。手术发病率和死亡率不存在。结论该简短系列显示了手术治疗在处理上颈椎外伤和疼痛消退方面的有效性，手术发病率和死亡率低。
