Retrospective Analysis Of A Case Series Of Patients With Traumatic Injuries To The Craniocervical Junction

dc.creatorEsteves
dc.creatorLuiz Adriano; Joaquim
dc.creatorAndrei Fernandes; Tedeschi
dc.creatorHelder
dc.date2016
dc.dateout-dez
dc.date2017-11-13T13:23:53Z
dc.date2017-11-13T13:23:53Z
dc.date.accessioned2018-03-29T05:56:26Z
dc.date.available2018-03-29T05:56:26Z
dc.identifierEinstein-sao Paulo. Inst Israelita Ensino & Pesquisa Albert Einstein, v. 14, p. 528 - 533, 2016.
dc.identifier1679-4508
dc.identifier2317-6385
dc.identifierWOS:000392821400013
dc.identifier10.1590/S1679-45082016AO3396
dc.identifierhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082016000400528&lng=en&tlng=en
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/328185
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1365210
dc.descriptionTo evaluate the correlation between the treatment, the characteristics of the lesions and the clinical outcome of patients with traumatic injuries to the craniocervical junction. Methods: This was a retrospective study of patients treated conservatively or surgically between 2010 and 2013 with complete data sets. Results: We analyzed 37 patients, 73% were men with mean age of 41.7 years. Of these, 32% were submitted to initial surgical treatment and 68% received conservative treatment. Seven (29%) underwent surgery subsequently. In the surgical group, there were seven cases of odontoid type II fractures, two cases of fracture of posterior elements of the axis, one case of C1-C2 dislocation with associated fractured C2, one case of occipitocervical dislocation, and one case of combined C1 and C2 fractures, and facet dislocation. Only one patient had neurological deficit that improved after treatment. Two surgical complications were seen: a liquoric fistula and one surgical wound infection (reaproached). In the group treated conservatively, odontoid fractures (eight cases) and fractures of the posterior elements of C2 (five cases) were more frequent. In two cases, in addition to the injuries of the craniocervical junction, there were fractures in other segments of the spine. None of the patients who underwent conservative treatment presented neurological deterioration. Conclusion: Although injuries of craniocervical junction are relatively rare, they usually involve fractures of the odontoid and the posterior elements of the axis. Our results recommend early surgical treatment for type II odontoid fractures and ligament injuries, the conservative treatment for other injuries.
dc.description14
dc.description4
dc.description528
dc.description533
dc.languagePortuguese
dc.publisherInst Israelita Ensino & Pesquisa Albert Einstein
dc.publisherSão Paulo
dc.relationEinstein-Sao Paulo
dc.rightsaberto
dc.sourceWOS
dc.subjectCervical Vertebrae/injuries
dc.subjectWounds And Injuries/classification
dc.subjectWounds And Injuries/surgery
dc.subjectWounds And Injuries/therapy
dc.titleRetrospective Analysis Of A Case Series Of Patients With Traumatic Injuries To The Craniocervical Junction
dc.typeArtículos de revistas


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