Yıl: 2011 Cilt: 22 Sayı: 1 Sayfa Aralığı: 13 - 18 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Frequency of cervical dislocations in a group of cervical injured patients

Öz:
Amaç: Boyun bölgesi yaralanmaları tüm omurga yaralanmaları içinde en zor yaralanmalardır. Bu bölgeden geçen nörolojik yapıların önemi, yaralanmanın morbidite ve mortalitesini arttırmaktadır. Boyun bölgesi yaralanmalı bir hasta grubu içinde servikal çıkık sıklığını değerlendirmeyi amaçladık. Hastalar ve Yöntem: Boyun bölgesi yaralanmalı bir grup hastayı geriye dönük olarak inceledik. Çalışma grubunu, bizim kliniğimizde 1999-2009 yılları arasında servikal yaralanma nedeni ile tedavi gören hastalar oluşturdu. Servikal yaralanmalı hasta grubu içinde (n=142), servikal çıkıklar değerlendirildi. Hastaların yaşı, cinsiyeti, travma şekli, yaralanmanın anatomik yerleşimi ve hastaların nörolojik muayeneleri kaydedildi. Sonuçlar: Servikal yaralanmalı 142 hasta içinde 40 servikal çıkıklı hasta tespit edildi. Bu çıkıkların biri atlanto occipital çıkık idi, 10 C1- 2, 3 C2-3, 4 C3-4, 3 C4-5, 10 C5-6, 7 C6-7 ve 2 C7-T1 çıkık tespit edildi. Hastaların yaş ortalaması 41.2 (4-76), 27 erkek, 13 bayan hastadan oluşuyordu. Beş hasta minor yaralanma sonucu, 17 hasta trafik kazası sonucu ve 18 hasta yüksekten düşme sonucu yaralanmıştı. Çıkarımlar: Servikal çıkıklar boyun bölgesi yaralanmalarının büyük bir bölümünü oluştururlar. Daha çok yaralanan bölgeler, daha hareketli olan üst ve alt servikal geçiş bölgeleridir.
Anahtar Kelime:

Konular: Cerrahi

Boyun yaralanmalı hasta grubunda servikal çıkıkların sıklığı

Öz:
Aim: Cervical spine injuries are the most challenging injuries in the vertebral column. Because of the importance of the passing neurologic structures in the cervical spinal column, morbidity and mortality of the injury increases. We aimed to evaluate the frequency of cervical dislocations in a cervical injured patient group. Patients and Methods: We retrospectively evaluated our cervical injured patient group. The study group included the patients, who were treated in our clinic because of cervical injuries between 1999 and 2009. In a series of cervical injured patients (n:142), cervical dislocations were scoped. Age, gender, trauma type, anatomical localizations and neurological status of the patients were evaluated. Results: There were 40 cervical dislocations in 142 cervical injured patients. One of them was atlanto-occipital dislocation, 10 C1-2, 3 C2-3, 4 C3-4, 3 C4-5, 10 C5-6, 7 C6-7 and 2 C7-T1 dislocations. Mean age of the patients was 41.2 years (4-76), 27 male, 13 female patients, 5 with minor traumas, 17 with traffic accidents and 18 because of a fall from height. Conclusions: Cervical dislocations are a big group of cervical injuries. Mostly injured areas are the upper and lower cervical junctional areas which are more mobile.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. 1- Allen BL, Ferguson RL, Lehmann TR, OʼBrien RP. A mechanistic classification of closed, indirect fractures and dislocations of the lower cervical spine. Spine 1982; 7: 1-27.
  • 2. Bucholz RW, Burkhead WZ, Graham W, Petty C. Occult cervical spine injuries in fatal traffic accidents. J Trauma 1979; 19: 768-71.
  • 3. Ciftdemir M. Cervical spine injuries. J Turk Spinal Surg 2007; 18(4): 43-50.
  • 4. Davis JW, Phreaner DL, Hoyt DB, Mackersie RC. The etiology of missed cervical spine injuries. J Trauma 1993; 34(3): 342-6.
  • 5. Hosalkar HS, Cain EL, Horn D, Chin KR, Dormans JP, Drummond DS. Traumatic atlanto-occipital dislocation in children. J Bone Joint Surg 2005; 87-A: 2480-2488.
  • 6. Kwon BK, Vaccaro AR, Grauer JN, Fisher CG, Dvorak MF. Subaxial cervical spine trauma. J Am Acad Orthop Surg 2006; 14: 78-89.
  • 7. Le AX, Delamarter RB. Classification of cervical spine trauma. Chapter 8. In: Fractures of the cervical, thoracic and lumbar spine. Ed.: Vaccaro AR. Marcel Dekker Inc, New York 2002, pp: 103-116.
  • 8. Lowery DW, Wald MM, Browne BJ, Tigges S, Hoffman JR, Mower WR. Epidemiology of cervical spine injury victims. Ann Emerg Med 2001; 38: 12-16.
  • 9. Reilly CW. Pediatric Spine Trauma. J Bone Joint Surg Am 2007; 89: 98-107.
  • 10. Sabuncuoglu H, Keskil IS. Omurga yaralanmalarında onemli bir morbidite nedeni: Ust servikal omurga travmaları. J Turk Spinal Surg 2006; 17(2): 7-14.
  • 11. Savas PE. Biomechanics of the injured cervical spine. Chapter 3. In: Fractures of the cervical, thoracic and lumbar spine. Ed.: Vaccaro AR. Marcel Dekker Inc, New York 2002, pp: 23-44.
  • 12. Sponseller PD, Cass JR. Atlanto-occipital fusion for dislocation in children with neurologic preservation. A case report. Spine 1997; 22: 344-7.
  • 13. White AA III, Panjabi MM. Clinical biomechanics of the spine. Second edition. Philedelphia, PA: JB Lippincott, 1990.
APA ÇOPUROĞLU C, ÖZCAN M, Çiftdemir M, ULUSAL A, Yalniz E (2011). Frequency of cervical dislocations in a group of cervical injured patients. , 13 - 18.
Chicago ÇOPUROĞLU Cem,ÖZCAN Mert,Çiftdemir Mert,ULUSAL Ayşe Ovul,Yalniz Erol Frequency of cervical dislocations in a group of cervical injured patients. (2011): 13 - 18.
MLA ÇOPUROĞLU Cem,ÖZCAN Mert,Çiftdemir Mert,ULUSAL Ayşe Ovul,Yalniz Erol Frequency of cervical dislocations in a group of cervical injured patients. , 2011, ss.13 - 18.
AMA ÇOPUROĞLU C,ÖZCAN M,Çiftdemir M,ULUSAL A,Yalniz E Frequency of cervical dislocations in a group of cervical injured patients. . 2011; 13 - 18.
Vancouver ÇOPUROĞLU C,ÖZCAN M,Çiftdemir M,ULUSAL A,Yalniz E Frequency of cervical dislocations in a group of cervical injured patients. . 2011; 13 - 18.
IEEE ÇOPUROĞLU C,ÖZCAN M,Çiftdemir M,ULUSAL A,Yalniz E "Frequency of cervical dislocations in a group of cervical injured patients." , ss.13 - 18, 2011.
ISNAD ÇOPUROĞLU, Cem vd. "Frequency of cervical dislocations in a group of cervical injured patients". (2011), 13-18.
APA ÇOPUROĞLU C, ÖZCAN M, Çiftdemir M, ULUSAL A, Yalniz E (2011). Frequency of cervical dislocations in a group of cervical injured patients. Journal of Turkish Spinal Surgery, 22(1), 13 - 18.
Chicago ÇOPUROĞLU Cem,ÖZCAN Mert,Çiftdemir Mert,ULUSAL Ayşe Ovul,Yalniz Erol Frequency of cervical dislocations in a group of cervical injured patients. Journal of Turkish Spinal Surgery 22, no.1 (2011): 13 - 18.
MLA ÇOPUROĞLU Cem,ÖZCAN Mert,Çiftdemir Mert,ULUSAL Ayşe Ovul,Yalniz Erol Frequency of cervical dislocations in a group of cervical injured patients. Journal of Turkish Spinal Surgery, vol.22, no.1, 2011, ss.13 - 18.
AMA ÇOPUROĞLU C,ÖZCAN M,Çiftdemir M,ULUSAL A,Yalniz E Frequency of cervical dislocations in a group of cervical injured patients. Journal of Turkish Spinal Surgery. 2011; 22(1): 13 - 18.
Vancouver ÇOPUROĞLU C,ÖZCAN M,Çiftdemir M,ULUSAL A,Yalniz E Frequency of cervical dislocations in a group of cervical injured patients. Journal of Turkish Spinal Surgery. 2011; 22(1): 13 - 18.
IEEE ÇOPUROĞLU C,ÖZCAN M,Çiftdemir M,ULUSAL A,Yalniz E "Frequency of cervical dislocations in a group of cervical injured patients." Journal of Turkish Spinal Surgery, 22, ss.13 - 18, 2011.
ISNAD ÇOPUROĞLU, Cem vd. "Frequency of cervical dislocations in a group of cervical injured patients". Journal of Turkish Spinal Surgery 22/1 (2011), 13-18.