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Traumatic cervical spine injury: Short-and medium-term prognostic factors in 102 patients

BACKGROUND: Traumatic cervical spine injuries (CSIs) can be defined as osteodiscoligamentous lesions and are frequent in the young and active population. These lesions are often associated with significant devastating neurological deficits. Here, we sought to establish short-and medium-term prognost...

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Autores principales: Abboud, Hilal, Ziani, Idris, Melhaoui, Adyl, Arkha, Yasser, Elouahabi, Abdessamad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7049882/
https://www.ncbi.nlm.nih.gov/pubmed/32123607
http://dx.doi.org/10.25259/SNI_593_2019
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author Abboud, Hilal
Ziani, Idris
Melhaoui, Adyl
Arkha, Yasser
Elouahabi, Abdessamad
author_facet Abboud, Hilal
Ziani, Idris
Melhaoui, Adyl
Arkha, Yasser
Elouahabi, Abdessamad
author_sort Abboud, Hilal
collection PubMed
description BACKGROUND: Traumatic cervical spine injuries (CSIs) can be defined as osteodiscoligamentous lesions and are frequent in the young and active population. These lesions are often associated with significant devastating neurological deficits. Here, we sought to establish short-and medium-term prognostic factors that could help predict future outcomes. METHODS: We retrospectively reviewed 102 adults admitted for traumatic CSI over an 11-year period (January 2004–December 2014). Patients were graded using Frankel scale as exhibiting good or poor outcomes. RESULTS: Two risk factors that significantly predicted results for CSI included original poor Frankel grades (e.g., A and B) and initial neurovegetative disorders (e.g., respectively, P = 0.019 and P = 0.001). However, we did not anticipate that two other risk factors, operative delay and mechanism of trauma, would not significantly adversely impact outcomes. CONCLUSION: Here, we identified two significant risk factors for predicting poor outcomes following CSI; poor initial Frankel Grades A and B and neurovegetative disorders at the time of original presentation.
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spelling pubmed-70498822020-03-02 Traumatic cervical spine injury: Short-and medium-term prognostic factors in 102 patients Abboud, Hilal Ziani, Idris Melhaoui, Adyl Arkha, Yasser Elouahabi, Abdessamad Surg Neurol Int Original Article BACKGROUND: Traumatic cervical spine injuries (CSIs) can be defined as osteodiscoligamentous lesions and are frequent in the young and active population. These lesions are often associated with significant devastating neurological deficits. Here, we sought to establish short-and medium-term prognostic factors that could help predict future outcomes. METHODS: We retrospectively reviewed 102 adults admitted for traumatic CSI over an 11-year period (January 2004–December 2014). Patients were graded using Frankel scale as exhibiting good or poor outcomes. RESULTS: Two risk factors that significantly predicted results for CSI included original poor Frankel grades (e.g., A and B) and initial neurovegetative disorders (e.g., respectively, P = 0.019 and P = 0.001). However, we did not anticipate that two other risk factors, operative delay and mechanism of trauma, would not significantly adversely impact outcomes. CONCLUSION: Here, we identified two significant risk factors for predicting poor outcomes following CSI; poor initial Frankel Grades A and B and neurovegetative disorders at the time of original presentation. Scientific Scholar 2020-02-07 /pmc/articles/PMC7049882/ /pubmed/32123607 http://dx.doi.org/10.25259/SNI_593_2019 Text en Copyright: © 2020 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Abboud, Hilal
Ziani, Idris
Melhaoui, Adyl
Arkha, Yasser
Elouahabi, Abdessamad
Traumatic cervical spine injury: Short-and medium-term prognostic factors in 102 patients
title Traumatic cervical spine injury: Short-and medium-term prognostic factors in 102 patients
title_full Traumatic cervical spine injury: Short-and medium-term prognostic factors in 102 patients
title_fullStr Traumatic cervical spine injury: Short-and medium-term prognostic factors in 102 patients
title_full_unstemmed Traumatic cervical spine injury: Short-and medium-term prognostic factors in 102 patients
title_short Traumatic cervical spine injury: Short-and medium-term prognostic factors in 102 patients
title_sort traumatic cervical spine injury: short-and medium-term prognostic factors in 102 patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7049882/
https://www.ncbi.nlm.nih.gov/pubmed/32123607
http://dx.doi.org/10.25259/SNI_593_2019
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