Relationship between Types of Cervical SpineTrauma and Occurrence of Neurological Deficits
Abstract: About 3,500 people
died each year due to neck injury, according to a study in the USA. Trauma at
cervical spine level causes injury in soft tissue, cervical vertebrae, and
spinal cord that can cause neurological deficits. The aim of this study was to
analyze the relationship between type of cervical trauma and the occurrence of
neurological deficits.
Methods: An analytic study was carried out to 121 medical records of
patients diagnosed with cervical spine
trauma at Dr. Hasan Sadikin General Hospital Bandung in the period of January
2010−December 2012. Data were classified
according to age, sex, period of initial visit to hospital, mechanism of trauma,
cervical trauma type, fracture’s or dislocation’s location (without any other
vertebral injury) and neurological status. The collected data were analyzed
using Chi-Square test and presented in tables.
Results: There were 121 cases of cervical spine trauma. Most patients
were male and in the productive age group (30−44 years). Most of the initial
visits to the hospital were in 2010 and most of the mechanism was traffic
accident (46.28%), while soft tissue injury was the most common type of
cervical trauma (54.54%) and lower cervical vertebrae was the most common
location of fractures or dislocations (76.36%). Sixty two patients were
recorded with neurological deficits. Chi-Square test of relationship
between the type of cervical trauma and
the occurrence of neurological deficit was statistically significant (p=0.000).
Conclusions: There is relationship between the type of cervical trauma
and occurrence of neurological deficits.
Keywords: Cervical spine
trauma, neurological deficit, soft tissue injury
Author: Syaiful Anwar, Agus
Hadian Rahim, Farhan Anwary
Journal Code: jpkedokterangg170125
