Walker J
Division of Orthopaedic and Accident Surgery, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, UK.
J Wound Care. 2012 Jul;21(7):323-6. doi: 10.12968/jowc.2012.21.7.323.
To determine the incidence of pressure ulceration in patients treated with cervical spine immobilisation.
A retrospective case note analysis was conducted of all patients presenting with cervical spine injuries, who were treated with cervical spine immobilisation.
Ninety consecutive patients were analysed retrospectively. Multiple level injuries were the most common reported injury and mean time until definitive treatment was 7.4 days. Halo immobilisation was used most frequently, with the mean time in halo vest immobilisation being 74 days. One patient was reported to have a pressure ulcer to the scapula relating to the use of halo immobilisation. No pressure ulcers were reported in patients immobilised with the use of cervical collar or occipito-cervico-thoracic immobilisation devices.
Patients with cervical spine immobilisation have an increased risk of developing pressure ulcers. All patients with cervical immobilisation devices require close monitoring to monitor the risk of developing pressure ulcers as well as the overall management of the medical condition.
确定颈椎固定治疗患者中压疮的发生率。
对所有因颈椎损伤接受颈椎固定治疗的患者进行回顾性病例记录分析。
对90例连续患者进行了回顾性分析。多节段损伤是最常见的报告损伤，确定性治疗前的平均时间为7.4天。最常使用头环固定，头环背心固定的平均时间为74天。有1例患者报告因使用头环固定而出现肩胛骨压疮。使用颈托或枕颈胸固定装置固定的患者未报告有压疮。
颈椎固定患者发生压疮的风险增加。所有使用颈椎固定装置的患者都需要密切监测，以监测发生压疮的风险以及病情的整体管理。
