Tanki Humam, Wani Abrar A, Ramzan Altaf U, Malik Nayl K, Chhibber Sarbjit S, Dar Bashir A, Arif Sajad, Ali Zulfiqar, Laherwal M Masood
Department of Neurosurgery, Sher-i- Kashmir Institute of Medical Sciences Soura, Srinagar, Jammu and Kashmir, India.
Department of Neuroanesthesiology, Sher-i- Kashmir Institute of Medical Sciences Soura, Srinagar, Jammu and Kashmir, India.
Surg Neurol Int. 2017 Apr 5;8:43. doi: 10.4103/sni.sni_340_16. eCollection 2017.
Injuries to the craniovertebral junction (CVJ) are not uncommon, and are among the few skeletal injuries that carry a high mortality rate. Successful management of these injuries depends on familiarity with the normal anatomic relationships of this region, as well as prudent decision making regarding surgical versus conservative management alternatives.
The purpose of this study was to analyze the indications for conservative treatment of CVJ trauma and to analyze the outcomes.
Eighty-eight patients admitted with CVJ injuries were managed conservatively. More than half were nearly neurologically intact on admission; 91% improved whereas 80% (excluding deaths/lost to follow) ultimately achieved bony union without surgical intervention.
This study documents that conservative management of CVJ injuries in a select population can yield good clinical results.
颅颈交界区（CVJ）损伤并不罕见，是少数具有高死亡率的骨骼损伤之一。成功处理这些损伤取决于对该区域正常解剖关系的熟悉程度，以及关于手术与保守治疗方案的审慎决策。
本研究的目的是分析CVJ创伤保守治疗的适应证并分析其结果。
88例因CVJ损伤入院的患者接受了保守治疗。超过半数患者入院时神经功能几乎完好；91%的患者病情改善，而80%（不包括死亡/失访患者）最终在未进行手术干预的情况下实现了骨愈合。
本研究证明，对特定人群的CVJ损伤进行保守治疗可取得良好的临床效果。
