Yılmaz Murat, Ikizoglu Ersin, Arslan Mert, Ozgiray Erkin, Calıskan Kadri Emre, Erbayraktar Resat Serhat
Dokuz Eylul University, Faculty of Medicine, Department of Neurosurgery, Izmir, Turkey.
Ege University, Faculty of Medicine, Department of Neurosurgery, Izmir, Turkey.
Emerg Med Int. 2021 Jun 3;2021:9937730. doi: 10.1155/2021/9937730. eCollection 2021.
We aimed to evaluate the demographic and clinical features of patients with cervical spinal injuries secondary to shallow-water diving and share our therapeutic outcomes.
A retrospective study was carried out using data extracted from the medical files of 39 patients (3 females and 36 males) who were treated surgically ( = 29) or conservatively ( = 10). Demographics, clinical features, operative data, American Spine Injury Association (ASIA) impairment scales, and Karnofsky Performance Status (KPS) results were noted.
The average age of our series ( = 39) was 31.59 ± 14.80 (range, 14 to 92) years. The vast majority of patients ( = 34, 87.2%) presented with isolated cervical trauma. At initial admission, neurological deficits were diagnosed in 22 (56.4%) patients. A single-level cervical involvement was noted in 18 (46.2%) patients, while 21 cases (53.8%) displayed injury involving multiple levels. The levels of cervical injury were C5 ( = 16, 41%), C6 ( = 11, 28.2%), C7 ( = 6, 15.4%), C1 ( = 5, 12.8%), and C4 ( = 1, 2.6%). A total of 22 patients had neurological deficits at admission. Surgery was performed using anterior ( = 21, 72.4%), posterior ( = 7, 24.1%), and combined anterior and posterior ( = 1, 3.4%) routes. Nine patients (23.1%) exhibited improvement in their neurological deficits. There were significant improvements in both the ASIA impairment scale and KPS results after treatment.
Our data indicated that dive- or fall-related cervical spinal injuries are associated with profound morbidity. Reinforcement of primary prevention, identification of target population, and increased awareness on this topic are the key steps to minimize the frequency and severity of complications and to optimize therapeutic outcomes.
我们旨在评估浅水区潜水继发颈椎损伤患者的人口统计学和临床特征，并分享我们的治疗结果。
进行一项回顾性研究，使用从39例患者（3例女性和36例男性）的病历中提取的数据，这些患者接受了手术治疗（n = 29）或保守治疗（n = 10）。记录人口统计学、临床特征、手术数据、美国脊髓损伤协会（ASIA）损伤量表以及卡诺夫斯基功能状态（KPS）结果。
我们这组患者（n = 39）的平均年龄为31.59±14.80岁（范围14至92岁）。绝大多数患者（n = 34，87.2%）表现为孤立性颈椎创伤。初次入院时，22例（56.4%）患者被诊断为神经功能缺损。18例（46.2%）患者为单节段颈椎损伤，而21例（53.8%）表现为多节段损伤。颈椎损伤节段为C5（n = 16，41%）、C6（n = 11，28.2%）、C7（n = 6，15.4%）、C1（n = 5，12.8%）和C4（n = 1，2.6%）。共有22例患者入院时存在神经功能缺损。手术采用前路（n = 21，72.4%）、后路（n = 7，24.1%）以及前后联合入路（n = 1，3.4%）。9例（23.1%）患者的神经功能缺损有所改善。治疗后ASIA损伤量表和KPS结果均有显著改善。
我们的数据表明，与潜水或跌倒相关的颈椎损伤会导致严重的发病率。加强一级预防、确定目标人群以及提高对该主题的认识是将并发症的发生率和严重程度降至最低并优化治疗结果的关键步骤。
