Cervical spine injuries in Poland – epidemiology, divisions, and causes
DOI:
https://doi.org/10.15584/ejcem.2017.1.10Keywords:
epidemiology, cervical spine, injuryAbstract
Aim. The aim of the study was to review the literature on the prevalence of cervical spine injuries divided between the level of the injury and the causes of fractures.
Material and methods. A review of Polish and foreign literature was performed. The following databases were searched: PubMed, Medline, Science Direct, Termedia, and Polish Medical Bibliography.
Literature analysis. In Poland the incidence of spinal injuries, including damage to the cord, is estimated at the level of 25–35 persons per one million of the population, half of these being cervical spine injuries. More than one in three of all spinal injuries affect the atlantoaxial and occipital area. It is estimated that axis fractures occur in up to 40% of the cases involving cervical spine injury. Odontoid fractures constitute 10–15% of all cervical spine fractures. Hangman fractures account for 20% of vertebral fractures. Cervical spine injuries more frequently occur in males than in females, and the relevant rates for males are from 1.5 to 2.7 times higher. The most common causes of cervical spine injuries include road traffic accidents, accounting for 33 to 75% of the cases, falls from heights (15–44%) and sports injuries (4–18%). Cervical spine injuries are most often diagnosed in subjects over thirty years of age. Such injuries most commonly are related to the second, fifth and sixth cervical vertebrae. On the other hand damage to the first and second cervical vertebrae is often observed in the same patients who are found with injury to lower cervical vertebrae (approx. 9% of the cases). In the group of advanced age subjects the most frequent cervical spine injuries are axial fractures and they are diagnosed in 15% of adult patients with cervical spine fractures.
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References
Radek A, Maciejczak A. Stabilizacja kręgosłupa cz. I Kręgosłup szyjny. Kraków: Wydawnictwo AGH; 2006.
Joaquim A. F, Patel A. Craniocervical Traumatic Injuries: Evaluation and Surgical Decision Making. Global Spine J. 2011;1(1):37–42.
Kiwerski J, Kowalski M, Krasuski M. Schorzenia i urazy kręgosłupa. Warszawa: PZWL; 1997.
Blaksin MF, Lee HJ. Frequency and significance of fractures of the upper cervical spine detected by CT in patients with severe neck trauma. AJR Am J Roentgenol. 1995;165:1201-4.
Kiwerski J. Epidemiologia urazów kręgosłupa. Prewencja i Rehabilitacja. 2005;3:1-4.
Daniel R.T, Hussain M.M, Klocke N, Yandamuri S.S, Bobinski L, Duff J.M, Bucklen BS. Biomechanical assessment of stabilization of simulated type II odontoid fracture with case study. Asian Spine J. 2017;11(1):15-23.
Wang H, Ou L, Zhou Y et al. Traumatic upper cervical spinal fractures in teaching hospitals of China over 13 years: A retrospective observational study. Medicine (Baltimore). 2016; 95(43):e5205.
Siemianowicz A, Wawrzynek W, Koczy B, Trzepaczyński M, Koczy A. Analiza epidemiologiczna pourazowych uszkodzeń kręgosłupa szyjnego. Chir Narz Ruchu. 2006;71(3):163-72.
Wintermark M, Poletti PA, Becker CD, Schnyder P. Traumatic injures: organization and ergonomics of immaging in the emergency environment. Eur Radiol. 2002;12(5):959-68.
Siemianowicz A, Wawrzynek W, Pilch-Kowalczyk J et al. Ocena złamań kręgosłupa szyjnego u osób dorosłych w spiralnej tomografii komputerowej. Pol J Radiol. 2005;70(4):47-54.
Chen Y, He Y, DeVivo MJ. Changing Demographics and Injury Profile of New Traumatic Spinal Cord Injuries in the United States, 1972-2014. Arch Phys Med Rehabil. 2016;97(10):1610-9.
Pankowski R, Wilmanowska A, Gos T, Smoczyński A. Złamania kręgosłupa szyjnego w materiale sekcyjnym. Chir Narz Ruchu. 2003;68(3):157:63.
Maserati MB, Stephens B, Zohny Z et al. Occipital condyle fractures: clinical decision rule and surgical management. J Neurosurg Spine. 2009;11:388-95.
Momjian S, Dehdashti AR, Kehrli P, May D, Rilliet B. Occipital condyle fractures in children. Case report and review of the literature. Pediatr Neurosurg 2003;38(5):265-70.
F. J. Mueller, B. Fuechtmeier, B. Kinner et al. Occipital condyle fractures. Prospective follow-up of 31 cases within 5 years at a level 1 trauma centre. Eur Spine J. 2012;21:289-94.
Alcelik I, Manik KS, Sian PS, Khoshneviszadeh SE. Occipital condylar fractures. The J Bone Joint Surg [Br]. 2006;88-B:665-9.
Cirak B, Akpinar G, Palaoglu S. Traumatic occipital condyle fractures. Neurosurg Rev. 2000;23:161-4.
Poleszczuk JC, Kolasa P, Kasprzak HA. Halo vest treatment of the upper cervical spine fractures. JOTSRR. 2011;4(24).
Tomaszewski R, Wiktor Ł. Złamania kłykci kości potylicznej u młodzieży. Ortop Traumatol. 2015;3(6);17:219-29.
Andrei F, Alpesh J, Patel A. Craniocervical Traumatic Injuries: Evaluation and Surgical Decision Making. Global Spine J. 2011;1(1):37-42.
Pryputniewicz DM, Hadley MN. Axis fractures. Neurosurgery 2010;66(3):68-82.
Bisson E, Schiffern A, Daubs MD, Brodke DS, Patel AA. Combined occipital-cervical and atlantoaxial disassociation without neurologic injury: case report and review of the literature. Spine 2010;15(8):316-21.
Ivancic PC. Odontoid fracture biomechanics. Spine 2014;15(24):1403-10.
Wasilewski W, Kasprzak H, Pierzak O, Liczbik W, Szopa B, Kloc W. Operacyjne leczenie złamań zęba kręgu obrotowego z dojścia przedniego. J Orthop Trauma Surg Rel Res. 2010;3(19):55-62.
Sniegocki M, Sosnowski S, Wozniak B, i wsp. Operacyjne leczenie patologii pogranicza czaszkowo-kręgosłupowego. Ortop Traumatol Rehab. 2000;3:25-7.
Tylman D, Dziak A. Traumatologia narządu ruchu. Warszawa: PZWL; 1986.
Haftek J. Urazy kręgosłupa i rdzenia kręgowego. Warszawa: PZWL; 1986.
Będziński R, Pezowicz C, Mstwoski J, Ciupik LF. Mechaniczne aspekty stabilizacji kręgosłupa szyjnego. System DERO: rozwój technik operacyjnego leczenia kręgosłupa. Zielona Góra: Polska Grupa DERO i LFC; 1997.
GOS T. Nietypowe złamania wisielcze jako przyczyna zgonu w następstwie wypadku przy pracy. Arch Med Sąd Kryminol. 1995;3-4:297-303.
Stulík J, Nesnídal P, Kryl J, Vyskočil T, Barna M. Unstable injuries to the upper cervical spine in children and adolescents. Acta Chir Orthop Traumatol Cech. 2013; 80(2):106-13.
Verettas DAJ, Ververidis A, Kazakos KJ, Staikos Ch. Neglected Hangman’s fracture in association with rupture of the trachea. The Spine Journal. 2008;8:552-4.
Jankowski R, Baraniak R, Pliś J. Ocena późnych następstw urazu czaszkowo-kręgosłupowego u chorych leczonych zachowawczo. Now Lek 1998;67(1):22-9.
Southwick MO. Current concepts review. Management of fractures of the dens (odontoid process). J Bone Joint Surg. 1980;62A:482-6.
White AA, Panjabi MM. Clinical Biomechanics of cervical spine implants. Spine. 1989;14:1040.
Gehweiler JA, Osborne RL, Becker RF. The radiology of vertebral trauma. Philadelphia: Saunders; 1980.
Joaquim AF, Patel AA. Surgical treatment of Type II odontoid fractures: anterior odontoid screw fixation or posterior cervical instrumented fusion? Neurosurg Focus. 2015;38(4):11-14.
Bourdillon P, Perrin G, Lucas F, Debarge R, Barrey C. C1-C2 stabilization by harms arthrodesis: indications, technique, complications and outcomes in a prospective 26-case series. Orthop Traumatol Surg Res. 2014;100(2):221-7.
Elliott RE, Kang MM, Smith ML, Frempong-Boadu A. C2 nerve root sectioning in posterior atlantoaxial instrumented fusions: a structured review of literature. World Neurosurg. 2012;78(6):697-708.
Wibault J, Vaillant J, Vuillerme N, Dedering A, Peolsson A. Using the cervical range of motion (CROM) device to assess head repositioning accuracy in individuals with cervical radiculopathy in comparison to neck- healthy individuals. Man Ther. 2013;18(5):403-9.
Żaba C, Marcinkowski JT, Świderski P, Żaba Z. Obrażenia kręgosłupa szyjnego ofiar wypadków drogowych na podstawie przypadków opiniowanych w Katedrze i Zakładzie Medycyny Sądowej Uniwersytetu Medycznego w Poznaniu. Orzecz Lek. 2010;7(2):89-93.
Kwolek A, Pop T, Tęcza T, Dobko M. Etiologia urazów kręgosłupa w odcinku szyjnym na podstawie danych Oddziału Neurochirurgii i Neurotraumatologii Szpitala Wojewódzkiego nr 2 w Rzeszowie. Fizjoterapia 2007;15(1):32-9.
Symon E. Wypadki drogowe w Polsce w 2013 roku. Wydział Ruchu Drogowego Biura Prewencji i Ruchu Drogowego Komendy Głównej Policji. Warszawa 2014.
Kiwerski J. Urazy i schorzenia rdzenia kręgowego. W: Kwolek Andrzej, redaktor. Rehabilitacja medyczna. Wrocław: Wydawnictwo Urban&Partner; 2003:67-107.
Ho CH, Wuermser LA, Priebe MM, Chiodo AE, Scelza WM, Krishblum SC. Spinal cord injury medicine. Epidemiology and classification. Arch Phys Med Rehabil. 2007;88:49-54.
Ptaszyńska-Sarosiek I, Niemcunowicz-Janica A, Janica J. Urazy kręgosłupa z uszkodzeniem rdzenia kręgowego – poglądy reprezentowane przez neurologów. Arch Med Sąd Krym. 2007:294-7.
Burt AA. The epidemiology, natural history and prognosis of spinal cord injury. Mini Symposium - Spinal Trauma. Curr Orthop 2004;18:26–32.
Nandyala SV, Marquez-Lara A, Frisch NB, Park DK. The Athlete's Spine-Lumbar Herniated Nucleus Pulposus. Oper Tech Sports Med. 2013;3(21):146-51.
Ivancic PC. Axis ring fractures due to simulated head impacts. Clin Biomech. 2014;29(8):906-11.
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