EPIDEMIO-CLINICAL PROFILE OF CERVICAL SPINE TRAUMA AT CHU-JRA MADAGASCAR
DOI:
https://doi.org/10.53555/eijmhs.v5i3.82Keywords:
cervical spine trauma, brain injury, polytrauma, tetraplegiaAbstract
The cervical spine trauma is a frequent and serious lesion involving not only the vital prognostic but also functional. The target of this work was to determinate the epidemiological clinical profile and the issue related to the management of cervical spine traumatism in Madagascar. It was the 3 years retrospective works with 41 cases of the cervical spine trauma hospitalized and supported in a department of neurosurgery and resuscitation at CHU-JRA Antananarivo Madagascar. We included all patients’ records for traumatized cervical spine and incomplete files have been excluded. While the targeted period, 41 cases of the cervical spine trauma has been studied, 24, 39% of traumatized was between 21-30 years old with a clear male predominance of 80, 48% (sex ratio 4, 1). The etiology is dominated by a fall and the majority was of domestic accident (46,34%). The cervical wounded was part of polytrauma, 58, 53 % of the case are brain injury. Clinically, 39, 02% of the patients were tetraplegic and the standard radiograph represented the requested radiological tool in 82.92%. The mortality rate was 21, 95%. The cervical spine trauma remains pathology difficult to manage because of the respiratory risk which requires a managing in reanimation and the prognostic vital is reserved for complete quadriplegics.
References
. Emejulu JKC, Ekweogwu OC. Outcome of spinal cord injuries managed in a centre without modern imaging facilities. West Afr J Med 2009; 28(6):376-9.
. Igun GO, Obekpa OP, Ugwu BT, Nwadiaro HC. Spinal injuries in the Plateau State, Nigeria. East Afr Med J 1999; 76:75-9.
. Chirossel JP, Passagia JG, Colnet G. Traumatismes vertébro-médullaires. In: Decq P, Kéravel Y, editors. Neurochirurgie. Paris: Universités francophones éditions; 1995. p. 370-93.
. Aghakhani N, Vigué B, Tadié M. Traumatisme de la moelle épinière. EMC Neurologie 1999; 17:10 [17-685-A-10].
. Gerbeaux P, Portier F. Stratégies d’imageries des traumatismes du rachis cervical. Presse Med 2003; 32:1853-6.
. Berne JD, Velmahos GC, El Tawil Q, Demetriades D, Asensio JA, Murray JA. Value of complete cervical helical computed tomographic scanning in identifying cervical spine injury in the unevaluable blunt trauma patient with multiple injuries: a prospective study. J Trauma 1999; 47: 896-903.
. Toscano J. Prevention of neurological deterioration before admission to a spinal cord injury unit. Paraplegia 1988; 26:143-150.
. Kawu K, Adebule GT, Gbadegesin AA, Alimi MF, Salami AO. Outcome of conservative treatment of spinal cord injuries in Lagos, Nigeria. Niger J Orthop Trauma 2010; 9(1):21-3.
. Frielingsdorf K, Dunn RN. Cervical spine injury outcome–a review of 101 casestreated in a tertiary referral unit. S Afr Med J 2007; 97 (2):203-7.
. K. Quenum, O. Coulibaly, Y. Arkha, S. Derraz, A. El Ouahabi, A. El Khamlichi. Atteinte médullaire cervicale post-traumatique sans lésion osseuse du rachis chez l’adulte : analyse de neuf cas consécutifs. Neurochirurgie. 2011; 57(1):46-50.
. Aghakhani N, Vigué B, Tadié M. Traumatisme de la moelle épinière. EMC Neurologie 1999; 17:10 [17-685-A-10].
. E. Kpelaoa, A. Diopb, K. Beketib, I. Tineb, M. Thiouba, A.B. Thiama et al. Problématique de la prise en charge des traumatismes graves du rachis cervical en pays sous-développé. Neurochirurgie. 2013; 59:111-4.
. Dunn RN, van der Spuy D. Rugby and cervical spine injuries - has anything changed? A 5-year review in the Western Cape. S Afr Med J 2010; 100 (4):235-8.
. Babatunde AS. Spinal cord injuries in Ilorin, Nigeria. West Afr J Med 2002;21(3):230-2.
. Klein GR, Vaccaro AR, Albert TJ, Schweitzer M, Deely D, Karasick D, et al. Efficacy ofmagnetic resonance imaging in the evaluation of postérior cervical spine fractures. Spine 1999;24:771-4.
. Katzberg RW, Benedetti PF, Drake CM, Ivanovic M, Levine RA, Beatty CS, et al. Acute cervical spine injuries: prospective MR imaging assessment in a level 1 trauma center. Radiology 1999; 213: 203-12.
. O. Robert1, C. Valla, F. Lenfant, S. Seltzer, M. Coudert, M. Freysz. Intérêt des radiographies standard du rachis cervical chez le traumatisé inconscient. Ann Fr Anesth Réanim 2002 ; 21 : 347-53.
. Julio C. Furlan1, B. Catharine Craven, Eric M. Massicotte, Michael G. Fehlings. Early Versus Delayed Surgical Decompression of Spinal Cord after Traumatic Cervical Spinal Cord Injury: A Cost-Utility Analysis. World Neurosurg. 2016; 88:166-74.
. HABERER JP.Traumatismes du rachis et des membres. K ; Sammii (Ed), Anesthésieréanimation chirurgicale, Flammarion Médecine Sciences, 1990 : 1082-97.
. Montero JC, Feldman DJ, Montero D. Effects of glossopharyngeal breathing on respiratory function after cervical cord transection. Arch Phys Med Rehabil 1967 ; 48 : 650-3.
. Poonnoose PM, Ravichandran G, McClelland MR. Missed and mismanaged injuries of the spinal cord. J Trauma 2002 ; 53 : 314-20.
. Kawu K, Adebule GT, Gbadegesin AA, Alimi MF, Salami AO. Outcome of conservative treatment of spinal cord injuries in Lagos, Nigeria. Niger J Orthop Trauma 2010;9(1):21–3.
. Frielingsdorf K, Dunn RN. Cervical sfepine injury outcome–a review of 101 cases treated in a tertiary referral unit. S Afr Med J 2007; 97(2):203–7.
. Yiltok SJ, Onche II, Obiano SK. Cervical spine injury: nature and complication. Niger J Orthop Trauma 2004; 3(2):149–63.
. Nwadinigwe CU, Iloabuchi TC, Nwabude IA. Traumatic spinal cord injuries (SCI): a study of 104 cases. Niger J Med 2004; 13:161-5.
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