CLINICAL AND RADIOLOGY CHARACTERISTICS OF SURGICAL PATIENTS CAUSED BY C1-C2 INSTABILITY IN BACH MAI HOSPITAL

Gia Du Hoàng1,, Xuân Phước Vũ 1
1 Bach Mai hospital

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Abstract

Objective: To evaluate the clinical and paraclinical characteristics of patients with C1-C2 instability who underwent surgery at Bach Mai hospital. Subjects and methods: Retrospective study of 34 patients diagnosed with C1-C2 instability operated by different surgical techniques from October 2017 to October 2019 at Bach Mai Hospital. Results: The average age of the study group was 47.77; men were more than two times older than women. The most common cause of injury is a new injury, with 38.24%. 100% of patients underwent magnetic resonance imaging, of which 55.88% had cervical spinal stenosis at C1-C2 region; 44.12% of patients had increased signal in the medulla in T2W, combine with weakness in extremities. Conclusion: The clinical presentation in C1-C2 instability is feeble and non-specific; the C1-C2 region injury should be considered when the patient had neck pain and neck movement limited in a patient with a traumatic history. The characteristics of spinal signal changes on magnetic resonance help determine the degree of nerve damage and predict postoperative recovery.

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References

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