ĐẶC ĐIỂM LÂM SÀNG, CHẨN ĐOÁN HÌNH ẢNH CHẤN THƯƠNG CỘT SỐNG CỔ KIỂU GIỌT LỆ TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives: To describe clinical characteristics, image analysation of patient with cervical spine teardrop fracture at viet duc university hospital. Subjects and methods: A cross-sectional descriptive study on 35 patient with cervical spine teardrop fracture operated at Viet Duc University Hospital. Results: The main cause of tear-type neck injury was traffic accidents (42.8%). 88.6% of the patients have nerve damage, in which according to the neurological clinical classification of ASIA: ASI D accounts for the highest rate of 28.56%. The most common lesion site is C5, accounting for 37.1%. The main injury is tear tear break of 65.71%, fracture accompanied by dislocation of the vertebral body 22.86%. Computed tomography can detect 100% of bone lesions, especially analysis of bone lesion morphology, and displacement into the canal. But it is difficult to assess spinal cord injury. Magnetic resonance imaging detects 100% of disc damage. Conclusion: cervical spine teardrop fracture causes serious damage. When clinical examination for cases with suspicious signs, it is necessary to take X-ray and CT scan to assess the injury