Article Sidebar
Views pdf: 100
VERTEBRAL DISPLACEMENT ON HEAD MSCT IN THE DIAGNOSIS OF UPPER CERVICAL SPINE TRAUMA
Main Article Content
Abstract
Objective: Study the different distances in vertebral body translation in upper cervical spine trauma (UCST) on head MSCT. Materialss and Methods: A descriptive study comparing 40 cases, including 20 patients with (UCST) and 20 patients without UCST, who underwent MSCT scans at Viet-Duc Hospital from January 2019 to July 2023. Results: The study comprised 30 males and 10 females, with the UCST group consisting of 16 males and 4 females (p<0.05). The mean age was 45.3±18.06 years, with the UCST group being slightly older at 48.4±19.36 years. At the C0-C1 level, the mean discrepancy of C0/C1 translation (UCST group: 1.57 ± 2.64 mm and non-UCST group: 0,03±0,28 mm, p<0.01) and mean discreapancy of C0/C1 joint width (0.56 ± 1.62 mm and 0.03 ± 0.047 mm, p<0.01) showed statistically significant differences. At the C1-C2 level, the mean atlanto- dens interval (2.28 ± 0.869 mm and 2.07 ± 0.528 mm, p<0.05), mean diffenrence of C1-C2 translation (1.3 ± 1.827 mm and 0.02 ± 0.037 mm, p<0.01), and mean diffenrence of C1-C2 joint width (0.49 ± 0.415 mm and 0,06±0,073mm, p<0.01) exhibited significant differences. Furthermore, the mean odontoid process displacement was 0.94 ± 1.986 mm, and the mean odontoid process angulation was 4.98 ± 9.905 degrees in the UCST group, while there was no displacement or angulation in the non-UCST group (p<0.01). Conclusion: The vertebral displacement on head MSCT plays an important role in the diagnosis of upper cervical spine trauma.
Article Details
References
2. Holly, L.T., et al., Cervical spine trauma associated with moderate and severe head injury: incidence, risk factors, and injury characteristics. J Neurosurg, 2002. 96(3 Suppl): p. 285-91.
3. Joaquim, A.F. and A.A. Patel, C1 and C2 Spine Trauma: Evaluation, Classification, and Treatment. Contemporary Spine Surgery, 2010. 11(3).
4. Hoàng Gia Du and Nguyễn Văn Trung, Đặc điểm lâm sàng bệnh nhân chấn thương cột sống cổ cao. Tạp chí Y học Việt Nam, 2023. 525(2).
5. Pissonnier, M.L., et al., Trauma of the upper cervical spine: focus on vertical atlantoaxial dislocation. Eur Spine J, 2013. 22(10): p. 2167-75.
6. Bransford, R.J., et al., Upper Cervical Spine Trauma. JAAOS - Journal of the American Academy of Orthopaedic Surgeons, 2014. 22(11).
7. Schoenfeld, A.J., et al., Evaluating the Cervical Spine in the Blunt Trauma Patient. J Am Acad Orthop Surg, 2019. 27(17): p. 633-641.
8. Bono, C.M., et al., Measurement techniques for upper cervical spine injuries: consensus statement of the Spine Trauma Study Group. Spine (Phila Pa 1976), 2007. 32(5): p. 593-600.