NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG TRÊN BỆNH NHÂN CHẤN THƯƠNG CỘT SỐNG CỔ CAO MẤT VỮNG

Abstract

Objective: To evaluate the clinical and subclinical symptoms of patients with instability upper cervical spine injuries in order to provide indicative signs when patients have upper cervical spine injuries. Subjects and methods: Descriptive case series of 66 patients diagnosed with instability C1 - C2 vertebral fractures since March 2018. Results: 66 patients (58 males/8 females) with an average age of 38.27 ± 13.69 were diagnosed with unstable C1 - C2 cervical spine fractures. High cervical spine instability injuries predominantly occurred due to traffic accidents (56.06%) and high falls (30.30%). All patients presented with neck pain symptoms (100%), with 90.91% showing restricted cervical spine mobility, and only 24.24% exhibiting symptoms of neck stiffness. Preoperative clinical assessment of the patients according to the ASIA impairment scale was primarily classified as ASIA E (68.18%). The main injury in the study group was simple odontoid fractures, accounting for 54.55%. C1 - C2 dislocations due to various causes comprised 31.81%, and only 13.64% of the cases involved isolated C1 fractures. Conclusion: Upper cervical spine injuries exhibit nonspecific and poor clinical symptoms. Therefore, it is recommended to use imaging diagnostic tools to evaluate upper cervical spine injuries