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Intervertebral disc injury complicating cervical spine trauma
S J Rizzolo1, M R Piazza, J M Cotler
1Department of Orthopaedic Surgery, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
Spine
|June 1, 1991
Summary
Acute herniated nucleus pulposus occurs in 42% of cervical spine trauma patients within 72 hours. Incidence is higher with severe injuries like bilateral facet dislocations and anterior cord syndromes.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Radiology
Background:
- Cervical spine trauma can lead to acute herniated nucleus pulposus.
- Understanding the incidence and risk factors is crucial for patient management.
Purpose of the Study:
- To determine the incidence of acute herniated nucleus pulposus in patients with cervical spine trauma.
- To correlate the incidence with neurologic status and injury mechanism.
Main Methods:
- A cohort of 55 patients with cervical spine trauma was studied.
- Standardized magnetic resonance imaging (1.5-T) was used within 72 hours of injury.
Main Results:
- The incidence of acute herniated nucleus pulposus was 42%.
- Incidence was 80% in bilateral facet dislocations and 100% in anterior cord syndromes.
- No significant correlation was found with patient age or sex.
Conclusions:
- Acute herniated nucleus pulposus is a significant finding in cervical spine trauma.
- Specific injury patterns, such as bilateral facet dislocations and anterior cord syndromes, are associated with higher incidence.