J Korean Orthop Assoc.  1979 Mar;14(1):69-80. 10.4055/jkoa.1979.14.1.69.

A Clinical Study of the Surgical Treatment of the Spinal Injuries

• Seo KY
• Lee YK
• Chung TY
• Choi JY
• Chang KD

• KMID: 2460646
• DOI: http://doi.org/10.4055/jkoa.1979.14.1.69

Abstract

The number of spinal injuries are now increasing with the high speed of automobile and industrial development. It is a general trend to treat the spinal injuries more actively in recent years, Among 135 spinal injury patients who were admitted to this hospital from August 1,1972 to August 31,1978, twenty six cases of spine fractures and fracture-dislocations who was treated with surgical measures were evaluated and analysed. Short summary of the followings observed is as follows: 1. Out of 26 patients, there were 22 male and 4 female cases. The ratio between male and female was 5.5:1. The majority (16 cases, 62%) was found in the age group of 20 to 40 years. 55.4% of the cases was caused by traffic accident. 2. The most common site of the lesion was cervical spine (9 cases, 35%) and the most common mechanism of injury was flexion and rotation (10 cases, 38%). 3. Our surgical measures were mainly the early anatomical reduction and anterior and posterior spinal fusion followed by external immobilization. 4. Among 26 cases, 34% had complete paralysis and 31%, incomplete paralysis. Complete or partial recovery was observed in 22% of the completely paralysed cases and in 87% of the imcompletely paralysed cases. 5. The initial recovery of spinal cord injury was observed from 1 to 25 days postoperatively (average 15 days).

MeSH Terms

Accidents, Traffic
Automobiles
Clinical Study*
Female
Humans
Immobilization
Industrial Development
Male
Paralysis
Spinal Cord Injuries
Spinal Fusion
Spinal Injuries*
Spine