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Early Management of Cervical Spine Trauma: WFNS Spine Committee Recommendations

Neurospine 2020년 17권 4호 p.710 ~ 722
Zileli Mehmet, Osorio-Fonseca Enrique, Konovalov Nikolay, Cardenas-Jalabe Carlos, Kaprovoy Stanislav, Mlyavykh Sergey, Pogosyan Artur,
소속 상세정보
 ( Zileli Mehmet ) - Ege University Department of Neurosurgery
 ( Osorio-Fonseca Enrique ) - LosCobos Medical Center
 ( Konovalov Nikolay ) - N.N. Burdenko National Medical Research Center of Neurosurgery
 ( Cardenas-Jalabe Carlos ) - El Bosque University
 ( Kaprovoy Stanislav ) - N.N. Burdenko National Medical Research Center of Neurosurgery
 ( Mlyavykh Sergey ) - Privolzhsky Research Medical University Trauma and Orthopedics Institute
 ( Pogosyan Artur ) - N.N. Burdenko National Medical Research Center of Neurosurgery

Abstract


Epidemiology, prevention, early management of cervical spine trauma and it's reduction are the objectives of this review paper. A PubMed and MEDLINE search between 2009 and 2019 were conducted using keywords. Case reports, experimental studies, papers other than English language and and unrelated studies were excluded. Up-to-date information on epidemiology of spine trauma, prevention, early emergency management, transportation, and closed reduction were reviewed and statements were produced to reach a consensus in 2 separate consensus meeting of World Federation of Neurosurgical Societies (WFNS) Spine Committee. The statements were voted and reached a positive or negative consensus using Delphi method. Global incidence of traumatic spinal injury is higher in low- and middle-income countries. The most frequent reasons are road traffic accidents and falls. The incidence from low falls in the elderly are increasing in high-income countries due to ageing populations. Prevention needs legislative, engineering, educational, and social efforts that need common efforts of all society. Emergency care of the trauma patient, transportation, and in-hospital acute management should be planned by implementing detailed protocols to prevent further damage to the spinal cord. This review summarizes the WFNS Spine Committee recommendations on epidemiology, prevention, and early management of cervical spine injuries.

키워드

Spine trauma; Cervical spine injury; Spinal immobilization; Patient transportation; Closed reduction; Cervical facet dislocation

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