Journal of Spine & NeurosurgeryISSN: 2325-9701

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Evaluation of patients with Subaxial Cervical Fractures by the new AOspine classification


Pedro Augusto Celestino de Oliveira, Alberto Gotfryd, Maria Fernanda Cafaro, Nelson Astur, Rodrigo Mendonca,
Eduardo Hideyuki Akamine, Osmar Avanzi and Robert Meves

Irmandade da Santa Casa de Misericórdia de Sao Paulo, Brazil

: J Spine Neurosurg

Abstract


Objective: To assess the profile of patients with break and/or separation of the Subaxial Cervical Spine utilizing the new AOSpine arrangement and to relate it with the injury instrument and the sort of neurological deficiency. Methods: Examinations were performed of the clinical records of patients conceded to a tertiary emergency clinic with crack and/or subaxial cervical separation during the period from 2009 to 2016. For the assessment of the relationship between the two unmitigated factors, the Chi-square test was utilized with an importance level of p <0.05. Results: A sum of 67 clinical records was investigated, in which a higher predominance of type C breaks (49.3%) was noticed. The neurological sub-order N4 (35.8%) was the most predominant sort found, trailed by subtype N0 (26.9%). Among the fundamental injury instruments found, the most pervasive was the bike mishap (29.9%). There was no measurably huge relationship between the injury component and the AOSpine morphological arrangement (p> 0.05) or neurological shortage (p> 0.05). Conclusion: Cervical breaks of type C, because of car crashes were the most predominant. It was impractical to decide a relationship between the level of neurological inclusion and the morphology of the injury.

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