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Title: Correlation between neurologic status and spinal injury at the Cervicothoracic Junction
Authors: Dhakal, Gaurav Raj
Sadiqi, Said
Shah, Gyanendra
Shrestha, Sushil
Paudel, Santosh
Kawaguchi, Yoshiharu
Riew, K.Daniel
Citation: DhakalG. R., SadiqiS., ShahG., ShresthaS., PaudelS., KawaguchiY., & RiewK. (2022). Correlation between neurologic status and spinal injury at the Cervicothoracic Junction. Journal of Nepal Health Research Council, 20(01), 124-130.
Issue Date: 2022
Publisher: Nepal Health Research Council
Keywords: Cervico-thoracic junction
Series/Report no.: Jan-March, 2022;4007
Abstract: Abstract Background: With limited studies on spinal injuries occurring at the cervicothoracic junction, there is currently a knowledge gap regarding the correlation between morphology of injury and neurology and whether surgery provides a favorable neurological outcome. The primary objective was to determine whether the neurological deficit correlated with the severity of injury at this region of the spine. Methods: All patients with injuries at the cervicothoracic junction from December 2015 to December 2020 in a government trauma hospital were included. Patient demographics, characteristics of the injury, neurological score, imaging findings, surgery details and neurological outcomes were analyzed. All patients had a minimum follow up of 2 years. Results: Of the total 30 patients, 23 were male and 7 female with mean age 42.4 years. 90% had fall injuries with 76.7% sustaining AO type C injury and 10% with AO B2 injury.73.4% had injury at C6-C7 level followed by 13.3% , C7-T1. Only 16.7% patients presented with intact neurology. Plain x-rays failed to detect cervicothoracic junction, injuries in 63.3% patients. Posterior stabilization was performed in 56.7%. Neurological improvement was observed in 9 patients. Conclusions: Though cervicothoracic junction injuries are uncommon, they are highly unstable injuries and difficult to diagnose by plain x-rays. These injuries also result in profound neurological deficit. Surgical stabilization of these injuries should be considered for a favorable neurological and functional outcome. Keywords: Cervico-thoracic junction; injuries; morphology; neurology; spine.
Description: Original Article
ISSN: Print ISSN: 1727-5482; Online ISSN: 1999-6217
Appears in Collections:Vol. 20 No. 01 (2022): Issue 54 Jan-March, 2022

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