CLASSIFICATION OF SUBAXIAL CERVICAL SPINE INJURIES
https://doi.org/10.14531/ss2012.2.8-15
Abstract
Objective. To assess clinical reproducibility and practical usability of four most popular current classification systems for subaxial cervical spine injuries.
Material and Methods. Prospective and retrospective analysis of medical records of 58 patients with injuries to the cervical spine was performed. To study the structure of injuries the Allen-Ferguson, AOSpine, SLIC, and CSISS classification systems were used.
Results. The Allen-Ferguson classification allowed to verify the type of injury in 49 (84.5 %) patients, AOSpine - in 34 (58.6 %), and SLIC and CSISS - in 58 (100.0 %) patients.
Conclusion. In subaxial cervical spine injuries the SLIC classification system is the most optimal and clinically acceptable one since it includes a detailed medical and tactical algorithm taking into account the severity of both osteoligamentous and neurological injuries.
Hir. Pozvonoc. 2012;(2):8-15.
About the Authors
Aleksandr Vadimovich Gubin
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, Kurgan, Russia
Russian Federation
Russian Federation
Aleksandr Vladimirovich Burtsev
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, Kurgan, Russia
Russian Federation
Russian Federation
References
1. Басков А.В., Яриков Д.Е., Древаль О.Н. и др. Современная тактика хирургического лечения травмы шейного отдела позвоночника и спинного мозга // III съезд нейрохирургов России: Тез. докл. СПб., 2002. С. 186-187.
2. Бурцев А.В. Структура субаксиальных повреждений шейного отдела позвоночника и соответствие им степени неврологических расстройств // Бюллетень ВСНЦ СО РАМН. 2011. № 4(80). С. 30-34.
3. Валеева К.Г., Сафин Ш.М. К вопросу о тактике лечения больных с позвоночно-спинальной травмой // I съезд нейрохирургов России: Тез. докл. Екатеринбург, 1995. С. 131-132.
4. Гринберг М. Нейрохирургия. М., 2010.
5. Деркач В.И., Каминский А.А., Резниченко В.И. Хирургическая тактика при травме шейного отдела позвоночника и спинного мозга // I съезд нейрохирургов России: Тез. докл. Екатеринбург, 1995. С. 140-141.
6. Кассар-Пулличино В.Н. Спинальная травма в свете диагностических изображений. М., 2009.
7. Мушкин А.Ю., Ульрих Э.В., Зуев И.В. Биомеханика позвоночника в норме и при патологических состояниях: основные аспекты исследований // Хирургия позвоночника. 2009. № 4. С. 53-61.
8. Ульрих Э.В., Мушкин А.Ю. Вертебрология в терминах, цифрах, рисунках. СПб., 2005.
9. Учуров О.Н., Яриков Д.Е., Басков А.В. Некоторые аспекты хирургического лечения травматических повреждений шейного отдела позвоночника и спинного мозга // Вопросы нейрохирургии им. Н.Н. Бурденко. 2004. № 2. С. 35-40.
10. Юндин В.И., Горячев А.В., Нуржиков С.Р. и др. Особенности хирургического лечения осложненных повреждений верхнешейного отдела позвоночника // III съезд нейрохирургов России: Тез. докл. СПб., 2002. С. 228-229.
11. Alday R, Lobato RD, Gomez P. Cervical spine fractures. In: Palmer JD (ed.). Neurosurgery 96, Manual of Neurosurgery. Edinburgh, 1996: 723-730.
12. Allen BL, Ferguson RL, Lehmann TR, et al. A mechanistic classification of closed, indirect fractures and dislocations of the lower cervical spine. Spine. 1982; 7: 1-27.
13. Anderson PA, Moore TA, Davis KW, et al. Cervical spine injury severity score. Assessment of reliability. J Bone Joint Surg Am. 2007; 89: 1057-1065.
14. Boos N, Aebi M (eds.). Spinal Disorders. Fundamentals of Diagnosis and Treatment. Berlin, 2008.
15. Bühren V. [Fractures and instability of the cervical spine]. Unfallchirurg. 2002; 105: 1049-1066. In German.
16. Claytor B, MacLennan PA, McGwin GJr, et al. Cervical spine injury and restraint system use in motor vehicle collisions. Spine. 2004; 29: 386-389.
17. Crosby ET. Airway management in adults after cervical spine trauma. Anesthesiology. 2006; 104: 1293-1318.
18. Dvorak MF, Fisher CG, Fehlings MG, et al. The surgical approach to subaxial cervical spine injuries: an evidence-based algorithm based on the SLIC classification system. Spine. 2007; 32: 2620-2629.
19. Morris CG, McCoy E. Clearing the cervical spine in unconscious polytrauma victims, balancing risks and effective screening. Anaesthesia. 2004; 59: 464-482.
20. Nakashima H, Yukawa Y, Ito K, et al. Mechanical patterns of cervical injury influence postoperative neurological outcome: a verification of the Allen system. Spine. 2011; 36:E441-E446.
21. Patel AA, Hurlbert RJ, Bono CM, et al. Classification and surgical decision making in acute subaxial cervical spine trauma. Spine. 2010; 35:S228-S234.
22. Patel VV, Burger E, Brown CW (eds.). Spine Trauma, Surgical Techniques. Berlin, 2010.
23. Ross SE, Schwab CW, David ET, et al. Clearing the cervical spine: initial radiologic evaluation. J Trauma. 1987; 27: 1055-1060.
24. Ryan MD, Henderson JJ. The epidemiology of fractures and fracture-dislocations of the cervical spine. Injury. 1992; 23: 38-40.
25. Stone АТ, Bransford RJ, Lee MJ. Reliability of classification systems for subaxial cervical injuries. EBSJ. 2010; 1: 19-26.
26. Vaccaro AR, Hulbert RJ, Patel AA, et al. The subaxial cervical spine injury classification system: a novel approach to recognize the importance of morphology, neurology, and integrity of the disco-ligamentous complex. Spine. 2007; 32: 2365-2374.
27. Zehnder SW, Lenarz CJ, Place HM. Teachability and reliability of a new classification system for lower cervical spinal injuries. Spine. 2009; 34: 2039-2043.
Review
For citations:
Gubin A.V., Burtsev A.V. CLASSIFICATION OF SUBAXIAL CERVICAL SPINE INJURIES. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2012;(2):8-15. (In Russ.) https://doi.org/10.14531/ss2012.2.8-15
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