SERVÝKAL OMUR YARALANMALARI

Ý.Ü. Ýstanbul Týp Fakültesi Travma ve Acil Cerrahi Birimine Ocak 1991 -Aralýk 1995 tarihleri arasýnda baþvuran 70 servikal omur yaralanmalý (SOY) olgu gözden geçirildi. Olgularýn %57si araç kazasýna, %21'i düþmeye baðlý oluþmuþtur. Hastalarýn tamamýnda çekilen direkt grafilere ilave olarak, % 80 bilgisayarlý tomografi (BT) ve %10 (manyetik rezonans görüntüleme MRG) tetkikleri yapýldý. Vakalarýn %92.8'inde konservatif tedavi, %7.1'inde cerrahi giriþim uygulandý. Hastalarýn %55.7'si taburcu olurken, %15.7si kaybedilmiþ, %28.5'inin tedavileri diðer kliniklerde sürdürülmüþtür. SOY'larý yüksek oranda mortalite ve morbiditeye sebep olduðu için, politravmatize hastalarýn solunum ve dolaþým kontrolünü takiben ayrýntýlý nörolojik muayene yapýlmalý ve görüntüleme metodlarý ile aksi ispatlanýncaya kadar SOY var gibi düþünülmelidir.

CERVICAL SPINE INJURIES

We evaluated Cervical Spine Injuries (QSI) of 70 patients admitted to Trauma and Emergency Surgical Unit at Istanbul Medical School between January 1991-December 1995. The cause of injury was motor vehicle accident in (57%) and fall in (21 %). In addition to plain cervical radiography performed in all patients, computerized Tomography (80 %) and Magnetic Resonance Imaging (MRI) (10%) were performed. Conservative treatment was performed in 92.8 % and surgical treatment to 7.1% of the cases. Of the total 70 patients, 38 (55,7 %) were discharged, 10 (5.7 %) were lost and 22 were referred to other clinics for treatment. Because CSI cause high mortality and morbidity patients with multiple trauma should undergo a complete neurological examination following stabilization of the respiratory and hemodynamic status and CSI should be considered unless otherwise is proven by radiological methods.