Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama

Bahadir, Burak; Caglar, Yusuf Sukru

Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama

Burak BAHADIR, (Ankara Şehir Hastanesi, Beyin ve Sinir Cerrahi Kliniği, Ankara, Türkiye)

Yusuf Sukru CAGLAR (Ankara Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Ankara, Türkiye)

Türk Nöroşirürji Dergsi

10 0

Yıl: 2020 Cilt: 30 Sayı: 3 Sayfa Aralığı: 364 - 369 Metin Dili: Türkçe İndeks Tarihi: 10-11-2021

Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama

Öz:

Servikal travmalar, tüm spinal travmaların %60’ını oluşturur. Tedavi yaklaşımı, morbidite ve mortalite üzerine doğrudan etkilidir.Gelişen teknoloji ve yeni yöntemler ile birlikte, bu bölge yaralanmalarında konservatif tedavi ve cerrahi tedavi yaklaşımı kıyaslanırhâle gelmiştir. Her iki tedavi seçeneğinde de ortak amaç, stabil ve ağrısız omurgayı sağlamak ve en iyi nörolojik neticeye ulaşmaktır.Yeri gelirse tek başına, ihtiyaç varlığında birbiriyle kombine edilerek sonuca varılmalıdır. Tedavi yöntemini seçerken; yaralanma tipi,nörolojik muayene, hasta uyumu gibi birçok faktör göz önünde bulundurulmalıdır. Ortezler, traksiyon teknikleri, halo-vest uygulamalarıkonservatif tedavinin temelini oluşturur. Derlememizde, servikal travmalarda konservatif tedavinin önemi ve güncel uygulamalardanbahsedilmiştir. Klinik ve pratik bilgiler, literatür eşliğinde paylaşılmış; geçmişten bugüne gelişimi anlatılmıştır.

Anahtar Kelime:

Conservative Treatment in Cervical Trauma: Traction Techniques and Timing for Surgical Treatment

Öz:

Cervical traumas constitute 60% of all spinal traumas. The treatment approach has a direct effect on morbidity and mortality. Conservative treatment has become comparable to surgical treatment in this region with the developing technology and new methods. The common goal of both treatment options is to provide a stable and painless spine and achieve the best neurological outcome. The two methods can be combined if necessary. When choosing the treatment method, many factors such as the injury type, neurological examination results, and patient compliance should be considered. Orthoses, traction techniques, and halovest applications form the basis of conservative treatment. The importance of conservative treatment and current practices in cervical traumas are discussed in our review. Clinical and practical information has been shared together with the literature and the developments from the past to present have been explained.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

1. Anderson DG, Voets C, Ropiak R, Betcher J, Silber JS, Daffner S, Cotler JM, Vaccaro AR: Analysis of patient variables affecting neurologic outcome after traumatic cervical facet dislocation. Spine J 4(5):506-512, 2004
2. Basu S, Malik FH, Ghosh JD, Tikoo A: Delayed presentation of cervical facet dislocations. J Orthop Surg (Hong Kong) 19(3): 331-335, 2011
3. Bransford RJ, Stevens DW, Uyeji S, Bellabarba C, Chapman JR: Halo Vest treatment of cervical spine injuries. Spine 34: 1561-1566, 2009
4. Carlson GD, Minato Y, Okada A, Gorden CD, Warden KE, Barbeau JM, Biro CL, Bahnuik E, Bohlman HH, Lamanna JC: Early time-dependent decompression for spinal cord injury: Vascular mechanisms of recovery. J Neurotrauma 14(12):951- 962, 1997
5. Cotler JM, HerbisonGJ, Nasuti JF, Ditunno JF Jr, An H, Wolff BE: Closed reduction of traumatic cervical spine dislocation using traction weights up to 140 pounds. Spine (Phila Pa 1976) 18(3):386-390, 1993
6. Crutchfield WG: Skeletal traction for dislocation of the skeletal spine. Report of a case. South Surg 2:156-159, 1933
7. Dickman CA, Hadley MN, Browner C, Sonntag VK: Neurosurgical management of acute atlas-axis combination fractures. A review of 25 cases. J Neurosurg 70:45-49, 1989
8. Dormans JP, Criscitiello AA, Drummond DS, Davidson RS: Complications in children managed with immobilization in a halo vest. J Bone Joint Surg 77-A(9):1370-1373, 1995
9. Gardner WJ: The principle of spring-loaded points for cervical traction. Technical note. J Neurosurg 39(4):543-544, 1973
10. Garfin SR, Botte MJ, Waters RL, Nickel VL: Complications in the use of the halo fixation device. J Bone Joint Surg Am 68: 320-325, 1986
11. Grant GA, Mirza SK, Chapman JR, Winn HR, Newell DW, Jones DT, Grady MS: Risk of early closed reduction in cervical spine subluxation injuries. J Neurosurg 90 Suppl 1:13-18, 1999
12. Grauer JN, Vaccaro AR, Lee JY, Nassr A, Dvorak MF, Harrop JS, Dailey AT, Shaffrey CI, Arnold PM, Brodke DS, Rampersaud R: The timing and influence of MRI on the management of patients with cervical facet dislocations remains highly variable: A survey of members of the Spine Trauma Study Group. J Spinal Disord Tech 22(2):96-99, 2009
13. Hart RA: Cervical facet dislocation: When is magnetic resonance imaging indicated? Spine (Phila Pa 1976) 27(1):116- 117, 2002
14. Jeanneret B, Magerl F, Ward JC: Overdistraction: A hazard of skull traction in the management of acute injuries of the cervical spine. Arch Orthop Trauma Surg 110(5):242-245, 1991
15. Johnson RM, Hart DL, Simmons EF, Ramsby GR, Southwick WO: Cervical orthoses. J Bone Joint Surg (Am) 59-A:3, 1977
16. Kane WJ, Moe JH, Lai CC: Halo-femoral pin distraction in the treatment of scoliosis. J Bone Joint Surg Am 49:1018-1019, 1967
17. Lauweryns P: Role of conservative treatment of cervical spine injuries. Eur Spine J 19 Suppl 1:523-526, 2010
18. Lee AS, MacLean JC, Newton DA: Rapid traction for reduction of cervical spine dislocations. J Bone Joint Surg Br 76(3):352- 356, 1994
19. Letts M, Girouard L, Yeadon A: Mechanical evaluation of fourversus eight pin halo fixation. J Pediatr Orthop 17:121-124, 1997
20. Longo UG, Denaro L, Campi S, Maffulli N, Denaro V: Upper cervical spine injuries: Indications and limits of the conservative management in Halo vest. A systematic review of efficacy and safety. Injury 41:1127-1135, 2010
21. Majercik S, Tashjian RZ, Biffl WL, Harrington D, Cioffi W: Halo vest immobilization in the elderly: A death sentence? J Trauma 59:350-356, 2005
22. Nickel VL, Perry J, Garrett A, Heppenstall M: The halo. A spinal skeletal traction fixation device. J Bone Joint Surg Am 50(7):1400-1409, 1968
23. Piccirilli M, Liberati C, Santoro G, Santoro A: Cervical posttraumatic unilateral locked facets: Clinical, radiological and surgical remarks on a series of 33 patients. J Spinal Disord Tech, 2013 (Ahead of Print)
24. Reindl R, Ouellet J, Harvey EJ, Berry G, Arlet V: Anterior reduction for cervical spine dislocation. Spine (Phila Pa 1976) 31(6):648-652, 2006
25. Rockwood CA, Bucholz RW, Court-Brown CM, Heckman JD, Tornetta P: Rockwood and Green’s fractures in adults. Philadelphia: Lippincott, Williams & Wilkins, 2010
26. Ruisinger MM: Misreading pictures: Fabricius Hildanus (1560- 1634) and the cure of spinal dislocation. J Hist Neurosci 14(4): 334-340, 2005
27. Sanan A, Rengachary SS: The history of spinal biomechanics. Neurosurgery 39(4):657-668; discussion 668-669, 1996
28. Shin JJ, Kim SJ, Kim TH, Shin HS, Hwang YS, Park SK: Optimal use of the halo- vest orthosis for upper cervical spine injuries. Yonsei Med J 51:648-652, 2010
29. Taylor AS: Fracture dislocation of the cervical spine. Ann Surg 90(3):321-340, 1929
30. Wilson JR, Vaccaro A, Harrop JS, Aarabi B, Shaffrey C, Dvorak M, Fisher C, Arnold P, Massicotte EM, Lewis S, Rampersaud R, Okonkwo DO, Fehlings MG: The impact of facet dislocation on clinical outcomes after cervical spinal cord injury: Results of a multicenter North American prospective cohort study. Spine (Phila Pa 1976) 38(2):97-103, 2013
31. Wolf A, Levi L, Mirvis S, Ragheb J, Huhn S, Rigamonti D, Robinson WL: Operative management of bilateral facet dislocation. J Neurosurg 75(6):883-890, 1991
32. Vaccaro AR, Falatyn SP, Flanders AE, Balderston RA, Northrup BE, Cotler JM: Magnetic resonance evaluation of the intervertebral disc, spinal ligaments, and spinal cord before and after closed traction reduction of cervical spine dislocations. Spine (Phila Pa 1976) 24(12):1210-1217, 1999
33. Vieweg U, Schultheiss R: A review of halo vest treatment of upper cervical spine injuries. Arch Orthop Trauma Surg 121:50-55, 2001

APA	Bahadir B, Caglar Y (2020). Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama. , 364 - 369.
Chicago	Bahadir Burak,Caglar Yusuf Sukru Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama. (2020): 364 - 369.
MLA	Bahadir Burak,Caglar Yusuf Sukru Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama. , 2020, ss.364 - 369.
AMA	Bahadir B,Caglar Y Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama. . 2020; 364 - 369.
Vancouver	Bahadir B,Caglar Y Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama. . 2020; 364 - 369.
IEEE	Bahadir B,Caglar Y "Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama." , ss.364 - 369, 2020.
ISNAD	Bahadir, Burak - Caglar, Yusuf Sukru. "Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama". (2020), 364-369.

APA	Bahadir B, Caglar Y (2020). Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama. Türk Nöroşirürji Dergsi, 30(3), 364 - 369.
Chicago	Bahadir Burak,Caglar Yusuf Sukru Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama. Türk Nöroşirürji Dergsi 30, no.3 (2020): 364 - 369.
MLA	Bahadir Burak,Caglar Yusuf Sukru Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama. Türk Nöroşirürji Dergsi, vol.30, no.3, 2020, ss.364 - 369.
AMA	Bahadir B,Caglar Y Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama. Türk Nöroşirürji Dergsi. 2020; 30(3): 364 - 369.
Vancouver	Bahadir B,Caglar Y Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama. Türk Nöroşirürji Dergsi. 2020; 30(3): 364 - 369.
IEEE	Bahadir B,Caglar Y "Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama." Türk Nöroşirürji Dergsi, 30, ss.364 - 369, 2020.
ISNAD	Bahadir, Burak - Caglar, Yusuf Sukru. "Servikal Travmalarda Konservatif Tedavi: Traksiyon Teknikleri ve Cerrahi Tedavi için Zamanlama". Türk Nöroşirürji Dergsi 30/3 (2020), 364-369.