Are subjects with spondylotic cervical cord encroachment at
increased risk of cervical spinal cord injury after minor
trauma?

J 2011

Are subjects with spondylotic cervical cord encroachment at increased risk of cervical spinal cord injury after minor trauma?

BEDNAŘÍK, Josef, Dagmar SLÁDKOVÁ, Zdeněk KADAŇKA, Ladislav DUŠEK, Miloš KEŘKOVSKÝ et. al.

Základní údaje

Originální název

Are subjects with spondylotic cervical cord encroachment at increased risk of cervical spinal cord injury after minor trauma?

Autoři

BEDNAŘÍK, Josef (203 Česká republika, garant, domácí), Dagmar SLÁDKOVÁ (203 Česká republika, domácí), Zdeněk KADAŇKA (203 Česká republika, domácí), Ladislav DUŠEK (203 Česká republika, domácí), Miloš KEŘKOVSKÝ (203 Česká republika, domácí), Stanislav VOHÁŇKA (203 Česká republika, domácí), Oldřich NOVOTNÝ (203 Česká republika), Igor URBÁNEK (203 Česká republika) a Martin NĚMEC (203 Česká republika)

Vydání

Journal of Neurology Neurosurgery and Psychiatry, London, B M J PUBLISHING GROUP, 2011, 0022-3050

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 4.764

Kód RIV

RIV/00216224:14740/11:00054719

Organizační jednotka

Středoevropský technologický institut

DOI

http://dx.doi.org/10.1136/jnnp.2009.198945

UT WoS

000291429200017

Klíčová slova anglicky

cervical spondylosis; spinal cord compression; myelopathy; trauma

Štítky

ok, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 25. 5. 2017 12:19, Mgr. Eva Špillingová

Anotace

V originále

The aim of the study was to analyse the risk of symptomatic myelopathy after minor trauma in patients with asymptomatic spondylotic cervical spinal cord encroachment (ASCCE). In a cohort of 199 patients with ASCCE, previously followed prospectively in a study investigating progression into symptomatic myelopathy, the authors looked retrospectively for traumatic episodes that may have involved injury to the cervical spine. A questionnaire and data file analysis were employed to highlight whatever hypothetical relationship might emerge with the development of symptomatic myelopathy. Fourteen traumatic episodes in the course of a follow-up of 44 months (median) were recorded in our group (who had been instructed to avoid risky activities), with no significant association with the development of symptomatic myelopathy (found in 45 cases). Only three minor traumatic events without fracture of the cervical spine were found among the symptomatic myelopathy cases, with no chronological relationship between trauma and myelopathy. Furthermore, 56 traumatic spinal cord events were found before the diagnosis of cervical cord encroachment was established, with no correlation to either type of compression (discogenic vs osteophytic). In conclusion, the risk of spinal cord injury after minor trauma of the cervical spine in patients with ASCCE appeared to be low in our cohort provided risky activities in these individuals are restricted. Implementation of preventive surgical decompression surgery into clinical practice in these individuals should be postponed until better-designed studies provide proof enough for it to take precedence over a conservative approach.

Návaznosti

MSM0021622404, záměr

Název: Vnitřní organizace a neurobiologické mechanismy funkčních systémů CNS

Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Vnitřní organizace a neurobiologické mechanismy funkčních systémů CNS

Citovat

BEDNAŘÍK, Josef, Dagmar SLÁDKOVÁ, Zdeněk KADAŇKA, Ladislav DUŠEK, Miloš KEŘKOVSKÝ, Stanislav VOHÁŇKA, Oldřich NOVOTNÝ, Igor URBÁNEK a Martin NĚMEC. Are subjects with spondylotic cervical cord encroachment at increased risk of cervical spinal cord injury after minor trauma? Journal of Neurology Neurosurgery and Psychiatry. London: B M J PUBLISHING GROUP, 2011, roč. 82, č. 7, s. 779-781. ISSN 0022-3050. Dostupné z: https://dx.doi.org/10.1136/jnnp.2009.198945.

@article{964770,
   author = {Bednařík, Josef and Sládková, Dagmar and Kadaňka, Zdeněk and Dušek, Ladislav and Keřkovský, Miloš and Voháňka, Stanislav and Novotný, Oldřich and Urbánek, Igor and Němec, Martin},
   article_location = {London},
   article_number = {7},
   doi = {http://dx.doi.org/10.1136/jnnp.2009.198945},
   keywords = {cervical spondylosis; spinal cord compression; myelopathy; trauma},
   language = {eng},
   issn = {0022-3050},
   journal = {Journal of Neurology Neurosurgery and Psychiatry},
   title = {Are subjects with spondylotic cervical cord encroachment at increased risk of cervical spinal cord injury after minor trauma?},
   url = {http://jnnp.bmj.com/content/82/7/779},
   volume = {82},
   year = {2011}
}

TY  - JOUR
ID  - 964770
AU  - Bednařík, Josef - Sládková, Dagmar - Kadaňka, Zdeněk - Dušek, Ladislav - Keřkovský, Miloš - Voháňka, Stanislav - Novotný, Oldřich - Urbánek, Igor - Němec, Martin
PY  - 2011
TI  - Are subjects with spondylotic cervical cord encroachment at increased risk of cervical spinal cord injury after minor trauma?
JF  - Journal of Neurology Neurosurgery and Psychiatry
VL  - 82
IS  - 7
SP  - 779-781
EP  - 779-781
PB  - B M J PUBLISHING GROUP
SN  - 00223050
KW  - cervical spondylosis
KW  - spinal cord compression
KW  - myelopathy
KW  - trauma
UR  - http://jnnp.bmj.com/content/82/7/779
L2  - http://jnnp.bmj.com/content/82/7/779
N2  - The aim of the study was to analyse the risk of symptomatic myelopathy after minor trauma in patients with asymptomatic spondylotic cervical spinal cord encroachment (ASCCE). In a cohort of 199 patients with ASCCE, previously followed prospectively in a study investigating progression into symptomatic myelopathy, the authors looked retrospectively for traumatic episodes that may have involved injury to the cervical spine. A questionnaire and data file analysis were employed to highlight whatever hypothetical relationship might emerge with the development of symptomatic myelopathy. Fourteen traumatic episodes in the course of a follow-up of 44 months (median) were recorded in our group (who had been instructed to avoid risky activities), with no significant association with the development of symptomatic myelopathy (found in 45 cases). Only three minor traumatic events without fracture of the cervical spine were found among the symptomatic myelopathy cases, with no chronological relationship between trauma and myelopathy. Furthermore, 56 traumatic spinal cord events were found before the diagnosis of cervical cord encroachment was established, with no correlation to either type of compression (discogenic vs osteophytic). In conclusion, the risk of spinal cord injury after minor trauma of the cervical spine in patients with ASCCE appeared to be low in our cohort provided risky activities in these individuals are restricted. Implementation of preventive surgical decompression surgery into clinical practice in these individuals should be postponed until better-designed studies provide proof enough for it to take precedence over a conservative approach.
ER  -

BEDNAŘÍK, Josef, Dagmar SLÁDKOVÁ, Zdeněk KADAŇKA, Ladislav DUŠEK, Miloš KEŘKOVSKÝ, Stanislav VOHÁŇKA, Oldřich NOVOTNÝ, Igor URBÁNEK a Martin NĚMEC. Are subjects with spondylotic cervical cord encroachment at increased risk of cervical spinal cord injury after minor trauma? \textit{Journal of Neurology Neurosurgery and Psychiatry}. London: B M J PUBLISHING GROUP, 2011, roč.~82, č.~7, s.~779-781. ISSN~0022-3050. Dostupné z: https://dx.doi.org/10.1136/jnnp.2009.198945.

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