{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:20:00Z","timestamp":1740165600623,"version":"3.37.3"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T00:00:00Z","timestamp":1694563200000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objectives\u2003Representing approximately 22% of cervical spine injuries, upper cervical spine injuries are becoming more frequent with the increase in road traffic accidents. The purpose of our study is to evaluate the results of our surgical series and to compare them with the literature.<\/jats:p><jats:p>\n          Materials and Methods\u2003In this monocentric retrospective study of over three years (June 2019\u2013May 2022), all the patients with traumatic injuries of the upper cervical spine with a surgical treatment and a minimum of 12 months follow-up were included.<\/jats:p><jats:p>\n          Results\u2003The average age was 32.7 years, with a predominance of young patients. The predominant cause of injury was road traffic accident (86.3%). The clinical symptoms were cervical pain, associated with a motor deficit in two cases. Jefferson fracture associated with odontoid fracture was the most frequent injury (36.3%), followed by Hangman fracture (22.7%). Ten patients were treated with the Harms technique, four with occipitocervical C0-C2-C3 fixation, two with anterior screw insertion of the odontoid, and six with anterior C2-C3 arthrodesis. The average duration of follow-up was 12.2 months. The outcome was favorable in 21 cases and average in 1 case. Surgical morbidity and mortality were inexistent.<\/jats:p><jats:p>\n          Conclusion\u2003This short series shows the effectiveness of surgical treatment in the managing traumatic injuries of the upper cervical spine and in the regression of the pain with a low risk of surgical morbidity and mortality.<\/jats:p>","DOI":"10.1055\/s-0043-1772761","type":"journal-article","created":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T23:02:53Z","timestamp":1694646173000},"page":"609-613","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Treatment of Upper Cervical Spine Trauma: Experience in a Regional Neurosurgery Unit in a Country with Limited Health Care Resources\u2014About 22 Consecutives Cases"],"prefix":"10.1055","volume":"18","author":[{"given":"Mohameth","family":"Faye","sequence":"additional","affiliation":[{"name":"Neurosurgery Unit, Thies Regional Hospital, Dakar, Senegal"},{"name":"Neurosurgery Department, Fann Teaching Hospital, Dakar, Senegal"},{"name":"Neurosurgery Department, Idrissa Pouye General Hospital, Dakar, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lounc\u00e9ny Fatoumata","family":"Barry","sequence":"additional","affiliation":[{"name":"Neurosurgery Unit, Thies Regional Hospital, Dakar, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger Mulumba","family":"Ilunga","sequence":"additional","affiliation":[{"name":"Neurosurgery Unit, Thies Regional Hospital, Dakar, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vital","family":"Nacoulma","sequence":"additional","affiliation":[{"name":"Neurosurgery Unit, Thies Regional Hospital, Dakar, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"El Hadji Cheikh Ndiaye","family":"Sy","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Fann Teaching Hospital, Dakar, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdoulaye","family":"Diop","sequence":"additional","affiliation":[{"name":"Neurosurgery Unit, Thies Regional Hospital, Dakar, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T\u00e9teh Yav-Edem Aristide","family":"Donyo","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Fann Teaching Hospital, Dakar, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugues Ghislain","family":"Atakla","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Fann Teaching Hospital, Dakar, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yakhya","family":"Cisse","sequence":"additional","affiliation":[{"name":"Neurosurgery Unit, Thies Regional Hospital, Dakar, Senegal"},{"name":"Neurosurgery Department, Fann Teaching Hospital, Dakar, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daouda","family":"Wague","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Fann Teaching Hospital, Dakar, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Izoudine Blaise","family":"Koumare","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Fann Teaching Hospital, Dakar, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8205-7961","authenticated-orcid":false,"given":"Magatte","family":"Gaye","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Idrissa Pouye General Hospital, Dakar, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,9,13]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/S0531-5131(02)01168-8","article-title":"Cervical spinal injury: experience 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