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이광진,도상수 충남대학교 의과대학 지역사회의학연구소 1984 충남의대잡지 Vol.11 No.2
Early mobilization and rehabilitation are most important in the treatment of unstable cervical fracture and fracture-dislocation after stabilization of cervical spine. Clinical analysis was performed on 31 cases of cervical spine injuries admitted in Choongnam National University Hospital from 1976 to 1984. Following results were obtained. 1. The prevalent age distribution was between 21 and 50 year-old age and male was predominant(84%) and the most common cause of injuries was fall down from height. 2. The most common site of injuries was C_5-6(47%) and the most frequent mechanism of jnjuries was flexion-rotation(47%). 3. Neurological involvement was 81%, incomplete paralysis 40%, complete paralysis 32%. 4. Conservative treatment was done on 24 cases(77%) and operative treatment, posterior fusion with poterior wiring following with halo or braces was performed on 7 cases(33%). 5. In the treatment of unstable cervical spine injury, early reduction followed by rigid stabilization is valuable method of treatment 6. We thought that foundation of special treatment center for spine injury is urgent.