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Acta Médica Peruana

On-line version ISSN 1728-5917

Abstract

VARGAS URBINA, John F.; MARTINEZ SILVA, Raúl E.; URQUIZO RODRIGUEZ, José Luis  and  BASURCO CARPIO, Alfonso. Experience in upper cervical pathology in Guillermo Almenara-Irigoyen Hospital in Lima, Peru: 2016 - 2021. Acta méd. Peru [online]. 2023, vol.40, n.1, pp.40-50.  Epub May 09, 2023. ISSN 1728-5917.  http://dx.doi.org/10.35663/amp.2023.401.2483.

Introduction

: The C0-C1-C2 complex is responsible of axial load transition, and its biomechanical function is unique, it is affected by multiple pathological conditions; and generally speaking, the literature does not consider these conditions as a single item, it describes them according to etiology. For our study we considered five groups: trauma-related, congenital, rheumatic-inflammatory, neoplastic, and degenerative.

Objective

: To determine epidemiological, clinical, and therapy-related characteristics in upper cervical pathological conditions.

Materials and methods

: All patients with a clinical-radiological diagnosis of any upper cervical pathological condition that had undergone surgery between 2016 and 2021 in Guillermo Almenara Hospital were included. Student’s t test and chi square methods were used. patients were divided into one of the five aforementioned groups.

Results

: Thirty-one patients were included in the study; their mean age was 51.16 years. The most frequent upper cervical pathological condition was trauma-related, with 35.48%. Motor deficit occurred in 51.61% of all patients, and sensitive deficit occurred in 54.84%. The most frequently surgical procedure performed was upper cervical fixation, in 43.89% of all patients. Complication rate was 16.13%, and mortality was 0%.

Conclusions

: Upper cervical pathological conditions are rare, trauma-related conditions are most frequent, but timely and adequate management allow us to achieve better functional prognosis for these patients.

Keywords : Odontoid Process; Arthritis Rheumatoid; Arnold-Chiari Malformation; Osteoarthritis Spine; Spinal Fractures.

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