TO DETERMINE THE FREQUENCY OF CERVICAL SPINE INJURY IN PATIENT WITH MODERATE TO SEVERE HEAD INJURY
Objective: The objective of this study was to determine the frequency and characteristic of cervical spine injury in
patient who sustained moderate to severe head injury
Material and Methods:This descriptive cross-sectional study was conducted in department of Neurosurgery Mardan
Medical complex Mardan from November2016 to April 2017. A total of 346 patients were recruited in this study.All
patients admitted to our hospital with moderate and severe head injuries of either gender or age with concomitant
cervical spine injury were included.X-Ray skull cervical spine and CT Brain done in all patients for evaluation of head
injury while MRI cervical spine was obtained for any injury to the cervical spine. Data analyze using SPSS version 20.
Results:A total of 346 patients were recruited in our study, out of which 305 (88%) were male and 41(12%) were female.In
our study the most common cause of head injury was fall 176 (51%), followed by RTA 107 (31%), falling object 48(14%)
and assault 15(41%).Of the 346 patients with head injury (77.3%) had mild head injury, (11.9%) had moderate head
injury and (10.8%) had severe head injury. The most common level of injury was C5-C6. In our study the incidence of
cervical spine injury with moderate to severe head injury was found to 6.6%
Conclusion: Cervical spine injuries are directly proportional to the severity of head injury, therefore all patients with
head injuries are at risk and hence should be suspected of having cervical spine injuries.
Keywords: Cervical spine injury, head injury, frequency