Özet:

Purpose: This study aims to evaluate the surgical treatments we have done in the upper cervical trauma patients.Method and method: In this study, the data of 12 patients operated due to the upper cervical trauma between 2014-2016 were evaluated retrospectively. Patients who have been operated due to pathological fractures such as mass, metastasis or rheumatoid arthritis have been dismissed. All patients were diagnosed with cervical direct graph, computer tomography (BT) and magnetic resonance imaging (MRG).  The findings: in patients operated due to upper cervical trauma (6K, 6E, average age; 46) the etiological causes were found to decline from the height of the drug factor.  The patology that was observed was type 2 odontoid fractures. Quadriparesis in a patient, monoparesis in a patient and 12 in a patient. Kranial nerve deficiency is found.  All patients except one patient (anterior odontoid vidalation-AOV) were subjected to upper cervical (C1-C2) posterior segmental stabilization (PSS). No additional neurological deficit was developed in any of the patients, a patient developed wound-place infection (8.3%), and a patient was lost due to systemic complications (8.3%). Result: In patients with upper cervical trauma, mobilization restriction with cervical collar or halo jacket, surgical methods such as AOV or C1-C2 PSS are preferred treatment options. It is especially important for the surgical technique to detect anatomical variations and ligamentous damage accompanied by the images obtained with cervical BT and MRG.

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