Cycling and spinal trauma: A worrying trend in referrals to a national spine centre

Broe, M.; Kelly, John; Groarke, Patrick; Synnott, Keith; Morris, Seamus

doi:10.1016/j.surge.2017.07.004

Cited by 11 publications

(5 citation statements)

References 26 publications

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“…24 Cyclists are also at a higher risk of spinal injuries and increased incidences of these life-changing injuries during recent times are concerning. 25 In our study, only 3 patients confessed to have been cycling under the influence of alcohol. However, there is growing evidence to associate cycling injuries with alcohol intake.…”

Section: Resultsmentioning

confidence: 78%

Cycling-Related Injuries During COVID-19 Lockdown: A North London Experience

Mumtaz

Cymerman

Komath

2021

Craniomaxillofacial Trauma & Reconstruction

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Objectives: There has been a notable surge in cycling injuries during the COVID-19(SARS-CoV-2 virus) pandemic. Cycling in general increased during lockdown as a leisure & fitness activity along with reduction in the use of public transport for commuting. We investigated the bicycle-related maxillofacial injuries & associations presenting through our emergency department(ED) which covers more than 1.6 million of London population. Study Design/Methods: A retrospective observational study was undertaken in the Barnet General Hospital (“hub”) which receives all maxillofacial referrals from 6 “spoke” hospitals & other urgent primary/community care practices in North London area between 16 March 2020 & 16 July 2020. All data corresponding to cycling injuries during the lockdown period was analyzed with the aid of trauma database/trust-wide electronic patient records. Results: Twenty-two patients (6.7%) with cycling-related injuries out of a total of 322 patients who attended during the 4 months study period with maxillofacial emergencies were identified. Average age of patient cohort was 35.4 years, mainly consisting of adult males (77%). Seven patients had minor head injury and 1 patient suffered traumatic brain injury. About 59% patients did not wear a protective helmet & 3 patients had heavy alcohol/recreational drug intoxication during the accidents. Four patients needed inpatient admission and treatment under general anesthesia. Conclusions: Based on our humble study, we advocate the need for robust road & personal safety measures with mandatory government legislations, policing of drug intoxication & encouragement of physical & mental health improvement measures during these unprecedented times & beyond.

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Section: Resultsmentioning

confidence: 78%

Cycling-Related Injuries During COVID-19 Lockdown: A North London Experience

Mumtaz

Cymerman

Komath

2021

Craniomaxillofacial Trauma & Reconstruction

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“…In this study, the number of these fractures increased by 9.09%,13.33%, 7.14 %, and 88.88%, respectively. Of note, the numbers of cycling-related major trauma in Ireland has been growing in recent years (8,17). The number of long bone fractures such as humerus, femur and tibia fractures documented also fell ; possibly because these fracture types usually require high energy trauma (5), accounted for mostly by Road Traffic Accidents (3).…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on the trauma and orthopaedic department at level one Major Trauma Centre in the republic of Ireland

Elbardesy¹,

Meagher²,

Guerin³

2021

Acta Orthop Belg

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The Coronavirus Disease (COVID-19) has been identified as the cause of a rapidly spreading respira- tory illness in Wuhan, Hubei Province, China in early December 2019. Since then, the free movement of people has decreased. The trauma-related injuries and the demand on the trauma and orthopaedic service would be expected to fall. The aim of this study to examine the impact of the COVID-19 pandemic on a level 1 Trauma Centre in the Republic of Ireland (ROI). Patients admitted to the Trauma & Orthopaedic (T&O) Department at Cork University Hospital (CUH) and the South Infirmary Victoria University Hospital (SIVUH), and their associated fracture patterns and management, between 01/03/20 and the 15/04/20 were documented and compared to the patient admissions from the same time period one year earlier in 2019. The total number of T&O operations performed decreased by 10.15% (P= 0.03)between the two time periods. The number of paediatric procedures fell by 40.32% (P= 0.15). Adult Distal radius and paediatric elbow fractures (excluding supracondylar fracture) increased by 88% and 13% (P= 0.19), (P= 0.04) respectively. Hip fractures remained the most common fracture-type admitted for surgery. The COVID-19 crisis has to lead to a decrease in the total numbers of trauma surgeries in a major trauma centre in the ROI. This decline is most evident in the number of paediatric and male adult patients presenting with fractures requiring operative management. Interestingly, fractures directly related to solo outdoor activities, such as running or cycling, as well as simple mechanical falls like ankle, distal radius, elbow, and hand fractures all increased. Irish males were more compliant with outdoors restrictions than females.

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“…Cycling is increasingly becoming known as a risk factor for traumatic spinal injury. 8 Further observation is necessary to show if the prolonged bent posture and core muscle imbalance in cycling, in addition to the Valsalva manoeuvre during physical effort, may contribute to FCE.…”

Section: Discussionmentioning

confidence: 99%

Fibrocartilaginous embolism after mountain cycling: a case report with clinical and radiological follow-up and almost complete recovery

Hagenkötter,

Hammami,

Hagenkötter

2024

BMJ Neurol Open

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IntroductionFibrocartilaginous embolism (FCE) is a rare spinal cord infarction due to embolism of fibrocartilaginous material with consecutive arterial infarction of the anterior spinal artery. Physical activity with increased axial pressure is the underlying mechanism of the retrograde migration of primarily nucleus pulposus material into the arterial system of the spinal cord. The initial severity of the clinical symptoms is supposed to be a prognostic predictor of recovery and so far, no specific treatment recommendation exists.MethodsWe present a case of spinal cord infarction due to FCE after long and sporty mountain cycling (during 6 hours and 2500 altitude difference) with detailed clinical and radiological follow-up.ResultsThe clinical and radiological follow-up at month 4 showed an unexpected almost complete recovery despite the extensive initial clinical impairment.ConclusionMountain cycling has not yet been described as a specific trigger of FCE with spinal cord infarction. Further observation is necessary to show if the prolonged bent posture and core muscle imbalance in cycling, in addition to the Valsalva manoeuvre during physical effort, may contribute to FCE. It is unknown if prognosis of spinal cord infarction due to FCE differs from other causes of spinal ischaemia and if anticoagulation treatment presents a therapeutic option.

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Cycling and spinal trauma: A worrying trend in referrals to a national spine centre

Cited by 11 publications

References 26 publications

Cycling-Related Injuries During COVID-19 Lockdown: A North London Experience

Cycling-Related Injuries During COVID-19 Lockdown: A North London Experience

Impact of the COVID-19 pandemic on the trauma and orthopaedic department at level one Major Trauma Centre in the republic of Ireland

Fibrocartilaginous embolism after mountain cycling: a case report with clinical and radiological follow-up and almost complete recovery

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