Epidemiology and predictors of cervical spine injury in adult major trauma patients

Hasler, Rebecca M.; Exadaktylos, Aristomenis K.; Bouamra, Omar; Benneker, Lorin Michael; Clancy, Mike; Sieber, R.; Zimmermann, Heinz; Lecky, Fiona

doi:10.1097/ta.0b013e31823f5e8e

Cited by 129 publications

(82 citation statements)

References 18 publications

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“…Le Fort fractures, specifically, have been associated with spinal fracture or dislocation (1.4%) and cervical cord injury (1%) [40]. Higher grade Le Fort fractures (types II and III) have been associated with a 2.88-fold and 2.54-fold increased risk of concomitant intracranial injuries, and of facial fracture patients requiring neurosurgical intervention, 70% had sustained Le Fort III fractures [10,11,21].…”

Section: Concomitant Injuriesmentioning

confidence: 99%

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Le Fort Fractures: A Collective Review

Phillips¹,

Turco²

2017

BEAT

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Le Fort fractures constitute a pattern of complex facial injury that occurs secondary to blunt facial trauma. The most common mechanisms of injury for these fractures, which are frequently associated with drug and alcohol use, include motor vehicle collisions, assault, and falls. A thorough search of the world's literature following PRISMA guidelines was conducted through PubMed and EBSCO databases. Search terms included "Le Fort fracture", "facial", "craniofacial", and "intracranial." Articles were selected based on relevance and examined regarding etiology, epidemiology, diagnosis, treatment, complications, and outcomes in adults. The analyzed studies were published between 1980 and 2016. Initial data search yielded 186 results. The search was narrowed to exclude articles lacking in specificity for Le Fort fractures. Fifty-one articles were selected, the majority of which were large case studies, and collectively reported that Le Fort fractures are most commonly due to highvelocity MVC and that the severity of fracture type sustained occurred with increasing frequency. It was also found that there is a general lack of published Level I, Level II, and Level III studies regarding Le Fort fracture management, surgical management, and outcomes. The limitation of this study, similar to all PRISMA-guided review articles, is the dependence on previously published research and availability of references as outlined in our methodology. While mortality rates for Le Fort fractures are low, these complex injuries seldom occur in isolation and are associated with other severe injuries to the head and neck. Quick and accurate diagnosis of Le Fort fractures and associated injuries is crucial to the successful management of blunt head trauma.

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Section: Concomitant Injuriesmentioning

confidence: 99%

“…Patients with facial fractures should be evaluated for potential cervical spine and head injuries, especially when the injury has been sustained from a high velocity mechanism [40]. Le Fort fractures, specifically, have been associated with spinal fracture or dislocation (1.4%) and cervical cord injury (1%) [40].…”

Section: Concomitant Injuriesmentioning

confidence: 99%

Le Fort Fractures: A Collective Review

Phillips¹,

Turco²

2017

BEAT

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“…Adults are injured predominantly in motor vehicle crashes (MVCs) and falls; children experience a broader range of traumatic events that place them at risk for CSIs. 11,12 Although MVCs and falls are also common in children, young children are more vulnerable to pedestrian and inflicted injuries, whereas older children participate in sports and recreational activities that predispose them to CSIs. 3,11,13 These age-related differences in cervical spine anatomy and mechanisms of injury illustrate the need to better describe CSIs in children.…”

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confidence: 99%

Cervical Spine Injury Patterns in Children

Leonard¹,

et al. 2014

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BACKGROUND AND OBJECTIVE: Pediatric cervical spine injuries (CSIs) are rare and differ from adult CSIs. Our objective was to describe CSIs in a large, representative cohort of children. METHODS: We conducted a 5-year retrospective review of children <16 years old with CSIs at 17 Pediatric Emergency Care Applied Research Network hospitals. Investigators reviewed imaging reports and consultations to assign CSI type. We described cohort characteristics using means and frequencies and used Fisher’s exact test to compare differences between 3 age groups: <2 years, 2 to 7 years, and 8 to 15 years. We used logistic regression to explore the relationship between injury level and age and mechanism of injury and between neurologic outcome and cord involvement, injury level, age, and comorbid injuries. RESULTS: A total of 540 children with CSIs were included in the study. CSI level was associated with both age and mechanism of injury. For children <2 and 2 to 7 years old, motor vehicle crash (MVC) was the most common injury mechanism (56%, 37%). Children in these age groups more commonly injured the axial (occiput–C2) region (74%, 78%). In children 8 to 15 years old, sports accounted for as many injuries as MVCs (23%, 23%), and 53% of injuries were subaxial (C3–7). CSIs often necessitated surgical intervention (axial, 39%; subaxial, 30%) and often resulted in neurologic deficits (21%) and death (7%). Neurologic outcome was associated with cord involvement, injury level, age, and comorbid injuries. CONCLUSIONS: We demonstrated a high degree of variability of CSI patterns, treatments and outcomes in children. The rarity, variation, and morbidity of pediatric CSIs make prompt recognition and treatment critical.

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“…Servikal travmalar, kunt travmaya maruz kalan hastaların %2-5'inde görülmektedir ve yıllık insidansı yüz binde 4-5 civarındadır 3,4 . Alt servikal omurga yaralanmaları, omurgayı ilgilendiren tüm kırıkların %65'ini, dislokasyonların ise %75'ini oluşturmaktadır 2,5 .…”

Section: Introductionunclassified

Alt servikal omurganın travmatik kırık ve dislokasyonları: tek merkez bulguları

Özay

Hanalıoğlu

Güneş

et al. 2018

Cukurova Medical Journal (Çukurova Üniversitesi Tıp Fakültesi Dergisi)

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AbstractÖz Purpose: Traumatic injuries of the subaxial spine (C3-7) are among the most common and potentially most catastrophic injuries of axial skeleton. They occur with motor vehicle accidents in young and with falls in older population. In this study, we aimed to share our experiences with subaxial spinal injury patients surgically treated at our institution. Materials and Methods:We analyzed demographic, clinical and radiological data, surgical technique and results of 27 cases operated for traumatic fracture and dislocations of subaxial cervical spine. Subaxial Injury Classification and Severity Scale (SLICS) was used to assess severity of trauma and to guide surgical decision.

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Epidemiology and predictors of cervical spine injury in adult major trauma patients

Cited by 129 publications

References 18 publications

Le Fort Fractures: A Collective Review

Le Fort Fractures: A Collective Review

Cervical Spine Injury Patterns in Children

Alt servikal omurganın travmatik kırık ve dislokasyonları: tek merkez bulguları

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