Gender Differences in Spinal Injuries: Causes and Location of Injury

Sidon, Eliezer; Stein, Michael D.; Ramalingam, Ganesh; Shemesh, Shai; Benharroch, Daniel; Ohana, Nissim

doi:10.1089/jwh.2017.6687

Cited by 19 publications

(16 citation statements)

References 37 publications

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“…We found more male victims of MVA-related TSI with thoracoabdominal associated injuries than females. This is consistent with most studies on MVA-related TSI [ 25 ]. The very high male percentage reported here is coherent with other studies from Saudi Arabia [ 21 , 26 ].…”

Section: Discussionsupporting

confidence: 93%

Pattern and In-Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident-Related Spinal Injury: A Retrospective Single-Center Study

Al-Gahtany

Maksoud

2021

Journal of Healthcare Engineering

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Background. Motor vehicle accident (MVA) is a global health hazard that results in spinal, thoracic, and abdominal injuries. Detailed studies on the association between MVA-related traumatic spinal injury (TSI) and thoracoabdominal injuries are lacking. This study aims to elucidate the prevalence, pattern of association between these injuries, and related outcomes in terms of in-hospital mortality. Methods. This is a retrospective single-center study of MVA-related TSI with thoracoabdominal associated injuries. Descriptive analysis was performed for gender, age, spinal injury level, thoracoabdominal injury region, admission day, hospital stay duration, and discharge category. The association between TSI and thoracoabdominal injury was analyzed, and the chi-square test was used to test the significance of differences. A statistically significant difference was considered at P values less than 0.05. Results. The cohort had a mean age of 33.6 ± 17.7 years with predominantly more males (85.1%). Thoracoabdominal injuries were present in 10.5% of MVA-related TSIs, and 9.2% of victims died during their hospital stay. There is a significant ( P = 0.045 ) association between the level of the spinal and the region of thoracoabdominal injuries. The presence of TSI-associated thoracic injury significantly ( P = 0.041 ) correlated with increased in-hospital mortality more than abdominal injury. Conclusion. Thoracoabdominal injuries concomitant with MVA-related TSI cause considerable mortality. A pattern of association exists between the level of spinal and region of thoracoabdominal injury. Knowledge of this pattern is helpful in the routine practice of trauma health partitioners.

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Section: Discussionsupporting

confidence: 93%

Pattern and In-Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident-Related Spinal Injury: A Retrospective Single-Center Study

Al-Gahtany

Maksoud

2021

Journal of Healthcare Engineering

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“…Most of the thoracolumbar injuries in this study were located in the lumbar region of the spine (57.3%). In another research by Sidon et al (15), lumbar spinal injuries were found to be the majority in terms of overall spinal fractures supporting our findings. Sidon et al (15) also state that lumbar fractures were found to be more frequent in women than men and this statement was also supported by another research by Hoy et al (17).…”

Section: Discussionsupporting

confidence: 91%

“…However, this finding was not statistically significant. The male predominance was similiar with the literature (13)(14)(15). The difference between the treatment methods and gender was also statistically insignificant as well as the study of Dodwad SN et al (13).…”

Section: Discussionsupporting

confidence: 81%

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Evaluation of Thoracolumbar Injuries in Trakya University School of Medicine According to Aospine Classification System

Aksu¹,

Saran²,

Oflaz³

et al. 2020

tmsj

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Aims:This study aims to classify the thoracolumbar spinal injuries that were treated in Trakya University School of Medicine according to the recent Thoracolumbar AOSpine injury score and crosscheck the classified data with categorical modifiers such as gender, trauma type and treatment type. Methods: AOSpine Classification System was used to classify thoracolumbar spinal injuries. Classes were compared with patients' gender, age, trauma energy and treatment type. Pearson Chi-Squared test and Shapiro-Wilk test were used for statistical analysis. Results: The total number of patients was 248. One hundred fifty-two (61.3%) were male and 96 (38.7%) were female. One hundred and three (86.6%) patients had high-energy trauma and 16 (13.4%) patients had low-energy trauma in a total of 119 operated patients. Relationship between treatment type and AOSpine Classification System statistically significant. There was also a significant difference between trauma energy and AOSpine Classification System types. Conclusion: As a conclusion, gender and trauma energy were found to have a relationship and higher energy traumas were most likely to cause spinal fractures. In addition, AOSpine classification system may be one of the confounding factors regarding the choice of treatment.

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“…Cervical spinal injury and neck pain are common disorders with wide physical implications, including prolonged limitations in activity and significant disability (Barnsley et al, 1994; Fejer et al, 2006; Sidon et al, 2018). Females suffer from persistent neck pain much more than males do, and the relation between female sex and the incidence, severity, and prognosis of cervical pathology is well‐established (Harder et al, 1998; Mäkela et al, 1998; Peolsson et al, 2016; Versteegen et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Sexual dimorphism of the posterior cervical spine muscle attachments

et al. 2021

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Cervical spinal injury and neck pain are common disorders with wide physical implications. Neck pain and disability are reported to occur in females more often than in males, and chronic or persistent neck pain after whiplash is twice as common in females. Female athletes also sustain a higher percentage of concussions compared to male athletes. Still, while sexual differences in clinical presentation and outcome are well‐established, the underlying etiology for the disparity remains less clear. It is well‐established that the origin and insertion landmarks of posterior neck muscles are highly variable, but we do not know if these interindividual differences are associated with sex. Expanding our knowledge on sexual dimorphism in the anatomy of the cervical muscles is essential to our understanding of the possible biomechanical differences between the sexes and hence improves our understanding as to why females suffer from cervical pain more than males. It is also of paramount importance for accurate planning of posterior cervical spine surgery, which cuts through the posterior cervical musculature. Therefore, our main objective is to characterize the anatomy of posterior neck musculature and to explore possible sexual differences in the location of their attachment points. Meticulous posterior neck dissection was performed on 35 cadavers, 19 females, and 16 males. In each specimen, 8 muscle groups were examined bilaterally at 45 osseous anatomical landmarks. Muscles and their attachment sites were evaluated manually then photographed and recorded using Microscribe Digitizer technology built into 3D models. A comparison of attachment landmarks between males and females for each muscle was conducted. Out of the eight muscles that were measured, only two muscles demonstrated significant sex‐related anatomical differences—Spinotranversales (splenius capitis and cervicis) and Multifidus. Male Spinotransversales muscle has more attachment points than female. It showed more cranial insertion points in the upper cervical attachments (superior nuchal line, C1 posterior tubercle, and mastoid process) and more caudal insertion points in the spinous processes and transverse processes of the lower cervical and upper thoracic vertebrae. Thus, the male subjects in this study exhibited a greater coverage of the posterior neck both cranially and caudally. Female Multifidus has more attachment points on the spinous processes and articular processes at middle and lower cervical vertebrae and at the transverse processes of the upper thoracic vertebrae. All remaining muscles exhibited no sexual differences. Our findings highlight, for the first time, a sexual dimorphism in attachment points of posterior cervical musculature. It reinforces the notion that the female neck is not a scaled version of the male neck. These differences in muscle attachment could partially explain differences in muscle torque production and range of motion and thus biomechanical differences in cervical spine stabilization between sexes. It sheds a ...

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Gender Differences in Spinal Injuries: Causes and Location of Injury

Cited by 19 publications

References 37 publications

Pattern and In-Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident-Related Spinal Injury: A Retrospective Single-Center Study

Pattern and In-Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident-Related Spinal Injury: A Retrospective Single-Center Study

Evaluation of Thoracolumbar Injuries in Trakya University School of Medicine According to Aospine Classification System

Sexual dimorphism of the posterior cervical spine muscle attachments

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