Epidemiology of cervical spine injury victims

Lowery, Douglas W.; Wald, Marlena M.; Browne, Brian J.; Tigges, Stefan; Hoffman, Jerome R.; Mower, William R.

doi:10.1067/mem.2001.116149

Cited by 152 publications

(97 citation statements)

References 14 publications

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“…The risk factors identified in this study are similar to those previously reported for spinal fracture and SCI in other studies in the literature [1,2,6,7,10,11,14,15]. Hu et al [14] maintained that male sex, lower socioeconomic status, and age less than 30 years increased the risk of spinal fracture.…”

Section: Discussionsupporting

confidence: 80%

“…Dryden et al [7] reported male sex and ages 15 to 29 years as significant risk factors for SCI. Lowery et al [11] found male sex, white race, and ages 15-45 years associated with an increased risk of cervical spine injury. Males, white servicemembers, and those aged 20 to 29 years were found to be at significantly increased risk of cervical fracture and/or SCI in this study.…”

Section: Discussionmentioning

confidence: 99%

“…The investigations that have been conducted in regard to spinal injuries as a whole, or SCI, are limited in most cases by select populations [1,15], inclusion of patients who have already sustained trauma [6,[9][10][11], and localization in one trauma center or region [2,3,8,13]. Only two prior investigations have attempted to quantify incidence and risk factors for spinal fractures and/or SCI among large well-defined populations at risk, and both these studies were performed in Canada [7,14].…”

Section: Discussionmentioning

confidence: 99%

“…Based on the results of these prior investigations, male sex [6,7,10,11,15], white race [10,11], lower socioeconomic or educational status [14], high-risk behaviors [4,14,15], and age 15 to 30 years [3,7,10] have all been postulated as potential risk factors for spinal fracture and/or SCI.…”

Section: Introductionmentioning

confidence: 99%

“…Although some studies have attempted to address other subsets of spinal trauma [1][2][3][6][7][8][9][10][11][12][13], or spinal injuries as a whole [14], most of these investigations are limited in scope and frequently rely on populations already exposed to trauma. Based on the results of these prior investigations, male sex [6,7,10,11,15], white race [10,11], lower socioeconomic or educational status [14], high-risk behaviors [4,14,15], and age 15 to 30 years [3,7,10] have all been postulated as potential risk factors for spinal fracture and/or SCI.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of cervical spine fractures in the US military

et al. 2012

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BACKGROUND CONTEXT: The epidemiology of cervical spine fractures and associated spinal cord injury (SCI) has not previously been estimated within the American population. PURPOSE: To determine the incidence of cervical spine fractures and associated SCI and identify potential risk factors for these injuries in a large multicultural military population. .0, and 806.1). The database was also used to determine the total number of servicemembers within the military during the same period. The incidence of cervical spine fractures and fractures associated with SCI was determined, and unadjusted incidence rates were calculated for the demographic characteristics of sex, race, military rank, branch of service, and age. Adjusted incidence rate ratios were then determined using multivariate Poisson regression analysis to control for other factors in the model and identify significant risk factors for cervical spine fractures and cervical injuries associated with SCI. RESULTS: From 2000 to 2009, there were 4,048 cervical spine fractures in a population at risk of 13,813,333 servicemembers. The overall incidence of cervical spine fractures was 0.29 per 1,000 person-years, and the incidence of fracture associated SCI was 70 per 1,000,000. The cohorts at highest risk of cervical spine fracture were males, whites, Enlisted personnel, those serving in the Army, Navy, or Marine Corps, and servicemembers aged 20 to 29. Risk of fractureassociated SCI was significantly increased in males, Enlisted personnel, servicemembers in the Army, Navy, or Marines, and those aged 20 to 29. CONCLUSIONS: This study is the largest population-based investigation to be conducted within the United States regarding the incidence of SCI and the only study addressing incidence and risk factors for cervical spine fractures. Male sex, white race, Enlisted military rank, service in the

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Epidemiology of cervical spine fractures in the US military

et al. 2012

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Cost-effectiveness of Magnetic Resonance Imaging in Cervical Clearance of Obtunded Blunt Trauma After a Normal Computed Tomographic Finding

Geng

Kalra

et al. 2018

JAMA Surg

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Magnetic resonance imaging had a lower health benefit and a higher cost compared with no follow-up after a normal CT finding in patients with obtunded blunt trauma to the cervical spine, a finding that does not support the use of MRI in this group of patients. The conclusion is robust in sensitivity analyses varying key variables in the model. More literature on these key variables is needed before MRI can be considered to be beneficial in the evaluation of obtunded blunt trauma.

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