2014
DOI: 10.1089/neu.2013.3253
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Helmet Use and Cervical Spine Injury: A Review of Motorcycle, Moped, and Bicycle Accidents at a Level 1 Trauma Center

Abstract: Helmet use in two-wheeled vehicle accidents is widely reported to decrease the rates of death and traumatic brain injury. Previous reports suggest that there exists a trade off with helmet use consisting of an increased risk of cervical spine injuries. Recently, a review of a national trauma database demonstrated the opposite, with reduction in cervical spinal cord injuries in motorcycle crashes (MCC). In 2000, the State of Florida repealed its mandatory helmet law to make helmet use optional for individuals o… Show more

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Cited by 32 publications
(12 citation statements)
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“…Traumatic brain injuries were found in 8% of all patients and were mainly represented in the group of collisions with motor vehicles group. Upper limb in agreement with previous research, especially clavicle and distal radius fractures, is the most often injured and therefore most vulnerable body part . Lower limb injuries, including malleolar and neck of femur fractures, account equally as often as head injuries with chest injuries seen in one in every three injured cyclist.…”
Section: Discussionsupporting
confidence: 90%
“…Traumatic brain injuries were found in 8% of all patients and were mainly represented in the group of collisions with motor vehicles group. Upper limb in agreement with previous research, especially clavicle and distal radius fractures, is the most often injured and therefore most vulnerable body part . Lower limb injuries, including malleolar and neck of femur fractures, account equally as often as head injuries with chest injuries seen in one in every three injured cyclist.…”
Section: Discussionsupporting
confidence: 90%
“…Some authors even argued that wearing helmet might actually increase the rate and severity of cervical injuries, yet further studies showed no such effect. [27][28][29] In our study, there was no statistically significant difference between the helmet-wearers and non-helmet-wearers regarding cervical spine injury (p=0.197). This might be because of type 2 error as the protective effect is too little to be observed in a small cohort.…”
Section: Discussioncontrasting
confidence: 52%
“…A recent single institution's review of more than 1,331 patients and 135 cervical spine injuries found no significant decrease in risk or severity of C-spine fractures with helmet use. 19 However, a national trauma database review found that helmeted motorcyclists were less likely to suffer cervical spine injury in crashes. 20 As expected, there was no difference in multiple site traumas (chest, abdomen, pelvis, thoracolumbar spine, and extremities) between helmeted and unhelmeted patients.…”
Section: Discussionmentioning
confidence: 99%