Traumatic spine injuries in the geriatric population

Jabbour, Pascal; Fehlings, Michael G.; Vaccaro, Alexander R.; Harrop, James S.

doi:10.3171/foc.2008.25.11.e16

Cited by 57 publications

(32 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…19 Elderly people are vulnerable to TSCI because of osteoporosis, cervical spinal stenosis, sensory loss and side effects of medication causing postural instability. 20 MVA was the second most common cause in our population, and the incidence increased primarily among young men, comparable to data from Canada 12 and Australia. 21 The number of cars in the two counties increased from 1374 per 100 000 inhabitants in 1952 to 38 556 per 100 000 inhabitants in 2001 (data from Statistics Norway).…”

supporting

confidence: 59%

A 50-year follow-up of the incidence of traumatic spinal cord injuries in Western Norway

et al. 2009

View full text Add to dashboard Cite

Study design: Retrospective population-based epidemiological study. Objective: To assess the prevalence and temporal trends in the incidence of traumatic spinal cord injuries (TSCI), and demographic and clinical characteristics of an unselected, geographically defined cohort in the period 1952-2001. Methods: The patients were identified from hospital records. Crude rates and age-adjusted rates were calculated for each year. The multivariate relationship between cause of injury, age at injury, decade of injury and gender was examined using a Poisson regression model. Results: Of 336 patients, 199 patients were alive on 1 January 2002, giving a total prevalence of 36.5 per 100 000 inhabitants. The average annual incidence increased from 5.9 per million in the first decade to 21.2 per million in the last. Mean age at injury was 42.9 years and the male to female ratio 4.7:1. Fall was the most common cause of injury (45.5%), followed by motor vehicle accidents (MVA) (34.2%). The incidence of MVA-related injuries increased during the observation period, especially among men o30 years. The lesion level was cervical in 52.4%, thoracic in 29.5% and lumbar/sacral in 18.2%. The lesion was clinically incomplete in 58.6% and complete in 41.4%. The incidence of fall-related injuries and the proportion of incomplete cervical lesions increased during the observation period, especially among men 460 years. Conclusions: The incidence of TSCI has increased during the past 50 years. Falls and MVA are potentially preventable causes. The increasing proportion of older patients with cervical lesions poses a challenge to the health system.

show abstract

supporting

confidence: 59%

A 50-year follow-up of the incidence of traumatic spinal cord injuries in Western Norway

et al. 2009

View full text Add to dashboard Cite

show abstract

“…12 The increased risk of falling and subsequent SCI in older people might be due to a number of factors, including musculoskeletal fragility, decreased proprioception, cognitive impairment, visual impairment, polypharmacy and medical comorbidities. 3 The present findings show that simple falls accounted for 450% of fall-related SCIs in the study group, most of (66.7%) the simple fall-related SCIs were incomplete (cervical injuries predominated (46.7%)), and that fall-related SCIs occurred less frequently in the control group. It is not surprising that the mean age has been increasing in patients with SCI due to rising fall-related and non-traumatic SCI rates.…”

Section: Discussionmentioning

confidence: 68%

“…Older patients are more likely to sustain incomplete SCI than complete SCI. 1,3,4,14 In the present study, 72.6% of the study group had incomplete injury, which might have been due to the fact that SCI in older adults generally results from less severe mechanisms of injury, such as simple falls and nontraumatic causes, as compared with motor vehicle accidents or falling from a height in younger adults.…”

Section: Discussionmentioning

confidence: 80%

See 1 more Smart Citation

Spinal cord injury in older population in Turkey

et al. 2014

View full text Add to dashboard Cite

Study design: Retrospective, comparative 4-year study. Objectives: To identify the clinical characteristics unique to older patients with spinal cord injury (SCI). Setting: Turkish Armed Forces Rehabilitation Center, Ankara, Turkey. Methods: The study included 870 consecutive patients with SCI that were divided into two groups according to age. Patients aged X60 years at the time of injury constituted the study group, and randomly selected patients aged o60 years that were matched for gender, week of admission and time since injury constituted the control group. Patients' demographic and clinical characteristics were recorded, compared and analyzed. Results: The study group included 73 SCI patients (mean age: 66.98 ± 6.28 years) and the control group included 75 SCI patients (mean age: 33.93±10.67 years). Among the 148 patients, 98 (66.2%) were male. The vast majority of lesions were at the thoracic level (47.3%). In the older group, falls were the most frequent etiology (32.9%), simple falls predominated (62.5%). 49.3% of the study group vs 18.6% of the control group had a non-traumatic cause of SCI. Older patients were found to be less likely to have complete injury (27.4 vs 44%, P ¼ 0.035). The most common bladder management method was intermittent catheterization (69.6%) and the number of patients in each group treated with this method did not differ significantly (P40.05). More patients in the study group had neuropathic pain (50.7 vs 34.7%, P ¼ 0.049) and abnormal urinary ultrasound findings (23.3 vs 9.3%, P ¼ 0.021). Conclusion: Results revealed that older patients with SCI may have different demographic and clinical features compared with younger patients.

show abstract

“…Although classically thought to be a disease of young males, recent epidemiological studies on patients with SCI depict a bimodal distribution [4]. The first peak occurs in adolescents and young adults, as expected.…”

Section: Introductionmentioning

confidence: 87%

Emergency Neurological Life Support: Traumatic Spine Injury

et al. 2015

View full text Add to dashboard Cite

Traumatic spine injuries (TSIs) carry significantly high risks of morbidity, mortality, and exorbitant health care costs from associated medical needs following injury. For these reasons, TSI was chosen as an ENLS protocol. This article offers a comprehensive review on the management of spinal column injuries using the best available evidence. Alhough the review focuses primarily on cervical spinal column injuries, thoracolumbar injuries are briefly discussed as well. The initial emergency department clinical evaluation of possible spinal fractures and cord injuries, along with the definitive early management of confirmed injuries, is also covered.

show abstract

Traumatic spine injuries in the geriatric population

Cited by 57 publications

References 26 publications

A 50-year follow-up of the incidence of traumatic spinal cord injuries in Western Norway

A 50-year follow-up of the incidence of traumatic spinal cord injuries in Western Norway

Spinal cord injury in older population in Turkey

Emergency Neurological Life Support: Traumatic Spine Injury

Contact Info

Product

Resources

About