Wednesday, September 26, 2018 10:35 AM – 12:00 PM Cervical Spine Trauma

Shah, Neil V.; Scheer, Ryan; Rathod, Jay; Zhou, Jiangying; Newman, Jared M.; Smerling, Jonathan; Naziri, Qais; Kelly, John J.; Conway, Charles A.; Ford, Brian; Murray, Daniel P.; Pascal, Scott C.; Eldib, Ahmed M.; Penny, Gregory S.; Diebo, Bassel G.; Paulino, Carl B.

doi:10.1016/j.spinee.2018.06.032

Cited by 3 publications

(2 citation statements)

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“…The highest incidence of SCI was among men, young adults, and individuals with low schooling levels, and the most common causes were traffic accidents, falls from height, and SW/GSW. 12 …”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Post-Traumatic Spinal Cord Injury in a Tertiary Hospital

PAIVA,

NUNES,

ANTONIALLI

et al. 2023

Acta ortop. bras.

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Objective: to outline the profile of risk groups for spinal cord injury (SCI) at the Hospital de Clinicas de Campinas by an epidemiological survey of 41 patients with SCI. Methods: Data from patients with SCI were collected and analyzed: demographic data, level of neurological injury, visual analogue scale (VAS), and the current American Spinal Injury Association (ASIA) impairment scale (AIS), using questionnaires, medical records, and imaging tests. Fisher’s exact test was used to assess the relationship between categorical variables, Spearman’s correlation coefficient was used for numerical variables, and the Mann-Whitney and Kruskal-Wallis tests were used to analyze the relationship between categorical and numerical variables, with significance level of 5%. Results: There was a prevalence of 82.9% of men, a mean age of 26.5 years, and traffic accidents as the cause of SCI in 56.1% of cases. Conclusion: Results suggest the importance of SCI prevention campaigns directed at this population. Level of Evidence II, Retrospective Study.

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“…The highest incidence of SCI was among men, young adults, and individuals with low schooling levels, and the most common causes were traffic accidents, falls from height, and SW/GSW. 12 …”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Post-Traumatic Spinal Cord Injury in a Tertiary Hospital

PAIVA,

NUNES,

ANTONIALLI

et al. 2023

Acta ortop. bras.

View full text Add to dashboard Cite

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“…With the incidence on cervical spine fractures on the rise, 15 and bundled payment programs gradually taking over the fee-for-service landscape-providers and healthpolicy makers should strive for risk-adjustment of trauma/ fractures in spinal fusion bundles to prevent financial disincentives. Future research should focus on identifying other areas of cost variations in cervical fusion DRGs and develop appropriate risk-adjustment models that insurance companies may be able to use to define target episode prices.…”

Section: Discussionmentioning

confidence: 99%

Posterior Cervical Fusion for Fracture Is Not the Same as Fusion for Degenerative Cervical Spine Disease

Malik

Kim

et al. 2022

Clinical Spine Surgery: A Spine Publication

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Objective: To understand differences in 30-day outcomes between patients undergoing posterior cervical fusion (PCF) for fracture versus degenerative cervical spine disease.Summary of Background Data: Current bundled payment models for cervical fusions, such as the Bundled Payments for Care Improvement revolve around the use of diagnosis-related groups to categorize patients for reimbursement purposes. Though a PCF performed for a fracture may have a different postoperative course of care as compared with a fusion being done for degenerative cervical spine pathology, the current DRG system does not differentiate payments based on the indication/cause of surgery. Methods:The 2012-2017 American College of Surgeons-National Surgical Quality Improvement Program was queried using Current Procedural Terminology code 22600 to identify patients receiving elective PCFs. Multivariate analyses were used to compare rates of 30-day severe adverse events, minor adverse events, readmissions, length of stay, and nonhome discharges between the 2 groups.Results: A total 2546 (91.4%) PCFs were performed for degenerative cervical spine pathology and 240 (8.6%) for fracture. After adjustment for differences in baseline clinical characteristics, patients undergoing a PCF for a fracture versus degenerative pathology had higher odds of severe adverse events [18.8%

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