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Tag: academic medical center|article link|cervical spine fractures|spinal fractures|traumatic injuries

The Incidence of Noncontiguous Spinal Fractures and Other Traumatic Injuries Associated with Cervical Spine Fractures: A Ten Year Experience at an Academic Medical Center.

By wp_zaman

The Incidence of Noncontiguous Spinal Fractures and Other Traumatic Injuries Associated with Cervical Spine Fractures: A Ten Year Experience at an Academic Medical Center.

Spine (Phila Pa 1976). 2011 Jan 14;

Authors: Miller CP, Brubacher JW, Biswas D, Lawrence BD, Whang PG, Grauer JN

Study Design: Retrospective medical record reviewObjective: The purpose of this study was to describe the incidence of other injuries that commonly occur in conjunction with cervical spine fractures and dislocations.Summary of Background Data: Cervical spine fractures are often associated with other significant traumatic conditions which may also require prompt diagnosis and management. However, the relative incidences of the injuries that occur in conjunction with various cervical spine fractures have not been well documented.Methods: The radiographic reports of all patients who underwent CT scans of the cervical spine at a single Level One trauma center over a 10 year period were reviewed. The medical records of individuals with acute, non-penetrating fractures of the cervical spine were further assessed for any associated traumatic pathology including noncontiguous spine injuries and those affecting other organ systems (i.e. head and neck, , intra-thoracic, intra-abdominal/pelvic, and non-spinal orthopaedic disorders).Results: A total of 13,896 CT scans of the cervical spine were performed during this 10 year period of which 492 revealed acute fractures and/or dislocations. Of these subjects, 60% had sustained at least 1 additional injury. Overall, 57% were noted to have extra-spinal injuries (34% head and neck, 17% intra-thoracic, 10% intra-abdominal/pelvic, and 30% non-spinal orthopaedic conditions) and noncontiguous spinal trauma was present in 19% of these cases (8% cervical injuries, 8% thoracic, and 6% lumbar). In general, the rates of associated injuries observed with occipital condyle and C7 fractures were significantly higher than those recorded for other cervical segments.Conclusions: For patients with a known history of cervical spine trauma, the frequencies of associated injuries were similar across all levels of the cervical spine with the exception of the injuries to to the craniocervical junctions. In practice this means that injuries to the cervical spine can likely be grouped togeather when considering other possible associated injuries. Further elucidation of these injury patterns will likely be useful for facilitating the expedient evaluation and proper management of these individuals.

PMID: 21242872 [PubMed – as supplied by publisher]