TITLE

Detection of cervical spine injuries in alert, asymptomatic geriatric blunt trauma patients: who benefits from radiologic imaging?

AUTHOR(S)
Ong, Adrian W.; Rodriguez, Aurelio; Kelly, Robert; Cortes, Vicente; Protetch, Jack; Daffner, Richard H.
PUB. DATE
September 2006
SOURCE
American Surgeon;Sep2006, Vol. 72 Issue 9, p773
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
There are differing recommendations in the literature regarding cervical spine imaging in alert, asymptomatic geriatric patients. Previous studies also have not used computed tomography routinely. Given that cervical radiographs may miss up to 60 per cent of fractures, the incidence of cervical spine injuries in this population and its implications for clinical management are unclear. We conducted a retrospective study of blunt trauma patients 65 years and older who were alert, asymptomatic, hemodynamically stable, and had normal neurologic examinations. For inclusion, patients were required to have undergone computed tomography and plain radiographs. The presence and anatomic location of potentially distracting injuries or pain were recorded. Two hundred seventy-four patients were included, with a mean age of 76 +/- 10 years. The main mechanisms of injury were falls (51%) and motor vehicle crashes (41%). Nine of 274 (3%) patients had cervical spine injuries. The presence of potentially distracting injuries above the clavicles was associated with cervical injury when compared with patients with distracting injuries in other anatomic locations or no distracting injuries (8/115 vs 1/159, P = 0.03). There was no association of cervical spine injury with age greater or less than 75 years or with mechanism of injury. The overall incidence of cervical spine injury in the alert, asymptomatic geriatric population is low. The risk is increased with a potentially distracting injury above the clavicles. Patients with distracting injuries in other anatomic locations or no distracting injuries may not need routine cervical imaging.
ACCESSION #
22234702

 

Related Articles

  • Research on simulation calculation method of biomechanical characteristics of C1-3 motion segment damage mechanism. HUANG Ju-ying; LI Hai-yun; JIAN Feng-zeng; XU Li-li // Chinese Journal of Contemporary Neurology & Neurosurgery;Nov2013, Vol. 13 Issue 11, p924 

    Objective To develop the finite element model (FEM) of cervical spinal C1-3 motion segment, and to make biomechanical finite element analysis (FEA) on C1-3 motion segment and thus simulate the biomechanical characteristics of C1-3 motion segment in distraction violence, compression violence,...

  • Researchers find 9.6% neurological deficit rate with type 2 odontoid fractures. Rapp, Susan M. // Orthopedics Today;Apr2011, Vol. 31 Issue 4, p67 

    The article focuses on the findings of a study that the combination of a neurological deficit with acute type 2 odontoid fractures increases mortality and the risk of respiratory distress.

  • Cervical Injuries.  // Massage & Bodywork;Jun/Jul2005, Vol. 20 Issue 3, p87 

    Provides information on the anatomy of cervical region and the principles which involve in the identification of cervical injuries. Citations of the seven cervical vertebrae and its corresponding functions; Need for an in-depth understanding of the referred pain in the cervical region; Symptoms...

  • Double Noncontiguous Cervical Spinal Injuries. Iencean, S. M. // Acta Neurochirurgica;Jul2002, Vol. 144 Issue 7, p695 

    Summary. Background: Double noncontiguous spinal injuries in the same patient, the first at the cervical level and the second at the thoracic or thoracolumbar level are not uncommon. On the other hand the incidence of double noncontiguous cervical injuries in low and these injuries imply complex...

  • Congenital variations of the upper cervical spine and their importance in preoperative diagnosis. A case report and a review of the literature. Lampropoulou-Adamidou, Kalliopi; Athanassacopoulos, Michael; Karampinas, Panagiotis; Vlamis, John; Korres, Demetrios; Pneumaticos, Spiros // European Journal of Orthopaedic Surgery & Traumatology;Jul2013 Supplement, Vol. 23, p101 

    Several variations of the bony and vascular anatomy around the first and second cervical vertebrae have been reported. Failure to recognise these variations can complicate operations on the upper cervical spine. We present a patient with recent onset of cervical myelopathy due to stenosis at the...

  • Development and Validation of A Finite Element Model of Human Cervical Spine Based on the Head-Neck Drop Test. Dengyun Du; Xuewei Song; Xiaoyan Sun; Qian Zhang; Hao Hu // Advanced Materials Research;2014, Issue 934, p14 

    A finite element model with detailed anatomical structure of human cervical spine was established in this paper based on the CT scan data of the cervical vertebrae obtained from a 50th percentile Chinese male. The model was validated by the data from the head-neck drop test conducted by...

  • Evaluation of replantation of spinous process and lamina and autogenous bone fusion after resection of intraspinal tumors. LIU Wei // Chinese Journal of Contemporary Neurology & Neurosurgery;Dec2013, Vol. 13 Issue 12, p1006 

    Objective To evaluate the replantation of lamina and spinous process and autogenous bone fusion after resection of intraspinal tumors. Methods Twenty-two cases of intraspinal canal tumors, including 5 cervical, 5 thoracic and 12 lumbar, were operated through posterior median approach with...

  • Computer navigation assisted fixation in neglected C2-C3 dislocation in an adult. Rajasekaran, S.; Ajoy, Subbiah M.; Shetty, Ajoy Prasad // Indian Journal of Orthopaedics;Sep/Oct2011, Vol. 45 Issue 5, p465 

    A 49-year-old male presented with neck pain and deformity following an industrial accident sustained two months back. His neurology was normal except for a minimal weakness in left biceps (grade 4/5). Radiographs, magnetic resonance imaging and computed tomographic scan revealed fracture...

  • In vivo experiences with frameless stereotactically guided screw placement in the spine – results from 75 consecutive cases. Braun, V.; Rath, S. A.; Antoniadis, G.; Richter, H.-P. // Neurosurgical Review;Jun2001, Vol. 24 Issue 2/3, p74 

    Whereas cranial neuronavigation is widely accepted as a helpful tool, larger series of the in vivo application of spinal neuronavigation do not exist. In the following we report our 4-year experience with spinal navigation in 75 consecutive cases for dorsal transpedicular screw placement....

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics