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Journal Article

Citation

Goslar PW, Crawford NR, Petersen SR, Wilson JR, Harrington T. J. Trauma 2008; 64(1): 190-6; discussion 196.

Affiliation

Level I Trauma, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.

Copyright

(Copyright © 2008, Lippincott Williams and Wilkins)

DOI

10.1097/TA.0b013e3180f62eec

PMID

18188120

Abstract

BACKGROUND: The effect of helmet use on the incidence of cervical and thoracic fractures sustained in motorcycle crashes remains controversial. METHODS: We retrospectively reviewed the incidence of these fractures in helmeted and nonhelmeted crash victims at a single Level I trauma hospital with a well-defined system for evaluating spinal fractures. RESULTS: Of 422 motorcycle crash victims treated during 3 years, 190 had a traumatic brain injury (TBI) and 75 sustained some form of spinal fracture. CONCLUSIONS: Based on the statistical analysis, there was no relationship between helmet use and cervical or thoracic fractures, after controlling for speed of crash. The protective effect of helmet use in TBI was verified. These findings re-emphasize the need for a well-defined radiologic protocol for spinal injury at centers that evaluate crash victims.


Language: en

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