%0 Journal Article
%T Cervical spinal cord injury after blunt assault: just a pain in the neck?
%J American journal of surgery
%D 2019
%A Eskesen, Trine G.
%A Baekgaard, Josefine S.
%A Peponis, Thomas
%A Moo Lee, Jae
%A Saillant, Noelle
%A Kaafarani, Haytham M. A.
%A Fagenholz, Peter J.
%A King, David R.
%A de Moya, Marc
%A Velmahos, George C.
%A Yeh, D. Dante
%V 217
%N 4
%P 648-652
%X BACKGROUND: We aimed to determine the incidence, risk factors, and outcomes of cervical spinal cord injury (CSCI) after blunt assault. <br><br>METHODS: The ACS National Trauma Data Bank (NTDB) 2012 Research Data Set was used to identify victims of blunt assault using the ICD-9 E-codes 960.0, 968.2, 973. ICD-9 codes 805.00, 839.00, 806.00, 952.00 identified cervical vertebral fractures/dislocations and CSCI. Multivariable analyses were performed to identify independent predictors of CSCI. <br><br>RESULTS: 14,835 (2%) out of 833,311 NTDB cases were blunt assault victims and thus included. 217 (1%) had cervical vertebral fracture/dislocation without CSCI; 57 (0.4%) had CSCI. Age ≥55 years was independently predictive of CSCI; assault by striking/thrown object, facial fracture, and intracranial injury predicted the absence of CSCI. 25 (0.02%) patients with CSCI underwent cervical spinal fusion. <br><br>CONCLUSIONS: CSCI is rare after blunt assault. While the odds of CSCI increase with age, facial fracture or intracranial injury predicts the absence of CSCI. SUMMARY: The incidence, risk factors, and outcomes of cervical spinal cord injury (CSCI) after blunt assault was investigated. 14,835 blunt assault victims were identified; 217 had cervical vertebral fracture/dislocation without CSCI; 57 had CSCI. Age ≥55 years was found to independently predict CSCI, while assault by striking/thrown object, facial fracture, and intracranial injury predicted the absence of CSCI.<br><br>Copyright © 2018. Published by Elsevier Inc.<p /> <p>Language: en</p>
%G en
%I Elsevier Publishing
%@ 0002-9610
%U http://dx.doi.org/10.1016/j.amjsurg.2018.06.022