TY - JOUR
PY - 2019//
TI - Cervical spinal cord injury after blunt assault: just a pain in the neck?
JO - American journal of surgery
A1 - Eskesen, Trine G.
A1 - Baekgaard, Josefine S.
A1 - Peponis, Thomas
A1 - Moo Lee, Jae
A1 - Saillant, Noelle
A1 - Kaafarani, Haytham M. A.
A1 - Fagenholz, Peter J.
A1 - King, David R.
A1 - de Moya, Marc
A1 - Velmahos, George C.
A1 - Yeh, D. Dante
SP - 648
EP - 652
VL - 217
IS - 4
N2 - BACKGROUND: We aimed to determine the incidence, risk factors, and outcomes of cervical spinal cord injury (CSCI) after blunt assault.
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.
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.
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.
Copyright © 2018. Published by Elsevier Inc. Language: en
LA - en
SN - 0002-9610
UR - http://dx.doi.org/10.1016/j.amjsurg.2018.06.022
ID - ref1
ER -