scholarly journals Prediction Score for Cervical Spine Fracture in Patients with Traumatic Neck Injury

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Natsinee Athinartrattanapong ◽  
Chaiyaporn Yuksen ◽  
Sittichok Leela-amornsin ◽  
Chetsadakon Jenpanitpong ◽  
Sirote Wongwaisayawan ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Cervical Spine ◽  
Spine Fracture ◽  
Prediction Score ◽  
Spine Injury ◽  
Cervical Spine Fracture ◽  
Clinical Prediction ◽  
Computed Tomography Scan ◽  
Tomography Scan

Background. Cervical spine fracture is approximately 2%–5%. Diagnostic imaging in developing countries has several limitations. A computed tomography scan is not available 24 hours and not cost-effective. This study aims to develop a clinical tool to identify patients who must undergo a computed tomography scan to evaluate cervical spine fracture in a noncomputed tomography scan available hospital. Methods. The study was a diagnostic prediction rule. A retrospective cross-sectional study was conducted between August 1, 2016, and December 31, 2018, at the emergency department. This study included all patients aged over 16 years who had suspected cervical spine injury and underwent a computed tomography scan at the emergency department. The predictive model and prediction scores were developed via multivariable logistic regression analysis. Results. 375 patients met the criteria. 29 (7.73%) presented with cervical spine fracture on computed tomography scan and 346 did not. Five independent factors (i.e., high-risk mechanism of injury, paraparesis, paresthesia, limited range of motion of the neck, and associated chest or facial injury) were considered good predictors of C-spine fracture. The clinical prediction score for C-spine fracture was developed by dividing the patients into three probability groups (low, 0; moderate, 1–5; and high, 6–11), and the accuracy was 82.52%. In patients with a score of 1–5, the positive likelihood ratio for C-spine fracture was 1.46. Meanwhile, those with a score of 6–11 had an LR+ of 7.16. Conclusion. In a noncomputed tomography scan available hospital, traumatic spine injuries patients with a clinical prediction score ≥1 were associated with cervical spine fracture and should undergo computed tomography scan to evaluate C-spine fracture.

Radiographic Clearance of Blunt Cervical Spine Injury: Plain Radiograph or Computed Tomography Scan?

2003 ◽  
Vol 55 (2) ◽  
pp. 222-227 ◽  
Author(s):  
Margaret M. Griffen ◽  
Eric R. Frykberg ◽  
Andrew J. Kerwin ◽  
Miren A. Schinco ◽  
Joseph J. Tepas ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Plain Radiograph ◽  
Spine Injury ◽  
Computed Tomography Scan ◽  
Tomography Scan

Clinical Examination in Complement With Computed Tomography Scan: An Effective Method for Identification of Cervical Spine Injury

2009 ◽  
Vol 67 (6) ◽  
pp. 1297-1304 ◽  
Author(s):  
Richard P. Gonzalez ◽  
Glenn R. Cummings ◽  
Herbert A. Phelan ◽  
Patrick L. Bosarge ◽  
Charles B. Rodning
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Clinical Examination ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Computed Tomography Scan ◽  
Tomography Scan

scholarly journals Motorcycle helmets and cervical spine injuries: a 5-year experience at a Level 1 trauma center

2018 ◽  
Vol 28 (6) ◽  
pp. 607-611 ◽  
Author(s):  
Paul S. Page ◽  
Zhikui Wei ◽  
Nathaniel P. Brooks
Keyword(s):  
Cervical Spine ◽  
Trauma Center ◽  
Cervical Spine Injury ◽  
Spine Fracture ◽  
Spine Injury ◽  
Cervical Spine Fracture ◽  
Helmet Use ◽  
Level 1 ◽  
Motorcycle Helmets ◽  
Level 1 Trauma Center

OBJECTIVEMotorcycle helmets have been shown to decrease the incidence and severity of traumatic brain injury due to motorcycle crashes. Despite this proven efficacy, some previous reports and speculation suggest that helmet use is associated with a higher likelihood of cervical spine injury (CSI). In this study, the authors examine 1061 cases of motorcycle crash victims who were treated during a 5-year period at a Level 1 trauma center to investigate the association of helmet use with the incidence and severity of CSI. The authors hypothesized that wearing a motorcycle helmet during a motorcycle crash is not associated with an increased risk of CSI and may provide some protective advantage to the wearer.METHODSThe authors performed a retrospective review of all cases in which the patient had been involved in a motorcycle crash and was evaluated at a single Level 1 trauma center in Wisconsin between January 1, 2010, and January 1, 2015. Biometric, clinical, and imaging data were obtained from a trauma registry database. The patients were then divided into 2 distinct groups based on whether or not they were wearing helmets at the time of the accident. Baseline and functional characteristics were compared between the 2 groups. The Student t-test was used for continuous variables, and Pearson’s chi-square analysis was used for categorical variables.RESULTSIn total, 1061 patient charts were examined containing data on 738 unhelmeted (69.6%) and 323 helmeted (30.4%) motorcycle riders. On average, helmeted riders had a much lower Injury Severity Score (p < 0.001). Cervical spine injury occurred in 114 unhelmeted riders (15.4%) compared with only 24 helmeted riders (7.4%) (p < 0.001), with an adjusted odds ratio of 2.3 (95% CI 1.44–3.61, p = 0.0005). In the unhelmeted group, 10.8% of patients were found to have a cervical spine fracture compared with only 4.6% of patients in the helmeted group (p = 0.001). Additionally, ligamentous injury occurred more frequently in unhelmeted riders (1.9% vs 0.3%, p = 0.04). No difference was found in the occurrence of cervical strain, cord contusion, or nerve root injury (all p > 0.05).CONCLUSIONSThe results of this study demonstrate a statistically significant lower likelihood of suffering a CSI among helmeted motorcyclists. Unhelmeted riders sustained a statistically significant higher number of vertebral fractures and ligamentous injuries. The study findings reported here confirm the authors’ hypothesis that helmet use does not increase the risk of developing a cervical spine fracture and may provide some protective advantage.

scholarly journals Correction: Yau et al. Risk Factors for Early Return Visits to the Emergency Department in Patients Presenting with Nonspecific Abdominal Pain and the Use of Computed Tomography Scan. Healthcare 2021, 9, 1470

Healthcare ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 136
Author(s):  
Fei-Fei Flora Yau ◽  
Ying Yang ◽  
Chi-Yung Cheng ◽  
Chao-Jui Li ◽  
Su-Hung Wang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Computed Tomography ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Computed Tomography Scan ◽  
Early Return ◽  
Return Visits ◽  
Published Paper ◽  
Tomography Scan

The authors would like to make corrections to their published paper [...]

Severe Thoracic Vertebral Spine Injury as a Complication of Component of Cardiopulmonary Resuscitation

2022 ◽  
pp. 000313482110586
Author(s):  
Elise F. Heidorn ◽  
Vicente Cortes ◽  
Adrian Ong
Keyword(s):  
Computed Tomography ◽  
Cardiopulmonary Resuscitation ◽  
Spinal Fractures ◽  
Spinal Fracture ◽  
Spine Injury ◽  
Unstable Fracture ◽  
Computed Tomography Scan ◽  
Chest Compressions ◽  
Electrical Shock ◽  
Tomography Scan

Chest compression has been a component of cardiopulmonary resuscitation (CPR) since 1960. Performance of high-quality CPR is critical for survival; however, chest compressions are traumatic and may result in injuries such as rib and sternal fractures. Spinal fractures have rarely been reported. We present a case of a 69-year-old male who suffered a cardiac arrest at home. He underwent 16 minutes of CPR with manual chest compressions, and no electrical shock and medications with return of spontaneous circulation (ROSC). Computed tomography scan showed unstable fracture of T9-T10. The patient was transferred to our Level I trauma center for continued post-arrest management and neurosurgical evaluation. An MRI confirmed the unstable spinal fracture which would have required surgical stabilization. The patient remained comatose, thus he was transitioned to comfort measures and expired. Spinal injuries following CPR are rare but should be considered in the post-arrest management stage. Computed tomography scan is the ideal screening modality.

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