NDLI: Clinical characterization of comatose patients with cervical spine injury and traumatic brain injury.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Tian, Heng-Li Guo, Yan Hu, Jin Rong, Bo-Ying Wang, Gan Gao, Wen-Wei Chen, Shi-Wen Chen, Hao
Spatial Coverage	China
Description	Country affiliation: China Author Affiliation: Tian HL ( Department of Neurosurgery, Shanghai 6th People Hospital, Shanghai Jiaotong University, Shanghai, China.)
Abstract	BACKGROUND: Reports on the risk factors for combined craniocervical spine injury in comatose patients are rare. The incidence of concomitant cervical injury in comatose patients with traumatic brain injury (TBI) was determined herein. METHODS: One thousand twenty-six comatose patients with TBI were examined. The clinical characteristics of combined craniocervical trauma were documented, including type and location of cervical injury, occurrence of hypotension, and dyspnea. RESULTS: Seventy-one patients (6.92%) sustained cervical spine injury. The most common injury region included the upper cervical segments, demonstrated in 37 (52.11%) of 71 patients. Of the 71 patients who sustained combined craniocervical spine injury, 42 (59.15%) had hypotension, including 26 (36.62%) with dyspnea. With regard to the association between the severity of TBI and the incidence of the cervical injury, a significant difference was apparent between patients with an initial Glasgow Coma Scale (GCS) score of 3-5 and those with an initial GCS score of 9-12 (11.62% compared with 4.03%, p < 0.01). Regarding the relationship between the mechanism of injury and the occurrence of cervical spine injury, cervical spine injury was associated at a significantly higher incidence with motorcycle accident-related head trauma as compared with non motorcycle accident-related trauma (10.32% vs. 4.68%, p < 0.01). CONCLUSION: Patients who sustained TBI as a result of motorcycle accidents and those exhibiting a lower GCS score are at the highest risk for concomitant cervical spine injury.
File Format	HTM / HTML
ISSN	00225282
Issue Number	6
Volume Number	67
e-ISSN	15298809
Journal	The Journal of Trauma: Injury, Infection, and Critical Care
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2009-12-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Coma Research Support, Non-u.s. Gov't Humans Middle Aged Child, Preschool Infant Male Epidemiology Journal Article Incidence Brain Injuries Glasgow Coma Scale China Adult Female Child Injuries Cervical Vertebrae Complications Risk Factors Accidents, Traffic Aged, 80 And Over Discipline Traumatology Spinal Injuries Motorcycles Adolescent Aged
Content Type	Text
Resource Type	Article
Subject	Surgery Critical Care and Intensive Care Medicine

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