scholarly journals Cervical spine injuries requiring surgery in a Level I trauma centre in a major German city

2021 ◽  
Author(s):  
Roslind Karolina Hackenberg ◽  
Paul Stoll ◽  
Kristian Welle ◽  
Jasmin Scorzin ◽  
Martin Gathen ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Trauma Centre ◽  
Annual Incidence ◽  
Cervical Spine Injuries ◽  
Neurologic Deficits ◽  
Spine Injuries ◽  
German City ◽  
Level I ◽  
The City

Abstract Background Cervical spine injuries (CSI) are rare in trauma patients, at about 9.2–16.5/100,000 inhabitants in Scandinavia and Canada, and the annual incidence of CSI surgeries in Norway is around 3.0/100,000 inhabitants. However, despite their rarity, the incidence of CSI has increased, thereby assuming an increasing need for surgery. Outside of Scandinavia, no data about the incidence of CSI and subsequent surgeries exist. Therefore, this study aimed to analyse CSI epidemiology and surgery in a German city with a Level I trauma centre both to understand the injury and improve needs–based planning. Methods This retrospective, monocentre study included all patients who presented with CSI from 2012–2017 at a university hospital with a Level I trauma centre in a major German city and had permanent residency within the city. Based on the assumption that the patients represented all CSI injuries in the city, as they were treated at the only available Level I trauma centre, the annual incidence of surgeries and neurologic deficits due to CSI were calculated. Results A total of 465 patients with 609 CSI were identified. Of these patients, 61 both received surgery and resided in the city (mean age, 68.1 ± 18.3 years; 26 female, 35 male). The incidence of CSI surgeries was calculated as 3.24/100,000 person years (1.75/100,000 in the upper and 1.54/100,000 in the subaxial cervical spine). Neurologic deficits occurred in 0.64/100,000 person years. The incidence of both surgeries and neurologic deficits showed no significant changes over the 6-year study period. Conclusions Compared to Scandinavia, an increasing annual incidence for CSI surgeries and neurologic deficits were found. For long-term demand planning with adaptability to demographic changes, cross-regional studies including long-term follow-up are necessary.

The misdiagnosis of acute cervical spine injuries and fractures in infants and children: the 12-year experience of a level I pediatric and adult trauma center

2004 ◽  
Vol 21 (2) ◽  
pp. 122-127 ◽  
Author(s):  
Anthony M. Avellino ◽  
Fred A. Mann ◽  
M. Sean Grady ◽  
Jens R. Chapman ◽  
Richard G. Ellenbogen ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Trauma Center ◽  
Infants And Children ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Level I ◽  
In Infants And Children

scholarly journals Prevalence of Neurologic Deficits in Combined Facial and Cervical Spine Injuries: A Retrospective Analysis

2020 ◽  
pp. 194338752094018
Author(s):  
Manju Roby Philip ◽  
C. S. Soumithran
Keyword(s):  
Cervical Spine ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Maxillofacial Trauma ◽  
Spine Injury ◽  
Trauma Patients ◽  
Cervical Spine Injuries ◽  
Neurologic Deficits ◽  
Retrospective Data Analysis ◽  
Spine Injuries

Study design: A retrospective data analysis of maxillofacial trauma patients with combined cervical spine injuries. Objective: This study is based on investigating the importance of timely diagnosis of patients who suffer with cervical spine injuries along with maxillofacial trauma by estimating the prevalence of neurologic deficits and its relation with etiology. Methods: A database of 4460 patients suffering from maxillofacial injuries and admitted in specialized environment surgery of Government Medical College, Trivandrum, Kerala was taken under consideration. The prevalence and types of neurologic deficits and its relation with etiology were assessed in patients with combined facial and cervical spine injuries. Results: Of 4460 patients, 48 were having cervical spine injury along with facial damage with the prevalence of 0.01%. Neurologic deficits were seen highest with etiology of road traffic accidents followed by falls from height. Most of the accidents occurred in bike riders and helmets were absent. Conclusions: It was concluded that most of the accidents engage bike riders and drivers, due to unethical and unsafe driving. There was no significant correlation found between facial and cervical spine injuries.

Posterior stabilization of cervical spine injuries using the Roy-Camille plates: a long-term follow-up

2013 ◽  
Vol 24 (S1) ◽  
pp. 125-130 ◽  
Author(s):  
Demitrios Korres ◽  
Vassilios S. Nikolaou ◽  
Maria Kaseta ◽  
Demetrios Evangelopoulos ◽  
Kostas Markatos ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Posterior Stabilization ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Long Term Follow Up

scholarly journals Acute Cervical Spine Injuries: Diagnosis and Management

2003 ◽  
Vol 42 (148) ◽  
Author(s):  
MR Sharma
Keyword(s):  
Public Health ◽  
Spinal Cord ◽  
Cervical Spine ◽  
Cervical Spine Injuries ◽  
X Ray ◽  
Diagnosis And Management ◽  
Spine Stabilization ◽  
Public Resources ◽  
Spine Injuries

Acute cervical spine injuries (CSI) are devastating types of injuries occurring largely in the economicallyproductive population. CSI have been of major public health problems because of consumption of largeamount of both personal and public resources in addition to giving rise to long-term disability for thepatient. Over the years an effort has been made to develop ways to evaluate the cervical spine in the settingof trauma using reasonably fast and accurate methods. Similarly, refinement in the management of thesepatients has significantly improved the outcome. In this article an attempt has been made to review thepertinent literature and extract the information tailored to us regarding the diagnosis and management ofcervical spine injuries, which can be used effectively in areas where even only x-ray facility is available.Key Words: Trauma, spinal cord, cervical spine, stabilization.

scholarly journals Late radiographic findings after the anterior cervical fusion for the cervical subaxial compressive flexion and vertical compression injuries in young patients

Medicina ◽  
2007 ◽  
Vol 43 (7) ◽  
pp. 542 ◽  
Author(s):  
Bronius Špakauskas ◽  
Kazys Ambrozaitis ◽  
Arimantas Tamašauskas ◽  
Egidijus Kontautas
Keyword(s):  
Cervical Spine ◽  
Young Patients ◽  
Anterior Fusion ◽  
Anterior Decompression ◽  
Disc Space ◽  
Radiographic Findings ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Group A

Objective. The aim of this study was to investigate the influence of patients’ age on the development of radiologic signs of degeneration of adjacent levels after the anterior fusion for the cervical spine injuries. Material and methods. A total of 45 patients who had compressive flexion and vertical compression injuries of the cervical spine (by Ferguson–Allen mechanistic classification) were included in the study. There were 40 male and 5 female patients with a mean age of 31.5 years (range 15–64). These patients were treated with anterior decompression, iliac bone grafting, and anterior plating. Twenty-two patients aged less than 30 years were in the first group; 23 individuals more than 30 years of age were in the second group. A long-term radiologic followup involved assessment of the fusion and examination of the changes at levels immediately above and below the fused vertebrae. Results. Hypermobility of the disc space above the fused vertebra was found in 9 (40.9%) patients from the first group vs. 3 (13%) from the second one (P<0.05). Narrowing and osteophytes of the disc space below the fused vertebra was found in 2 (9.1%) patients from the first group vs. 10 (43.5%) from the second one (P<0.05). Conclusions. Hypermobility of the motion segment above the fused vertebra was found more frequently in patients aged less than 30 years. Narrowing and osteophytes of the disc space below the fused vertebra were found more frequently in older patients.

Cervical Spine Injuries and Their Neurologic Implications

1990 ◽  
Vol 9 (2) ◽  
pp. 263-278 ◽  
Author(s):  
Michael R. Marks ◽  
Gordon R. Bell ◽  
Francis R.S. Boumphrey
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injuries ◽  
Spine Injuries

Turkish Muslims in a German city: Entrepreneurial and residential self-determination

2015 ◽  
Vol 12 (1) ◽  
pp. 1-12
Author(s):  
Sarah Hackett
Keyword(s):  
Residential Patterns ◽  
Academic Literature ◽  
Self Employment ◽  
German City ◽  
Post War ◽  
Oral History Interviews ◽  
The City ◽  
Insight Into ◽  
Term Objective

Drawing upon a collection of oral history interviews, this paper offers an insight into entrepreneurial and residential patterns and behaviour amongst Turkish Muslims in the German city of Bremen. The academic literature has traditionally argued that Turkish migrants in Germany have been pushed into self-employment, low-quality housing and segregated neighbourhoods as a result of discrimination, and poor employment and housing opportunities. Yet the interviews reveal the extent to which Bremen’s Turkish Muslims’ performances and experiences have overwhelmingly been the consequences of personal choices and ambitions. For many of the city’s Turkish Muslim entrepreneurs, self-employment had been a long-term objective, and they have succeeded in establishing and running their businesses in the manner they choose with regards to location and clientele, for example. Similarly, interviewees stressed the way in which they were able to shape their housing experiences by opting which districts of the city to live in and by purchasing property. On the whole, they perceive their entrepreneurial and residential practices as both consequences and mediums of success, integration and a loyalty to the city of Bremen. The findings are contextualised within the wider debate regarding the long-term legacy of Germany’s post-war guest-worker system and its position as a “country of immigration”.

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