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Text
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<a href="http://doi.org/10.1089/neu.2020.7415" target="_blank" rel="noreferrer noopener">http://doi.org/10.1089/neu.2020.7415</a>
ISSN
1557-9042 0897-7151
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Update Year & Number
January 2021 List
NEOMED College
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NEOMED Student Publications
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Title
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Trends in demographics and markers of injury severity in traumatic cervical spinal cord injury.
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Journal of Neurotrauma
Date
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2021
2021-01-08
Subject
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cervical; epidemiology; MRI; spinal cord injury; trauma
Creator
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Aarabi B; Albrecht JS; Simard JM; Chryssikos T; Schwartzbauer G; Sansur CA; Crandall K; Gertner M; Howie B; Wessell A; Cannarsa G; Caffes N; Oliver J; Shanmuganathan K; Olexa J; Lomangino CD; Scarboro M
Description
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Over the past four decades, there have been progressive changes in the epidemiology of traumatic spinal cord injury (tSCI). We assessed trends in demographic and injury-related variables in traumatic cervical spinal cord injury (tCSCI) patients over an 18-year period at a single Level I trauma center. We included all magnetic resonance imaging-confirmed tCSCI patients ≥15 years of age for years 2001-2018. Among 1420 patients, 78.3% were male with a mean age 51.5 years. Etiology included falls (46.9%), motor vehicle collisions (MVCs; 34.2%), and sports injuries (10.9%). Median American Spinal Injury Association (ASIA) Motor Score (AMS) was 44, complete tCSCI was noted in 29.6% of patients, fracture dislocations were noted in 44.7%, and median intramedullary lesion length (IMLL) was 30.8 mm (complete injuries 56.3 mm and incomplete injuries 27.4 mm). Over the study period, mean age and proportion of falls increased (p < 0.001) whereas proportion attributable to MVCs and sports injuries decreased (p < 0.001). Incomplete injuries, AMS, and the proportion of patients with no fracture dislocations increased whereas complete injuries decreased significantly. IMLL declined (p = 0.17) and proportion with hematomyelia did not change significantly. In adjusted regression models, increase in age and decreases in prevalence of MVC mechanism and complete injuries over time remained statistically significant. Changes in demographic and injury-related characteristics of tCSCI patients over time may help explain the observed improvement in outcomes. Further, improved clinical outcomes and drop in IMLL may reflect improvements in initial risk assessment and pre-hospital management, advances in healthcare delivery, and preventive measures including public education.
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<a href="http://doi.org/10.1089/neu.2020.7415" target="_blank" rel="noreferrer noopener">10.1089/neu.2020.7415</a>
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journalArticle
2021
Aarabi B
Albrecht JS
Caffes N
Cannarsa G
cervical
Chryssikos T
Crandall K
Epidemiology
Gertner M
Howie B
January 2021 List
Journal of neurotrauma
journalArticle
Lomangino CD
MRI
NEOMED College of Medicine
NEOMED Student Publications
Olexa J
Oliver J
Sansur CA
Scarboro M
Schwartzbauer G
Shanmuganathan K
Simard JM
spinal cord injury
trauma
Wessell A