Epidemiological study of cervical spine injury in a tertiary care center in South India
Keywords:Epidemiology, Cervical spine injury, Kerala, India
Background: Cervical spine injuries, according to severity can leave victims with long standing neck pain or varying degrees of weaknesses. The purpose of this study is to determine the epidemiological pattern of cervical spine injury in our hospital so that comparison may be made with other institutions and guidance regarding management may be formulated for the betterment of patients.
Methods: This cross-sectional longitudinal study was conducted in Government Medical College, Thiruvananthapuram and included all patients admitted with clinical or radiological evidence of cervical spine injury, over a period of three months. Semi-structured questionnaire was used to collect socio demographic data and details regarding mechanism of injury. Data was analyzed using SPSS.
Results: Out of 452 patients enrolled, 69.7% were males and 30.3% were females. Patients were the most commonly between 30-60 years of age (52.4%). Majority (56.1%) had hospital stays lasting less than 10 days. Most common mechanism of injury was road traffic accidents (46.6%). Neck pain was the most common symptom and cervical spine straightening was the most common radiological abnormality. The severity of injuries was more severe in patients who were not restrained by seat belt or using a helmet.
Conclusion: Road traffic accidents are the most common cause for cervical spine injuries and majority of patients required only symptomatic care.
Goldberg W, Mueller C, Panacek E, Tigges S, Hoffman JR, Mower WR, et al. Distribution and patterns of blunt traumatic cervical spine injury. Ann Emerg Med. 2001;38(1):17-21.
Lowery DW, Wald MM, Browne BJ, Tigges S, Hoffman JR, Mower WR. Epidemiology of cervical spine injury victims. Ann Emerg Med. 2001;38(1):12-6.
Bohlman HH. Acute fractures and dislocations of the cervical spine. An analysis of three hundred hospitalized patients and review of the literature. J Bone Joint Surg Am. 1979;61(8):1119-42.
Gerrelts BD, Petersen EU, Mabry J, Petersen SR. Delayed diagnosis of cervical spine injuries. J Trauma 1991;31(12):1622-6.
Reid DC, Henderson R, Saboe L, Miller JD. Etiology and clinical course of missed spine fractures. J Trauma. 1987;27(9):980-6.
McCleary AJ. A fracture of the odontoid process complicated by tenth and twelfth cranial nerve palsies. A case report. Spine. 1993; 18(7):932-5.
Arias MJ. Bilateral traumatic abducens nerve palsy without skull fracture and with cervical spine fracture: case report and review of the literature. Neurosurgery. 1985;16(2):232-4.
Stiell IG, Clement CM, McKnight RD, Brison R, Schull MJ, et al. The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. N Engl J Med. 2003;349(26):2510-8.
Yadollahi M, Paydar S, Ghaem H. Epidemiology of cervical spine fractures. Trauma Mon. 2016;21(3):e33608.
Fredo HL, Rizvi SA, Lied B, Ronning P, Helseth E. The epidemiology of traumatic cervical spine fractures: a prospective study from Norway. Scand J Trauma Resusc Emerg Med. 2012;20:85
Kiwerski J, Weiss M, Chrowstowwska T. Analysis of mortality of patients after cervical spine trauma. Spinal Cord. 1981;1(6):347-51.