ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Epidemiology and predictors of traumatic spine injury in severely injured patients: implications for emergency procedures.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- The Immo Traffic Light System as a Decision-Making Tool for Prehospital Spinal Immobilization—A Systematic ReviewDeutsches Arzteblatt international · 2022Pooled it
- Effect of prehospital cervical spine immobilization on mortality and neurological outcome in trauma patients: an observational cohort study with propensity score matching based on the trauma registry of the German trauma society (TraumaRegister DGU®).World journal of emergency surgery : WJES · 2026Observational
- Article
- The Burden of Concomitant Spinal Injury in the Setting of Traumatic Brain Injury that Required Admission to ICU-Lessons from a Tertiary Neurosurgery Center.Neurocritical care · 2026Article
- Epidemiology of traumatic spinal injuries in a low-resource setting: a retrospective cohort from southwestern Iran.BMC research notes · 2026Article
- Article
- Lack of Association between Cervical Spine Injuries and Prehospital Immobilization: From Tradition to Evidence.Journal of clinical medicine · 2024Article
- Concurrent Spinal Trauma in Patients with Traumatic Head Injury: A Seven-Year Retrospective Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
- Incidence and pattern of traumatic spine injury in a single level I trauma center of southern Iran.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to identify the prevalence and predictors of spinal injuries that are suitable for immobilization.
methodsRetrospective cohort study drawing from the multi-center database of the TraumaRegister DGU
resultsThe mean age of the 145,833 patients enrolled was 52.7 ± 21.1 years. The hospital mortality rate was 13.9%, and the mean injury severity score (ISS) was 21.8 ± 11.8. Seventy percent of patients had no spine injury, 25.9% scored 2-3 on the AIS, and 4.1% scored 4-6 on the AIS. Among patients with isolated traumatic brain injury (TBI), 26.8% had spinal injuries with an AIS score of 4-6. Among patients with multi-system trauma and TBI, 44.7% had spinal injuries that scored 4-6 on the AIS. Regression analysis predicted a serious spine injury (SI; AIS 3-6) with a prevalence of 10.6% and cervical spine injury (CSI; AIS 3-6) with a prevalence of 5.1%. Blunt trauma was a predictor for SI and CSI (OR 4.066 and OR 3.640, respectively; both p < 0.001) and fall > 3 m for SI (OR 2.243; p < 0.001) but not CSI (OR 0.636; p < 0.001). Pre-hospital shock was predictive for SI and CSI (OR 1.87 and OR 2.342, respectively; both p < 0.001), and diminished or absent motor response was also predictive for SI (OR 3.171) and CSI (OR 7.462; both p < 0.001). Patients over 65 years of age were more frequently affected by CSI.
conclusionsIn addition to the clinical symptoms of pain, we identify '4S' [spill (fall) > 3 m, seniority (age > 65 years), seriously injured, skull/traumatic brain injury] as an indication for increased attention for CSIs or indication for spinal motion restriction.
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