ArticleInjury epidemiology2022
Epidemiology of traumatic cervical spinal fractures in a general Norwegian population.
Article in Injury epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 43 citations in OpenAlex.
- Development of a predictive model for postoperative erectile function recovery in male patients with incomplete traumatic cervical spinal cord injury.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Long-term functional and radiological outcomes among survivors of ankylosing spondylitis-associated cervical spine fractures: a cross-sectional follow-up study.North American Spine Society journal · 2026Article
- Compliance With NICE Guidance for Cervical Spine Trauma Imaging: A Single Centre Retrospective Evaluation.Journal of medical radiation sciences · 2026Article
- Minimally Invasive, CT Neuronavigated Posterolateral Pedicle Screw Placement in Upper Cervical Spine: A Retrospective Accuracy and Safety Analysis.Journal of clinical medicine · 2026Article
- Incidence and risk factors for cardiac arrest following upper cervical spine fractures in the elderly after minor trauma.Archives of orthopaedic and trauma surgery · 2026Article
- Accuracy and safety of navigated pedicle screw insertion in cervical spine fractures.Frontiers in surgery · 2026Article
- MFI-11 Predicts Post-Operative Serious Complications in Patients Undergoing Surgery for Odontoid Fractures.Global spine journal · 2025Article
- Epidemiology of Traumatic Cervical Spinal Cord Injury in Southeast Norway.Neurotrauma reports · 2025Article
- Management of non-contiguous upper and lower cervical spine fractures.International orthopaedics · 2024Article
- Bicycle helmets are associated with fewer and less severe head injuries and fewer neurosurgical procedures.Acta neurochirurgica · 2024Article
- Artificial Intelligence Detection of Cervical Spine Fractures Using Convolutional Neural Network Models.Neurospine · 2024Article
- Adverse events after surgery for injuries to the subaxial cervical spine: analysis of incidence and risk factors.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Secondary Dislocations in Type B and C Injuries of the Subaxial Cervical Spine: Risk Factors and Treatment.Journal of clinical medicine · 2024Article
- Machine Learning and Deep Learning in Spinal Injury: A Narrative Review of Algorithms in Diagnosis and Prognosis.Journal of clinical medicine · 2024Review
- Risk factors for postoperative DVT exacerbation or new DVT in patients with spinal cord injury complicated with cervical fracture.Frontiers in cardiovascular medicine · 2024Article
- Traumatic cervical spinal cord injury in southeastern Norway: acute treatment, specialized rehabilitation referral and mortality.Frontiers in neurology · 2024Article
- The Effect of a Modified Tenodesis Wrist-hand Orthosis on Hand Function in Patients With Tetraplegia.Canadian prosthetics & orthotics journal · 2024Article
- Time from injury to acute surgery for patients with traumatic cervical spinal cord injury in South-East Norway.Frontiers in neurology · 2024Article
- The epidemiology of spinal fractures: A nationwide data-based study in Iran.Qatar medical journal · 2024Article
- Classification of Cervical Spine Fracture and Dislocation Using Refined Pre-Trained Deep Model and Saliency Map.Diagnostics (Basel, Switzerland) · 2023Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Western countries, the typical cervical spine fracture (CS-Fx) patient has historically been a young male injured in a road traffic accident. Recent reports and daily clinical practice clearly indicate a change in the typical patient from a young male to an elderly male or female with comorbidities. This study aimed to establish contemporary population-based epidemiological data of traumatic CS-Fx for use in health-care planning and injury prevention.
methodsThis is a population-based retrospective database study (with prospectively collected data) from the Southeast Norway health region with 3.0 million inhabitants. We included all consecutive cases diagnosed with a CS-Fx between 2015 and 2019. Information regarding demographics, preinjury comorbidities, trauma mechanisms, injury description, treatment, and level of hospital admittance is presented.
resultsWe registered 2153 consecutive cases with CS-Fx during a 5-year period, with an overall crude incidence of CS-Fx of 14.9/100,000 person-years. Age-adjusted incidences using the standard population for Europe and the World was 15.6/100,000 person-years and 10.4/100,000 person-years, respectively. The median patient age was 62 years, 68% were males, 37% had a preinjury severe systemic disease, 16% were under the influence of ethanol, 53% had multiple trauma, and 12% had concomitant cervical spinal cord injury (incomplete in 85% and complete in 15%). The most common trauma mechanisms were falls (57%), followed by bicycle injuries (12%), and four-wheel motorized vehicle accidents (10%). The most common upper CS-Fx was C2 odontoid Fx, while the most common subaxial Fx was facet joint Fx involving cervical level C6/C7. Treatment was external immobilization with a stiff neck collar alone in 65%, open surgical fixation in 26% (giving a 3.7/100,000 person-years surgery rate), and no stabilization in 9%. The overall 90-day mortality was 153/2153 (7.1%).
conclusionsThis study provides an overview of the extent of the issue and patient complexity necessary for planning the health-care management and injury prevention of CS-Fx. The typical CS-Fx patient was an elderly male or female with significant comorbidities injured in a low-energy trauma. The overall crude incidences of CS-Fx and surgical fixation of CS-Fx in Southeast Norway were 14.9/100,000 person-years and 3.7/100,000 person-years, respectively.
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