ArticleScientific reports2022
Differences in clinical characteristics of cervical spine injuries in older adults by external causes: a multicenter study of 1512 cases.
Open access · goldAbstract readMulticenter Study
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Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15citing papers in PubMed
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15 citing papers in PubMed, 21 citations in OpenAlex.
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- Characteristics and Clinical Outcomes of Transition from Conservative Therapy to Surgical Intervention in Older Patients with Cervical Spinal Cord Injury without Major Bone Injury: A Nationwide Retrospective Study.Spine surgery and related research · 2025Article
- A deep learning-based prediction model for prognosis of cervical spine injury: a Japanese multicenter survey.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 · 2025Article
- Prognosis of Cervical Diffuse Idiopathic Skeletal Hyperostosis-Related Spine Injuries in Elderly Patients: Analyses of Both Fracture and Spinal Cord Injury Without Fracture.Global spine journal · 2025Article
- Who gets traumatic spinal cord injury? A Finnish tertiary trauma centre study.Frontiers in neurology · 2025Article
- Is Intraoperative Blood Loss Volume in Elderly Cervical Spine Injury Surgery Greater in Patients with Ankylosis? A Multicenter Survey.Spine surgery and related research · 2024Article
- Comparative Analysis of Characteristics of Lower- and Mid-Cervical Spine Injuries in the Elderly.Spine surgery and related research · 2024Article
- Differences in Cervical Spine Fractures in Patients Younger or Older Than 65 Years of Age: Implications for the Canadian C-Spine Rule.AJNR. American journal of neuroradiology · 2024Article
- Low Nutrition before Injury Is a Risk Factor for Dysphagia in Older Patients with Cervical Spinal Cord Injury: Based on a Multicenter Data of 707 Patients.Spine surgery and related research · 2024Article
- Neurological recovery rate and predictive factors of incomplete AIS grade C spinal cord injury in the older aged population.Spinal cord · 2024Article
- Impact of malnutrition on mortality and neurological recovery of older patients with spinal cord injury.Scientific reports · 2024Article
- Blunt Cerebrovascular Injury in the Elderly With Traumatic Cervical Spine Injuries: Results of a Retrospective Multi-Center Study of 1512 Cases in Japan.Journal of neurotrauma · 2023Article
- Effects of Dementia on Outcomes after Cervical Spine Injuries in Elderly Patients: Evaluation of 1512 Cases in a Nationwide Multicenter Study in Japan.Journal of clinical medicine · 2023Article
- Risk Factors for Early Mortality in Older Patients with Traumatic Cervical Spine Injuries-A Multicenter Retrospective Study of 1512 Cases.Journal of clinical medicine · 2023Article
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Authors and funding
62 authors at 20 institutions in 1 country.
Noriaki YokogawaDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan.
Satoshi KatoDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan. skato323@gmail.com.
Takeshi SasagawaDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan.
Hiroyuki HayashiDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan.
Hiroyuki TsuchiyaDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan.
Kei AndoDepartment of Orthopedic Surgery, Nagoya University, Graduate School of Medicine, Nagoya, Japan.
Hiroaki NakashimaDepartment of Orthopedic Surgery, Nagoya University, Graduate School of Medicine, Nagoya, Japan.
Naoki SegiDepartment of Orthopedic Surgery, Nagoya University, Graduate School of Medicine, Nagoya, Japan.
Toru FunayamaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.
Fumihiko EtoDepartment of Orthopaedic Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan.
Akihiro YamajiDepartment of Orthopaedic Surgery, Ibaraki Seinan Medical Center Hospital, Ibaraki, Japan.
Satoshi NoriDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Junichi YamaneDepartment of Orthopaedic Surgery, National Hospital Organization Murayama Medical Center, Tokyo, Japan.
Takeo FuruyaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Atsushi YundeDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Hideaki NakajimaDepartment of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Tomohiro YamadaDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Shizuoka, Japan.
Tomohiko HasegawaDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Shizuoka, Japan.
Yoshinori TerashimaDepartment of Orthopaedic Surgery, Sapporo Medical University, Sapporo, Japan.
Ryosuke HirotaDepartment of Orthopaedic Surgery, Sapporo Medical University, Sapporo, Japan.
Hidenori SuzukiDepartment of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan.
Yasuaki ImajoDepartment of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan.
Shota IkegamiDepartment of Orthopaedic Surgery, Shinshu University School of Medicine, Nagano, Japan.
Masashi UeharaDepartment of Orthopaedic Surgery, Shinshu University School of Medicine, Nagano, Japan.
Hitoshi TonomuraDepartment of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Munehiro SakataDepartment of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Ko HashimotoDepartment of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.
Yoshito OnodaDepartment of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.
Kenichi KawaguchiDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Yohei HarutaDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Nobuyuki SuzukiDepartment of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Kenji KatoDepartment of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Hiroshi UeiDepartment of Orthopaedic Surgery, Nihon University Hospital, Tokyo, Japan.
Hirokatsu SawadaDepartment of Orthopaedic Surgery, Nihon University School of Medicine, Tokyo, Japan.
Kazuo NakanishiDepartment of Orthopedics, Traumatology and Spine Surgery, Kawasaki Medical School, Okayama, Japan.
Kosuke MisakiDepartment of Orthopedics, Traumatology and Spine Surgery, Kawasaki Medical School, Okayama, Japan.
Hidetomi TeraiDepartment of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Koji TamaiDepartment of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Eiki ShirasawaDepartment of Orthopaedic Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Gen InoueDepartment of Orthopaedic Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Kenichiro KakutaniDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Yuji KakiuchiDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Katsuhito KiyasuDepartment of Orthopaedic Surgery, Kochi Medical School, Kochi University, Nankoku, Japan.
Hiroyuki TominagaDepartment of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.
Hiroto TokumotoDepartment of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.
Yoichi IizukaDepartment of Orthopaedic Surgery, Gunma University, Graduate School of Medicine, Maebashi, Gunma, Japan.
Eiji TakasawaDepartment of Orthopaedic Surgery, Gunma University, Graduate School of Medicine, Maebashi, Gunma, Japan.
Koji AkedaDepartment of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
Norihiko TakegamiDepartment of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
Haruki FunaoDepartment of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, Chiba, Japan.
Yasushi OshimaDepartment of Orthopaedic Surgery, The University of Tokyo Hospital, Tokyo, Japan.
Takashi KaitoDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Daisuke SakaiDepartment of Orthopedics Surgery, Surgical Science, Tokai University School of Medicine, Kanagawa, Japan.
Toshitaka YoshiiDepartment of Orthopaedic Surgery, Tokyo Medical and Dental University, Tokyo, Japan.
Tetsuro OhbaDepartment of Orthopaedic Surgery, University of Yamanashi, Kofu, Yamanashi, Japan.
Bungo OtsukiDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Shoji SekiDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan.
Masashi MiyazakiDepartment of Orthopaedic Surgery, Faculty of Medicine, Oita University, Oita, Japan.
Masayuki IshiharaDepartment of Orthopaedic Surgery, Kansai Medical University Hospital, Osaka, Japan.
Seiji OkadaDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Shiro ImagamaDepartment of Orthopedic Surgery, Nagoya University, Graduate School of Medicine, Nagoya, Japan.
Kota WatanabeDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Nagoya University · JPKanazawa University · JPChiba University · JPGunma University · JPHamamatsu University School of Medicine · JPKagoshima University · JPKawasaki Medical School · JPKeio University · JPKitasato University · JPKobe University · JPKyoto Prefectural University of Medicine · JPKyushu University · JPMie University · JPNagoya City University · JPNihon University · JPOsaka City University · JPOsaka University · JPShinshu University · JPTohoku University · JPUniversity of Tsukuba · JP
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although traumatic cervical spine injuries in older adults are commonly caused by minor traumas, such as ground-level falls, their prognosis is often unfavorable. Studies examining the clinical characteristics of cervical spine injuries in older adults according to the external cause of injury are lacking. This study included 1512 patients of ≥ 65 years of age with traumatic cervical spine injuries registered in a Japanese nationwide multicenter database. The relationship between the external causes and clinical characteristics, as well as factors causing unfavorable outcomes at the ground-level falls, were retrospectively reviewed and examined. When fall-induced cervical spine injuries were categorized and compared based on fall height, the patients' backgrounds and injury statuses differed significantly. Of note, patients injured from ground-level falls tended to have poorer pre-injury health conditions, such as medical comorbidities and frailty, compared with those who fell from higher heights. For ground-level falls, the mortality, walking independence, and home-discharge rates at 6 months post-injury were 9%, 67%, and 80%, respectively, with preexisting medical comorbidities and frailty associated with unfavorable outcomes, independent of age or severity of neurological impairment at the time of injury.
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FrailtyNeck InjuriesSpinal InjuriesAgedCervical VertebraeHumansRetrospective Studies
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