Differences in clinical characteristics of cervical spine injuries in older adults by external causes: a multicenter study of 1512 cases

被引：15

作者：

Yokogawa, Noriaki ^{[1
]}

Kato, Satoshi ^{[1
]}

Sasagawa, Takeshi ^{[1
,2
]}

Hayashi, Hiroyuki ^{[1
,3
]}

Tsuchiya, Hiroyuki ^{[1
]}

Ando, Kei ^{[4
]}

Nakashima, Hiroaki ^{[4
]}

Segi, Naoki ^{[4
]}

Funayama, Toru ^{[5
]}

Eto, Fumihiko ^{[6
]}

Yamaji, Akihiro ^{[7
]}

Nori, Satoshi ^{[8
]}

Yamane, Junichi ^{[9
]}

Furuya, Takeo ^{[10
]}

Yunde, Atsushi ^{[10
]}

Nakajima, Hideaki ^{[11
]}

Yamada, Tomohiro ^{[12
,13
]}

Hasegawa, Tomohiko ^{[12
]}

Terashima, Yoshinori ^{[14
,15
]}

Hirota, Ryosuke ^{[14
]}

Suzuki, Hidenori ^{[16
]}

Imajo, Yasuaki ^{[16
]}

Ikegami, Shota ^{[17
]}

Uehara, Masashi ^{[17
]}

Tonomura, Hitoshi ^{[18
]}

Sakata, Munehiro ^{[18
,19
]}

Hashimoto, Ko ^{[20
]}

Onoda, Yoshito ^{[20
]}

Kawaguchi, Kenichi ^{[21
]}

Haruta, Yohei ^{[21
]}

Suzuki, Nobuyuki ^{[22
]}

Kato, Kenji ^{[22
]}

Uei, Hiroshi ^{[23
,24
]}

Sawada, Hirokatsu ^{[24
]}

Nakanishi, Kazuo ^{[25
]}

Misaki, Kosuke ^{[25
]}

Terai, Hidetomi ^{[26
]}

Tamai, Koji ^{[26
]}

Shirasawa, Eiki ^{[27
]}

Inoue, Gen ^{[27
]}

Kakutani, Kenichiro ^{[28
]}

Kakiuchi, Yuji ^{[28
]}

Kiyasu, Katsuhito ^{[29
]}

Tominaga, Hiroyuki ^{[30
]}

Tokumoto, Hiroto ^{[30
]}

Iizuka, Yoichi ^{[31
]}

Takasawa, Eiji ^{[31
]}

Akeda, Koji ^{[32
]}

Takegami, Norihiko ^{[32
]}

Funao, Haruki ^{[33
,34
,35
,36
]}

机构：

[1] Kanazawa Univ, Grad Sch Med Sci, Dept Orthopaed Surg, 13-1 Takara Machi, Kanazawa, Ishikawa 9208641, Japan

[2] Toyama Prefectural Cent Hosp, Dept Orthoped Surg, Toyama, Japan

[3] Tonami Gen Hosp, Dept Orthopaed Surg, Tonami, Japan

[4] Nagoya Univ, Grad Sch Med, Dept Orthoped Surg, Nagoya, Japan

[5] Univ Tsukuba, Fac Med, Dept Orthopaed Surg, Ibaraki, Japan

[6] Univ Tsukuba, Grad Sch Comprehens Human Sci, Dept Orthopaed Surg, Ibaraki, Japan

[7] Ibaraki Seinan Med Ctr Hosp, Dept Orthopaed Surg, Ibaraki, Japan

[8] Keio Univ, Dept Orthopaed Surg, Sch Med, Tokyo, Japan

[9] Natl Hosp Org Murayama Med Ctr, Dept Orthopaed Surg, Tokyo, Japan

[10] Chiba Univ, Grad Sch Med, Dept Orthopaed Surg, Chiba, Japan

[11] Univ Fukui, Dept Orthopaed & Rehabil Med, Fac Med Sci, Fukui, Japan

[12] Hamamatsu Univ Sch Med, Dept Orthopaed Surg, Shizuoka, Japan

[13] Nagoya Kyoritsu Hosp, Dept Orthopaed Surg, Nagoya, Japan

[14] Sapporo Med Univ, Dept Orthopaed Surg, Sapporo, Japan

[15] Matsuda Orthoped Mem Hosp, Dept Orthopaed Surg, Sapporo, Japan

[16] Yamaguchi Univ, Dept Orthopaed Surg, Grad Sch Med, Yamaguchi, Japan

[17] Shinshu Univ, Dept Orthopaed Surg, Sch Med, Nagano, Japan

[18] Kyoto Prefectural Univ Med, Grad Sch Med Sci, Dept Orthopaed, Kyoto, Japan

[19] Saiseikai Shiga Hosp, Dept Orthopaed, Ritto, Shiga, Japan

[20] Tohoku Univ, Dept Orthopaed Surg, Grad Sch Med, Sendai, Miyagi, Japan

[21] Kyushu Univ, Grad Sch Med Sci, Dept Orthopaed Surg, Fukuoka, Japan

[22] Nagoya City Univ, Dept Orthopaed Surg, Grad Sch Med Sci, Nagoya, Japan

[23] Nihon Univ Hosp, Dept Orthopaed Surg, Tokyo, Japan

[24] Nihon Univ, Dept Orthopaed Surg, Sch Med, Tokyo, Japan

[25] Kawasaki Med Sch, Dept Orthoped Traumatol & Spine Surg, Okayama, Japan

[26] Osaka City Univ, Dept Orthopaed Surg, Grad Sch Med, Osaka, Japan

[27] Kitasato Univ, Dept Orthopaed Surg, Sch Med, Sagamihara, Kanagawa, Japan

[28] Kobe Univ, Dept Orthopaed Surg, Grad Sch Med, Kobe, Japan

[29] Kochi Univ, Kochi Med Sch, Dept Orthopaed Surg, Nankoku, Kochi, Japan

[30] Kagoshima Univ, Grad Sch Med & Dent Sci, Dept Orthopaed Surg, Kagoshima, Japan

[31] Gunma Univ, Grad Sch Med, Dept Orthopaed Surg, Maebashi, Gunma, Japan

[32] Mie Univ, Grad Sch Med, Dept Orthopaed Surg, Tsu, Mie, Japan

[33] Int Univ Hlth & Welf, Sch Med, Dept Orthopaed Surg, Chiba, Japan

[34] Int Univ Hlth & Welf, Narita Hosp, Dept Orthopaed Surg, Chiba, Japan

[35] Int Univ Hlth & Welf, Mita Hosp, Dept Orthopaed Surg & Spine, Tokyo, Japan

[36] Int Univ Hlth & Welf, Mita Hosp, Spinal Cord Ctr, Tokyo, Japan

[37] Univ Tokyo Hosp, Dept Orthopaed Surg, Tokyo, Japan

[38] Osaka Univ, Dept Orthopaed Surg, Grad Sch Med, Osaka, Japan

[39] Tokai Univ, Dept Orthoped Surg, Sch Med, Surg Sci, Hiratsuka, Kanagawa, Japan

[40] Tokyo Med & Dent Univ, Dept Orthopaed Surg, Tokyo, Japan

[41] Univ Yamanashi, Dept Orthopaed Surg, Kofu, Yamanashi, Japan

[42] Kyoto Univ, Grad Sch Med, Dept Orthopaed Surg, Kyoto, Japan

[43] Univ Toyama, Fac Med, Dept Orthopaed Surg, Toyama, Japan

[44] Oita Univ, Fac Med, Dept Orthopaed Surg, Oita, Japan

[45] Kansai Med Univ Hosp, Dept Orthopaed Surg, Osaka, Japan

来源：

SCIENTIFIC REPORTS | 2022年 / 12卷 / 01期

关键词：

CORD-INJURY; FINNISH ADULTS; MORTALITY; FALLS; MORBIDITY; AGE; FRACTURES; DATABASE; FRAILTY;

D O I：

10.1038/s41598-022-19789-y

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

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 & GE; 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.

引用

页数：10

共 49 条

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