Differences in clinical characteristics of cervical spine injuries in older adults by external causes: a multicenter study of 1512 cases
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 inj...
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| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2022-09-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-19789-y |
| _version_ | 1828175473228644352 |
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| author | Noriaki Yokogawa Satoshi Kato Takeshi Sasagawa Hiroyuki Hayashi Hiroyuki Tsuchiya Kei Ando Hiroaki Nakashima Naoki Segi Toru Funayama Fumihiko Eto Akihiro Yamaji Satoshi Nori Junichi Yamane Takeo Furuya Atsushi Yunde Hideaki Nakajima Tomohiro Yamada Tomohiko Hasegawa Yoshinori Terashima Ryosuke Hirota Hidenori Suzuki Yasuaki Imajo Shota Ikegami Masashi Uehara Hitoshi Tonomura Munehiro Sakata Ko Hashimoto Yoshito Onoda Kenichi Kawaguchi Yohei Haruta Nobuyuki Suzuki Kenji Kato Hiroshi Uei Hirokatsu Sawada Kazuo Nakanishi Kosuke Misaki Hidetomi Terai Koji Tamai Eiki Shirasawa Gen Inoue Kenichiro Kakutani Yuji Kakiuchi Katsuhito Kiyasu Hiroyuki Tominaga Hiroto Tokumoto Yoichi Iizuka Eiji Takasawa Koji Akeda Norihiko Takegami Haruki Funao Yasushi Oshima Takashi Kaito Daisuke Sakai Toshitaka Yoshii Tetsuro Ohba Bungo Otsuki Shoji Seki Masashi Miyazaki Masayuki Ishihara Seiji Okada Shiro Imagama Kota Watanabe |
| author_facet | Noriaki Yokogawa Satoshi Kato Takeshi Sasagawa Hiroyuki Hayashi Hiroyuki Tsuchiya Kei Ando Hiroaki Nakashima Naoki Segi Toru Funayama Fumihiko Eto Akihiro Yamaji Satoshi Nori Junichi Yamane Takeo Furuya Atsushi Yunde Hideaki Nakajima Tomohiro Yamada Tomohiko Hasegawa Yoshinori Terashima Ryosuke Hirota Hidenori Suzuki Yasuaki Imajo Shota Ikegami Masashi Uehara Hitoshi Tonomura Munehiro Sakata Ko Hashimoto Yoshito Onoda Kenichi Kawaguchi Yohei Haruta Nobuyuki Suzuki Kenji Kato Hiroshi Uei Hirokatsu Sawada Kazuo Nakanishi Kosuke Misaki Hidetomi Terai Koji Tamai Eiki Shirasawa Gen Inoue Kenichiro Kakutani Yuji Kakiuchi Katsuhito Kiyasu Hiroyuki Tominaga Hiroto Tokumoto Yoichi Iizuka Eiji Takasawa Koji Akeda Norihiko Takegami Haruki Funao Yasushi Oshima Takashi Kaito Daisuke Sakai Toshitaka Yoshii Tetsuro Ohba Bungo Otsuki Shoji Seki Masashi Miyazaki Masayuki Ishihara Seiji Okada Shiro Imagama Kota Watanabe |
| author_sort | Noriaki Yokogawa |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T04:28:36Z |
| format | Article |
| id | doaj.art-21b9ea4bc02d49c3bc00539721763382 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-12T04:28:36Z |
| publishDate | 2022-09-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-21b9ea4bc02d49c3bc005397217633822022-12-22T03:48:00ZengNature PortfolioScientific Reports2045-23222022-09-0112111010.1038/s41598-022-19789-yDifferences in clinical characteristics of cervical spine injuries in older adults by external causes: a multicenter study of 1512 casesNoriaki Yokogawa0Satoshi Kato1Takeshi Sasagawa2Hiroyuki Hayashi3Hiroyuki Tsuchiya4Kei Ando5Hiroaki Nakashima6Naoki Segi7Toru Funayama8Fumihiko Eto9Akihiro Yamaji10Satoshi Nori11Junichi Yamane12Takeo Furuya13Atsushi Yunde14Hideaki Nakajima15Tomohiro Yamada16Tomohiko Hasegawa17Yoshinori Terashima18Ryosuke Hirota19Hidenori Suzuki20Yasuaki Imajo21Shota Ikegami22Masashi Uehara23Hitoshi Tonomura24Munehiro Sakata25Ko Hashimoto26Yoshito Onoda27Kenichi Kawaguchi28Yohei Haruta29Nobuyuki Suzuki30Kenji Kato31Hiroshi Uei32Hirokatsu Sawada33Kazuo Nakanishi34Kosuke Misaki35Hidetomi Terai36Koji Tamai37Eiki Shirasawa38Gen Inoue39Kenichiro Kakutani40Yuji Kakiuchi41Katsuhito Kiyasu42Hiroyuki Tominaga43Hiroto Tokumoto44Yoichi Iizuka45Eiji Takasawa46Koji Akeda47Norihiko Takegami48Haruki Funao49Yasushi Oshima50Takashi Kaito51Daisuke Sakai52Toshitaka Yoshii53Tetsuro Ohba54Bungo Otsuki55Shoji Seki56Masashi Miyazaki57Masayuki Ishihara58Seiji Okada59Shiro Imagama60Kota Watanabe61Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa UniversityDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa UniversityDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa UniversityDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa UniversityDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa UniversityDepartment of Orthopedic Surgery, Nagoya University, Graduate School of MedicineDepartment of Orthopedic Surgery, Nagoya University, Graduate School of MedicineDepartment of Orthopedic Surgery, Nagoya University, Graduate School of MedicineDepartment of Orthopaedic Surgery, Faculty of Medicine, University of TsukubaDepartment of Orthopaedic Surgery, Graduate School of Comprehensive Human Sciences, University of TsukubaDepartment of Orthopaedic Surgery, Ibaraki Seinan Medical Center HospitalDepartment of Orthopaedic Surgery, Keio University School of MedicineDepartment of Orthopaedic Surgery, National Hospital Organization Murayama Medical CenterDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of FukuiDepartment of Orthopaedic Surgery, Hamamatsu University School of MedicineDepartment of Orthopaedic Surgery, Hamamatsu University School of MedicineDepartment of Orthopaedic Surgery, Sapporo Medical UniversityDepartment of Orthopaedic Surgery, Sapporo Medical UniversityDepartment of Orthopaedic Surgery, Yamaguchi University Graduate School of MedicineDepartment of Orthopaedic Surgery, Yamaguchi University Graduate School of MedicineDepartment of Orthopaedic Surgery, Shinshu University School of MedicineDepartment of Orthopaedic Surgery, Shinshu University School of MedicineDepartment of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of MedicineDepartment of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of MedicineDepartment of Orthopaedic Surgery, Tohoku University Graduate School of MedicineDepartment of Orthopaedic Surgery, Tohoku University Graduate School of MedicineDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Orthopaedic Surgery, Nagoya City University Graduate School of Medical SciencesDepartment of Orthopaedic Surgery, Nagoya City University Graduate School of Medical SciencesDepartment of Orthopaedic Surgery, Nihon University HospitalDepartment of Orthopaedic Surgery, Nihon University School of MedicineDepartment of Orthopedics, Traumatology and Spine Surgery, Kawasaki Medical SchoolDepartment of Orthopedics, Traumatology and Spine Surgery, Kawasaki Medical SchoolDepartment of Orthopaedic Surgery, Osaka City University Graduate School of MedicineDepartment of Orthopaedic Surgery, Osaka City University Graduate School of MedicineDepartment of Orthopaedic Surgery, Kitasato University School of MedicineDepartment of Orthopaedic Surgery, Kitasato University School of MedicineDepartment of Orthopaedic Surgery, Kobe University Graduate School of MedicineDepartment of Orthopaedic Surgery, Kobe University Graduate School of MedicineDepartment of Orthopaedic Surgery, Kochi Medical School, Kochi UniversityDepartment of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima UniversityDepartment of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima UniversityDepartment of Orthopaedic Surgery, Gunma University, Graduate School of MedicineDepartment of Orthopaedic Surgery, Gunma University, Graduate School of MedicineDepartment of Orthopaedic Surgery, Mie University Graduate School of MedicineDepartment of Orthopaedic Surgery, Mie University Graduate School of MedicineDepartment of Orthopaedic Surgery, School of Medicine, International University of Health and WelfareDepartment of Orthopaedic Surgery, The University of Tokyo HospitalDepartment of Orthopaedic Surgery, Osaka University Graduate School of MedicineDepartment of Orthopedics Surgery, Surgical Science, Tokai University School of MedicineDepartment of Orthopaedic Surgery, Tokyo Medical and Dental UniversityDepartment of Orthopaedic Surgery, University of YamanashiDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto UniversityDepartment of Orthopaedic Surgery, Faculty of Medicine, University of ToyamaDepartment of Orthopaedic Surgery, Faculty of Medicine, Oita UniversityDepartment of Orthopaedic Surgery, Kansai Medical University HospitalDepartment of Orthopaedic Surgery, Osaka University Graduate School of MedicineDepartment of Orthopedic Surgery, Nagoya University, Graduate School of MedicineDepartment of Orthopaedic Surgery, Keio University School of MedicineAbstract 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.https://doi.org/10.1038/s41598-022-19789-y |
| spellingShingle | Noriaki Yokogawa Satoshi Kato Takeshi Sasagawa Hiroyuki Hayashi Hiroyuki Tsuchiya Kei Ando Hiroaki Nakashima Naoki Segi Toru Funayama Fumihiko Eto Akihiro Yamaji Satoshi Nori Junichi Yamane Takeo Furuya Atsushi Yunde Hideaki Nakajima Tomohiro Yamada Tomohiko Hasegawa Yoshinori Terashima Ryosuke Hirota Hidenori Suzuki Yasuaki Imajo Shota Ikegami Masashi Uehara Hitoshi Tonomura Munehiro Sakata Ko Hashimoto Yoshito Onoda Kenichi Kawaguchi Yohei Haruta Nobuyuki Suzuki Kenji Kato Hiroshi Uei Hirokatsu Sawada Kazuo Nakanishi Kosuke Misaki Hidetomi Terai Koji Tamai Eiki Shirasawa Gen Inoue Kenichiro Kakutani Yuji Kakiuchi Katsuhito Kiyasu Hiroyuki Tominaga Hiroto Tokumoto Yoichi Iizuka Eiji Takasawa Koji Akeda Norihiko Takegami Haruki Funao Yasushi Oshima Takashi Kaito Daisuke Sakai Toshitaka Yoshii Tetsuro Ohba Bungo Otsuki Shoji Seki Masashi Miyazaki Masayuki Ishihara Seiji Okada Shiro Imagama Kota Watanabe Differences in clinical characteristics of cervical spine injuries in older adults by external causes: a multicenter study of 1512 cases Scientific Reports |
| title | Differences in clinical characteristics of cervical spine injuries in older adults by external causes: a multicenter study of 1512 cases |
| title_full | Differences in clinical characteristics of cervical spine injuries in older adults by external causes: a multicenter study of 1512 cases |
| title_fullStr | Differences in clinical characteristics of cervical spine injuries in older adults by external causes: a multicenter study of 1512 cases |
| title_full_unstemmed | Differences in clinical characteristics of cervical spine injuries in older adults by external causes: a multicenter study of 1512 cases |
| title_short | Differences in clinical characteristics of cervical spine injuries in older adults by external causes: a multicenter study of 1512 cases |
| title_sort | differences in clinical characteristics of cervical spine injuries in older adults by external causes a multicenter study of 1512 cases |
| url | https://doi.org/10.1038/s41598-022-19789-y |
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