Umana Etimbuk, Khan Khalid, Baig M N, Binchy James
Department of Emergency Medicine, University Hospital Galway.
Trauma & Orthopaedics, University Hospital Galway.
Cureus. 2018 Feb 10;10(2):e2179. doi: 10.7759/cureus.2179.
Purpose This study aims to establish the demographics and characteristics of patients with cervical spine injury (CSI) in an Irish cohort presenting to a regional emergency department. Methods We performed a retrospective analysis of the medical records of patients who underwent cervical spine computed tomography (CT) scans following trauma from January 2013 to July 2016. We looked at the mechanism of injury, mode of arrival to the emergency department, triage category, correlation between examination, and site of CSI and neurological status. Results Over the study period, 808 patients underwent CT scans of the cervical spine for potential CSI. The incidence of CSI in our cohort was 9.4% (n = 76). Approximately 70% (n = 53) were men. Falls (53%) and motor vehicle accidents (29%) were noted to be the more common mechanisms of injury in this cohort. The C2 region was the most common location for CSI. Only 7% (n = 5) of patients had documented neurology. Conclusion This study demonstrates the epidemiology and characteristics of CSI presenting in an Irish cohort. The incidence of CSI was found to be 9.4% with a male preponderance and falls being the most common cause of trauma.
目的 本研究旨在确定爱尔兰一个地区急诊科收治的颈椎损伤（CSI）患者的人口统计学特征和特点。方法 我们对2013年1月至2016年7月因创伤接受颈椎计算机断层扫描（CT）的患者病历进行了回顾性分析。我们研究了损伤机制、到达急诊科的方式、分诊类别、检查与CSI部位及神经状态之间的相关性。结果 在研究期间，808例患者因潜在的CSI接受了颈椎CT扫描。我们队列中CSI的发生率为9.4%（n = 76）。约70%（n = 53）为男性。跌倒（53%）和机动车事故（29%）是该队列中较常见的损伤机制。C2区域是CSI最常见的部位。只有7%（n = 5）的患者有神经功能记录。结论 本研究展示了爱尔兰队列中CSI的流行病学特征和特点。发现CSI的发生率为9.4%，男性居多，跌倒为最常见的创伤原因。
