Upper cervical spine injuries: age-specific clinical features

Background There are few reports on the age-specific clinical features of upper cervical spine injury. To identify these age-specific changes, we reviewed 103 patients with upper cervical spine injury. Methods We subdivided the patients into four groups according to age: 12 patients were classified as old elderly (≥75 years), 18 patients as young elderly (65–74 years), 67 patients as young adults (18–64 years), and 6 patients as adolescents (≤17 years). Data were collected on injury etiology, mortality, neurological deficit, distribution and pattern of injury, degenerative changes of each joint in the upper cervical spine and disc in the cervical spine, and osteoporosis of the axis. Results The proportion of patients with a simple fall as the etiology of their injury showed a statistically significant trend to increase with aging. Although no specific distribution or pattern of injury was statistically elucidated, we were able to detect some common features. A high proportion of the old elderly group (5/12) had a type II odontoid fracture. Body fracture of the axis tends to be frequent in the young elderly and traumatic spondylolisthesis and hyperextension teardrop fracture to be frequent in the young adults. In adolescents, a traffic accident as an unbelted rear seat passenger was the most frequent etiology. Among the 103 patients, 16 died during the initial hospitalization. The mortality rate for upper cervical spine injury was similar in all groups. Conclusions In the old elderly, stiffness of the lower cervical spine, caused by degenerative changes and osteopenia, might contribute to upper cervical spine injury in response to low-energy trauma. The disproportion of degenerative change in joints of the upper cervical spine might also contribute to the high frequency of type II odontoid fracture. In young adults, high-energy and hyperextension injury was the most frequent cause of upper cervical spine injury. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Watanabe, Masahiko [verfasserIn] Sakai, Daisuke [verfasserIn] Yamamoto, Yukihiro [verfasserIn] Sato, Masato [verfasserIn] Mochida, Joji [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2010

Schlagwörter:	Cervical Spine Cervical Spine Injury Body Fracture Odontoid Fracture Lower Cervical Spine

Übergeordnetes Werk:	Enthalten in: Journal of orthopaedic science - Amsterdam : Elsevier, 1996, 15(2010), 4 vom: Juli, Seite 485-492
Übergeordnetes Werk:	volume:15 ; year:2010 ; number:4 ; month:07 ; pages:485-492

Links:	Volltext

DOI / URN:	10.1007/s00776-010-1493-x

Katalog-ID:	SPR007757611

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520			\|a Background There are few reports on the age-specific clinical features of upper cervical spine injury. To identify these age-specific changes, we reviewed 103 patients with upper cervical spine injury. Methods We subdivided the patients into four groups according to age: 12 patients were classified as old elderly (≥75 years), 18 patients as young elderly (65–74 years), 67 patients as young adults (18–64 years), and 6 patients as adolescents (≤17 years). Data were collected on injury etiology, mortality, neurological deficit, distribution and pattern of injury, degenerative changes of each joint in the upper cervical spine and disc in the cervical spine, and osteoporosis of the axis. Results The proportion of patients with a simple fall as the etiology of their injury showed a statistically significant trend to increase with aging. Although no specific distribution or pattern of injury was statistically elucidated, we were able to detect some common features. A high proportion of the old elderly group (5/12) had a type II odontoid fracture. Body fracture of the axis tends to be frequent in the young elderly and traumatic spondylolisthesis and hyperextension teardrop fracture to be frequent in the young adults. In adolescents, a traffic accident as an unbelted rear seat passenger was the most frequent etiology. Among the 103 patients, 16 died during the initial hospitalization. The mortality rate for upper cervical spine injury was similar in all groups. Conclusions In the old elderly, stiffness of the lower cervical spine, caused by degenerative changes and osteopenia, might contribute to upper cervical spine injury in response to low-energy trauma. The disproportion of degenerative change in joints of the upper cervical spine might also contribute to the high frequency of type II odontoid fracture. In young adults, high-energy and hyperextension injury was the most frequent cause of upper cervical spine injury.
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allfields	10.1007/s00776-010-1493-x doi (DE-627)SPR007757611 (SPR)s00776-010-1493-x-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.00 bkl 44.83 bkl Watanabe, Masahiko verfasserin aut Upper cervical spine injuries: age-specific clinical features 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background There are few reports on the age-specific clinical features of upper cervical spine injury. To identify these age-specific changes, we reviewed 103 patients with upper cervical spine injury. Methods We subdivided the patients into four groups according to age: 12 patients were classified as old elderly (≥75 years), 18 patients as young elderly (65–74 years), 67 patients as young adults (18–64 years), and 6 patients as adolescents (≤17 years). Data were collected on injury etiology, mortality, neurological deficit, distribution and pattern of injury, degenerative changes of each joint in the upper cervical spine and disc in the cervical spine, and osteoporosis of the axis. Results The proportion of patients with a simple fall as the etiology of their injury showed a statistically significant trend to increase with aging. Although no specific distribution or pattern of injury was statistically elucidated, we were able to detect some common features. A high proportion of the old elderly group (5/12) had a type II odontoid fracture. Body fracture of the axis tends to be frequent in the young elderly and traumatic spondylolisthesis and hyperextension teardrop fracture to be frequent in the young adults. In adolescents, a traffic accident as an unbelted rear seat passenger was the most frequent etiology. Among the 103 patients, 16 died during the initial hospitalization. The mortality rate for upper cervical spine injury was similar in all groups. Conclusions In the old elderly, stiffness of the lower cervical spine, caused by degenerative changes and osteopenia, might contribute to upper cervical spine injury in response to low-energy trauma. The disproportion of degenerative change in joints of the upper cervical spine might also contribute to the high frequency of type II odontoid fracture. In young adults, high-energy and hyperextension injury was the most frequent cause of upper cervical spine injury. Cervical Spine (dpeaa)DE-He213 Cervical Spine Injury (dpeaa)DE-He213 Body Fracture (dpeaa)DE-He213 Odontoid Fracture (dpeaa)DE-He213 Lower Cervical Spine (dpeaa)DE-He213 Sakai, Daisuke verfasserin aut Yamamoto, Yukihiro verfasserin aut Sato, Masato verfasserin aut Mochida, Joji verfasserin aut Enthalten in Journal of orthopaedic science Amsterdam : Elsevier, 1996 15(2010), 4 vom: Juli, Seite 485-492 (DE-627)300185928 (DE-600)1481657-X 1436-2023 nnns volume:15 year:2010 number:4 month:07 pages:485-492 https://dx.doi.org/10.1007/s00776-010-1493-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_31 GBV_ILN_95 GBV_ILN_150 GBV_ILN_151 GBV_ILN_267 GBV_ILN_285 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 44.00 ASE 44.83 ASE AR 15 2010 4 07 485-492
spelling	10.1007/s00776-010-1493-x doi (DE-627)SPR007757611 (SPR)s00776-010-1493-x-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.00 bkl 44.83 bkl Watanabe, Masahiko verfasserin aut Upper cervical spine injuries: age-specific clinical features 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background There are few reports on the age-specific clinical features of upper cervical spine injury. To identify these age-specific changes, we reviewed 103 patients with upper cervical spine injury. Methods We subdivided the patients into four groups according to age: 12 patients were classified as old elderly (≥75 years), 18 patients as young elderly (65–74 years), 67 patients as young adults (18–64 years), and 6 patients as adolescents (≤17 years). Data were collected on injury etiology, mortality, neurological deficit, distribution and pattern of injury, degenerative changes of each joint in the upper cervical spine and disc in the cervical spine, and osteoporosis of the axis. Results The proportion of patients with a simple fall as the etiology of their injury showed a statistically significant trend to increase with aging. Although no specific distribution or pattern of injury was statistically elucidated, we were able to detect some common features. A high proportion of the old elderly group (5/12) had a type II odontoid fracture. Body fracture of the axis tends to be frequent in the young elderly and traumatic spondylolisthesis and hyperextension teardrop fracture to be frequent in the young adults. In adolescents, a traffic accident as an unbelted rear seat passenger was the most frequent etiology. Among the 103 patients, 16 died during the initial hospitalization. The mortality rate for upper cervical spine injury was similar in all groups. Conclusions In the old elderly, stiffness of the lower cervical spine, caused by degenerative changes and osteopenia, might contribute to upper cervical spine injury in response to low-energy trauma. The disproportion of degenerative change in joints of the upper cervical spine might also contribute to the high frequency of type II odontoid fracture. In young adults, high-energy and hyperextension injury was the most frequent cause of upper cervical spine injury. Cervical Spine (dpeaa)DE-He213 Cervical Spine Injury (dpeaa)DE-He213 Body Fracture (dpeaa)DE-He213 Odontoid Fracture (dpeaa)DE-He213 Lower Cervical Spine (dpeaa)DE-He213 Sakai, Daisuke verfasserin aut Yamamoto, Yukihiro verfasserin aut Sato, Masato verfasserin aut Mochida, Joji verfasserin aut Enthalten in Journal of orthopaedic science Amsterdam : Elsevier, 1996 15(2010), 4 vom: Juli, Seite 485-492 (DE-627)300185928 (DE-600)1481657-X 1436-2023 nnns volume:15 year:2010 number:4 month:07 pages:485-492 https://dx.doi.org/10.1007/s00776-010-1493-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_31 GBV_ILN_95 GBV_ILN_150 GBV_ILN_151 GBV_ILN_267 GBV_ILN_285 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 44.00 ASE 44.83 ASE AR 15 2010 4 07 485-492
allfields_unstemmed	10.1007/s00776-010-1493-x doi (DE-627)SPR007757611 (SPR)s00776-010-1493-x-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.00 bkl 44.83 bkl Watanabe, Masahiko verfasserin aut Upper cervical spine injuries: age-specific clinical features 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background There are few reports on the age-specific clinical features of upper cervical spine injury. To identify these age-specific changes, we reviewed 103 patients with upper cervical spine injury. Methods We subdivided the patients into four groups according to age: 12 patients were classified as old elderly (≥75 years), 18 patients as young elderly (65–74 years), 67 patients as young adults (18–64 years), and 6 patients as adolescents (≤17 years). Data were collected on injury etiology, mortality, neurological deficit, distribution and pattern of injury, degenerative changes of each joint in the upper cervical spine and disc in the cervical spine, and osteoporosis of the axis. Results The proportion of patients with a simple fall as the etiology of their injury showed a statistically significant trend to increase with aging. Although no specific distribution or pattern of injury was statistically elucidated, we were able to detect some common features. A high proportion of the old elderly group (5/12) had a type II odontoid fracture. Body fracture of the axis tends to be frequent in the young elderly and traumatic spondylolisthesis and hyperextension teardrop fracture to be frequent in the young adults. In adolescents, a traffic accident as an unbelted rear seat passenger was the most frequent etiology. Among the 103 patients, 16 died during the initial hospitalization. The mortality rate for upper cervical spine injury was similar in all groups. Conclusions In the old elderly, stiffness of the lower cervical spine, caused by degenerative changes and osteopenia, might contribute to upper cervical spine injury in response to low-energy trauma. The disproportion of degenerative change in joints of the upper cervical spine might also contribute to the high frequency of type II odontoid fracture. In young adults, high-energy and hyperextension injury was the most frequent cause of upper cervical spine injury. Cervical Spine (dpeaa)DE-He213 Cervical Spine Injury (dpeaa)DE-He213 Body Fracture (dpeaa)DE-He213 Odontoid Fracture (dpeaa)DE-He213 Lower Cervical Spine (dpeaa)DE-He213 Sakai, Daisuke verfasserin aut Yamamoto, Yukihiro verfasserin aut Sato, Masato verfasserin aut Mochida, Joji verfasserin aut Enthalten in Journal of orthopaedic science Amsterdam : Elsevier, 1996 15(2010), 4 vom: Juli, Seite 485-492 (DE-627)300185928 (DE-600)1481657-X 1436-2023 nnns volume:15 year:2010 number:4 month:07 pages:485-492 https://dx.doi.org/10.1007/s00776-010-1493-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_31 GBV_ILN_95 GBV_ILN_150 GBV_ILN_151 GBV_ILN_267 GBV_ILN_285 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 44.00 ASE 44.83 ASE AR 15 2010 4 07 485-492
allfieldsGer	10.1007/s00776-010-1493-x doi (DE-627)SPR007757611 (SPR)s00776-010-1493-x-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.00 bkl 44.83 bkl Watanabe, Masahiko verfasserin aut Upper cervical spine injuries: age-specific clinical features 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background There are few reports on the age-specific clinical features of upper cervical spine injury. To identify these age-specific changes, we reviewed 103 patients with upper cervical spine injury. Methods We subdivided the patients into four groups according to age: 12 patients were classified as old elderly (≥75 years), 18 patients as young elderly (65–74 years), 67 patients as young adults (18–64 years), and 6 patients as adolescents (≤17 years). Data were collected on injury etiology, mortality, neurological deficit, distribution and pattern of injury, degenerative changes of each joint in the upper cervical spine and disc in the cervical spine, and osteoporosis of the axis. Results The proportion of patients with a simple fall as the etiology of their injury showed a statistically significant trend to increase with aging. Although no specific distribution or pattern of injury was statistically elucidated, we were able to detect some common features. A high proportion of the old elderly group (5/12) had a type II odontoid fracture. Body fracture of the axis tends to be frequent in the young elderly and traumatic spondylolisthesis and hyperextension teardrop fracture to be frequent in the young adults. In adolescents, a traffic accident as an unbelted rear seat passenger was the most frequent etiology. Among the 103 patients, 16 died during the initial hospitalization. The mortality rate for upper cervical spine injury was similar in all groups. Conclusions In the old elderly, stiffness of the lower cervical spine, caused by degenerative changes and osteopenia, might contribute to upper cervical spine injury in response to low-energy trauma. The disproportion of degenerative change in joints of the upper cervical spine might also contribute to the high frequency of type II odontoid fracture. In young adults, high-energy and hyperextension injury was the most frequent cause of upper cervical spine injury. Cervical Spine (dpeaa)DE-He213 Cervical Spine Injury (dpeaa)DE-He213 Body Fracture (dpeaa)DE-He213 Odontoid Fracture (dpeaa)DE-He213 Lower Cervical Spine (dpeaa)DE-He213 Sakai, Daisuke verfasserin aut Yamamoto, Yukihiro verfasserin aut Sato, Masato verfasserin aut Mochida, Joji verfasserin aut Enthalten in Journal of orthopaedic science Amsterdam : Elsevier, 1996 15(2010), 4 vom: Juli, Seite 485-492 (DE-627)300185928 (DE-600)1481657-X 1436-2023 nnns volume:15 year:2010 number:4 month:07 pages:485-492 https://dx.doi.org/10.1007/s00776-010-1493-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_31 GBV_ILN_95 GBV_ILN_150 GBV_ILN_151 GBV_ILN_267 GBV_ILN_285 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 44.00 ASE 44.83 ASE AR 15 2010 4 07 485-492
allfieldsSound	10.1007/s00776-010-1493-x doi (DE-627)SPR007757611 (SPR)s00776-010-1493-x-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.00 bkl 44.83 bkl Watanabe, Masahiko verfasserin aut Upper cervical spine injuries: age-specific clinical features 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background There are few reports on the age-specific clinical features of upper cervical spine injury. To identify these age-specific changes, we reviewed 103 patients with upper cervical spine injury. Methods We subdivided the patients into four groups according to age: 12 patients were classified as old elderly (≥75 years), 18 patients as young elderly (65–74 years), 67 patients as young adults (18–64 years), and 6 patients as adolescents (≤17 years). Data were collected on injury etiology, mortality, neurological deficit, distribution and pattern of injury, degenerative changes of each joint in the upper cervical spine and disc in the cervical spine, and osteoporosis of the axis. Results The proportion of patients with a simple fall as the etiology of their injury showed a statistically significant trend to increase with aging. Although no specific distribution or pattern of injury was statistically elucidated, we were able to detect some common features. A high proportion of the old elderly group (5/12) had a type II odontoid fracture. Body fracture of the axis tends to be frequent in the young elderly and traumatic spondylolisthesis and hyperextension teardrop fracture to be frequent in the young adults. In adolescents, a traffic accident as an unbelted rear seat passenger was the most frequent etiology. Among the 103 patients, 16 died during the initial hospitalization. The mortality rate for upper cervical spine injury was similar in all groups. Conclusions In the old elderly, stiffness of the lower cervical spine, caused by degenerative changes and osteopenia, might contribute to upper cervical spine injury in response to low-energy trauma. The disproportion of degenerative change in joints of the upper cervical spine might also contribute to the high frequency of type II odontoid fracture. In young adults, high-energy and hyperextension injury was the most frequent cause of upper cervical spine injury. Cervical Spine (dpeaa)DE-He213 Cervical Spine Injury (dpeaa)DE-He213 Body Fracture (dpeaa)DE-He213 Odontoid Fracture (dpeaa)DE-He213 Lower Cervical Spine (dpeaa)DE-He213 Sakai, Daisuke verfasserin aut Yamamoto, Yukihiro verfasserin aut Sato, Masato verfasserin aut Mochida, Joji verfasserin aut Enthalten in Journal of orthopaedic science Amsterdam : Elsevier, 1996 15(2010), 4 vom: Juli, Seite 485-492 (DE-627)300185928 (DE-600)1481657-X 1436-2023 nnns volume:15 year:2010 number:4 month:07 pages:485-492 https://dx.doi.org/10.1007/s00776-010-1493-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_31 GBV_ILN_95 GBV_ILN_150 GBV_ILN_151 GBV_ILN_267 GBV_ILN_285 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 44.00 ASE 44.83 ASE AR 15 2010 4 07 485-492
language	English
source	Enthalten in Journal of orthopaedic science 15(2010), 4 vom: Juli, Seite 485-492 volume:15 year:2010 number:4 month:07 pages:485-492
sourceStr	Enthalten in Journal of orthopaedic science 15(2010), 4 vom: Juli, Seite 485-492 volume:15 year:2010 number:4 month:07 pages:485-492
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Cervical Spine Cervical Spine Injury Body Fracture Odontoid Fracture Lower Cervical Spine
dewey-raw	610
isfreeaccess_bool	false
container_title	Journal of orthopaedic science
authorswithroles_txt_mv	Watanabe, Masahiko @@aut@@ Sakai, Daisuke @@aut@@ Yamamoto, Yukihiro @@aut@@ Sato, Masato @@aut@@ Mochida, Joji @@aut@@
publishDateDaySort_date	2010-07-01T00:00:00Z
hierarchy_top_id	300185928
dewey-sort	3610
id	SPR007757611
language_de	englisch
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To identify these age-specific changes, we reviewed 103 patients with upper cervical spine injury. Methods We subdivided the patients into four groups according to age: 12 patients were classified as old elderly (≥75 years), 18 patients as young elderly (65–74 years), 67 patients as young adults (18–64 years), and 6 patients as adolescents (≤17 years). Data were collected on injury etiology, mortality, neurological deficit, distribution and pattern of injury, degenerative changes of each joint in the upper cervical spine and disc in the cervical spine, and osteoporosis of the axis. Results The proportion of patients with a simple fall as the etiology of their injury showed a statistically significant trend to increase with aging. Although no specific distribution or pattern of injury was statistically elucidated, we were able to detect some common features. A high proportion of the old elderly group (5/12) had a type II odontoid fracture. Body fracture of the axis tends to be frequent in the young elderly and traumatic spondylolisthesis and hyperextension teardrop fracture to be frequent in the young adults. In adolescents, a traffic accident as an unbelted rear seat passenger was the most frequent etiology. Among the 103 patients, 16 died during the initial hospitalization. The mortality rate for upper cervical spine injury was similar in all groups. Conclusions In the old elderly, stiffness of the lower cervical spine, caused by degenerative changes and osteopenia, might contribute to upper cervical spine injury in response to low-energy trauma. The disproportion of degenerative change in joints of the upper cervical spine might also contribute to the high frequency of type II odontoid fracture. 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author	Watanabe, Masahiko
spellingShingle	Watanabe, Masahiko ddc 610 bkl 44.00 bkl 44.83 misc Cervical Spine misc Cervical Spine Injury misc Body Fracture misc Odontoid Fracture misc Lower Cervical Spine Upper cervical spine injuries: age-specific clinical features
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topic_title	610 ASE 44.00 bkl 44.83 bkl Upper cervical spine injuries: age-specific clinical features Cervical Spine (dpeaa)DE-He213 Cervical Spine Injury (dpeaa)DE-He213 Body Fracture (dpeaa)DE-He213 Odontoid Fracture (dpeaa)DE-He213 Lower Cervical Spine (dpeaa)DE-He213
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title	Upper cervical spine injuries: age-specific clinical features
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title_full	Upper cervical spine injuries: age-specific clinical features
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title_sort	upper cervical spine injuries: age-specific clinical features
title_auth	Upper cervical spine injuries: age-specific clinical features
abstract	Background There are few reports on the age-specific clinical features of upper cervical spine injury. To identify these age-specific changes, we reviewed 103 patients with upper cervical spine injury. Methods We subdivided the patients into four groups according to age: 12 patients were classified as old elderly (≥75 years), 18 patients as young elderly (65–74 years), 67 patients as young adults (18–64 years), and 6 patients as adolescents (≤17 years). Data were collected on injury etiology, mortality, neurological deficit, distribution and pattern of injury, degenerative changes of each joint in the upper cervical spine and disc in the cervical spine, and osteoporosis of the axis. Results The proportion of patients with a simple fall as the etiology of their injury showed a statistically significant trend to increase with aging. Although no specific distribution or pattern of injury was statistically elucidated, we were able to detect some common features. A high proportion of the old elderly group (5/12) had a type II odontoid fracture. Body fracture of the axis tends to be frequent in the young elderly and traumatic spondylolisthesis and hyperextension teardrop fracture to be frequent in the young adults. In adolescents, a traffic accident as an unbelted rear seat passenger was the most frequent etiology. Among the 103 patients, 16 died during the initial hospitalization. The mortality rate for upper cervical spine injury was similar in all groups. Conclusions In the old elderly, stiffness of the lower cervical spine, caused by degenerative changes and osteopenia, might contribute to upper cervical spine injury in response to low-energy trauma. The disproportion of degenerative change in joints of the upper cervical spine might also contribute to the high frequency of type II odontoid fracture. In young adults, high-energy and hyperextension injury was the most frequent cause of upper cervical spine injury.
abstractGer	Background There are few reports on the age-specific clinical features of upper cervical spine injury. To identify these age-specific changes, we reviewed 103 patients with upper cervical spine injury. Methods We subdivided the patients into four groups according to age: 12 patients were classified as old elderly (≥75 years), 18 patients as young elderly (65–74 years), 67 patients as young adults (18–64 years), and 6 patients as adolescents (≤17 years). Data were collected on injury etiology, mortality, neurological deficit, distribution and pattern of injury, degenerative changes of each joint in the upper cervical spine and disc in the cervical spine, and osteoporosis of the axis. Results The proportion of patients with a simple fall as the etiology of their injury showed a statistically significant trend to increase with aging. Although no specific distribution or pattern of injury was statistically elucidated, we were able to detect some common features. A high proportion of the old elderly group (5/12) had a type II odontoid fracture. Body fracture of the axis tends to be frequent in the young elderly and traumatic spondylolisthesis and hyperextension teardrop fracture to be frequent in the young adults. In adolescents, a traffic accident as an unbelted rear seat passenger was the most frequent etiology. Among the 103 patients, 16 died during the initial hospitalization. The mortality rate for upper cervical spine injury was similar in all groups. Conclusions In the old elderly, stiffness of the lower cervical spine, caused by degenerative changes and osteopenia, might contribute to upper cervical spine injury in response to low-energy trauma. The disproportion of degenerative change in joints of the upper cervical spine might also contribute to the high frequency of type II odontoid fracture. In young adults, high-energy and hyperextension injury was the most frequent cause of upper cervical spine injury.
abstract_unstemmed	Background There are few reports on the age-specific clinical features of upper cervical spine injury. To identify these age-specific changes, we reviewed 103 patients with upper cervical spine injury. Methods We subdivided the patients into four groups according to age: 12 patients were classified as old elderly (≥75 years), 18 patients as young elderly (65–74 years), 67 patients as young adults (18–64 years), and 6 patients as adolescents (≤17 years). Data were collected on injury etiology, mortality, neurological deficit, distribution and pattern of injury, degenerative changes of each joint in the upper cervical spine and disc in the cervical spine, and osteoporosis of the axis. Results The proportion of patients with a simple fall as the etiology of their injury showed a statistically significant trend to increase with aging. Although no specific distribution or pattern of injury was statistically elucidated, we were able to detect some common features. A high proportion of the old elderly group (5/12) had a type II odontoid fracture. Body fracture of the axis tends to be frequent in the young elderly and traumatic spondylolisthesis and hyperextension teardrop fracture to be frequent in the young adults. In adolescents, a traffic accident as an unbelted rear seat passenger was the most frequent etiology. Among the 103 patients, 16 died during the initial hospitalization. The mortality rate for upper cervical spine injury was similar in all groups. Conclusions In the old elderly, stiffness of the lower cervical spine, caused by degenerative changes and osteopenia, might contribute to upper cervical spine injury in response to low-energy trauma. The disproportion of degenerative change in joints of the upper cervical spine might also contribute to the high frequency of type II odontoid fracture. In young adults, high-energy and hyperextension injury was the most frequent cause of upper cervical spine injury.
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title_short	Upper cervical spine injuries: age-specific clinical features
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