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Research ArticleEMERGENCY NEURORADIOLOGY

Differences in Cervical Spine Fractures in Patients Younger or Older Than 65 Years of Age: Implications for the Canadian C-Spine Rule

Mahla Radmard, Armin Tafazolimoghadam, Shuchi Zinzuwadia, Akua Afrah Amoah, Arjun Chanmugam and David M. Yousem
American Journal of Neuroradiology October 2024, DOI: https://doi.org/10.3174/ajnr.A8416
Mahla Radmard
aFrom the Russell H. Morgan Department of Radiology and Radiological Science (M.R., S.Z., D.M.Y.), Johns Hopkins Medical Institution, Baltimore, Maryland
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Armin Tafazolimoghadam
bTehran University of Medical Sciences (A.T.), Tehran, Iran
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  • ORCID record for Armin Tafazolimoghadam
Shuchi Zinzuwadia
aFrom the Russell H. Morgan Department of Radiology and Radiological Science (M.R., S.Z., D.M.Y.), Johns Hopkins Medical Institution, Baltimore, Maryland
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Akua Afrah Amoah
cDepartment of Internal Medicine (A.A.A.), Johns Hopkins Medical Institution, Baltimore, Maryland
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Arjun Chanmugam
dDepartment of Emergency Medicine (A.C.), Johns Hopkins Medical Institution, Baltimore, Maryland
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David M. Yousem
aFrom the Russell H. Morgan Department of Radiology and Radiological Science (M.R., S.Z., D.M.Y.), Johns Hopkins Medical Institution, Baltimore, Maryland
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References

  1. 1.↵
    1. Cairns C,
    2. Ashman JJ,
    3. King JM
    . Emergency department visit rates by selected characteristics: United States, 2021. NCHS Data Brief 2023:1–8 pmid:37642973
    PubMed
  2. 2.↵
    1. Weiss AJ,
    2. Reid LD,
    3. Barrett ML
    . Overview of emergency department visits related to injuries, by cause of injury, 2017. Healthcare Cost and Utilization Project (HCUP) Statistical Briefs. Rockville, Maryland. Agency for Healthcare Research and Quality (US; 2006: pmid:33347113
    PubMed
  3. 3.↵
    1. Saragiotto BT,
    2. Maher CG,
    3. Lin CW, et al
    . Canadian C‐spine rule and the National Emergency X‐Radiography Utilization Study (NEXUS) for detecting clinically important cervical spine injury following blunt trauma. 2018; https://doi.org/10.1002%2F14651858.CD012989. Accessed May 15, 2024
  4. 4.↵
    1. Manton KG,
    2. Gu X
    . Changes in the prevalence of chronic disability in the United States black and nonblack population above age 65 from 1982 to 1999. Proc Natl Acad Sci U S A 2001;98:6354–59 doi:10.1073/pnas.111152298 pmid:11344275
    Abstract/FREE Full Text
  5. 5.↵
    1. Arias E,
    2. Xu J
    . United States Life Tables, 2022. Vol.71. 2022. National Vital Statistics Reports https://www.cdc.gov/nchs/data/nvsr/nvsr71/nvsr71-01.pdf. Accessed May 15, 2024
  6. 6.↵
    1. O’Neill A
    . Life expectancy (from birth) in the United States from 1860 to 2020. 2024. https://www.statista.com/statistics/1040079/life-expectancy-united-states-all-time/. Accessed ??????
  7. 7.↵
    Administration for Community Living. 2020 Profile of Older Americans. 2024. https://acl.gov/sites/default/files/aging%20and%20Disability%20In%20America/2020Profileolderamericans.final_.pdf. Accessed ??????
  8. 8.↵
    1. Stiell IG,
    2. Wells GA,
    3. Vandemheen KL, et al
    . The Canadian C-spine rule for radiography in alert and stable trauma patients. JAMA 2001;286:1841–48 doi:10.1001/jama.286.15.1841 pmid:11597285
    CrossRefPubMedWeb of Science
  9. 9.↵
    1. Stiell IG,
    2. Clement CM,
    3. McKnight RD, et al
    . The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. N Engl J Med 2003;349:2510–18 doi:10.1056/NEJMoa031375 pmid:14695411
    CrossRefPubMedWeb of Science
  10. 10.↵
    1. Holmes A,
    2. Wang C,
    3. Han ZH, et al
    . The range and nature of flexion-extension motion in the cervical spine. Spine (Phila Pa 1976) 1994;19:2505–10 doi:10.1097/00007632-199411001-00003 pmid:7855673
    CrossRefPubMed
  11. 11.↵
    1. Ehara S,
    2. Shimamura T
    . Cervical spine injury in the elderly: imaging features. Skeletal Radiology 2001;30:1–7 doi:10.1007/s002560000300 pmid:11289629
    CrossRefPubMed
  12. 12.↵
    1. Blackmore CC,
    2. Emerson SS,
    3. Mann FA, et al
    . Cervical spine imaging in patients with trauma: determination of fracture risk to optimize use. Radiology 1999;211:759–65 doi:10.1148/radiology.211.3.r99jn22759 pmid:10352603
    CrossRefPubMedWeb of Science
  13. 13.↵
    1. Ngo B,
    2. Hoffman JR,
    3. Mower WR
    . Cervical spine injury in the very elderly. Emer Radiol 2000;7:287–91 doi:10.1007/PL00011843
    CrossRef
  14. 14.↵
    1. Lomoschitz FM,
    2. Blackmore CC,
    3. Mirza SK, et al
    . Cervical spine injuries in patients 65 years old and older: epidemiologic analysis regarding the effects of age and injury mechanism on distribution, type, and stability of injuries. AJR Am J Roentgenol 2002;178:573–77 doi:10.2214/ajr.178.3.1780573 pmid:11856676
    CrossRefPubMedWeb of Science
  15. 15.↵
    1. Berkay F,
    2. Minhas A,
    3. Lyons JG, et al
    . Epidemiology of C2 fractures in the United States: a National Electronic Injury Surveillance System database study. J Craniovertebr Junction Spine 2023;14:187–93 doi:10.4103/jcvjs.jcvjs_37_23 pmid:37448502
    CrossRefPubMed
  16. 16.↵
    1. Spivak JM,
    2. Weiss MA,
    3. Cotler JM, et al
    . Cervical spine injuries in patients 65 and older. Spine (Phila Pa 1976) 1994;19:2302–06 doi:10.1097/00007632-199410150-00009 pmid:7846575
    CrossRefPubMed
  17. 17.↵
    1. Weller SJ,
    2. Malek AM,
    3. Rossitch E. Jr.
    . Cervical spine fractures in the elderly. Surg Neurol 1997;47:274–80; discussion 280–81 doi:10.1016/s0090-3019(96)00362-x pmid:9068699
    CrossRefPubMed
  18. 18.↵
    1. Sethi RK,
    2. Kozin ED,
    3. Fagenholz PJ, et al
    . Epidemiological survey of head and neck injuries and trauma in the United States. Otolaryngol Head Neck Surg 2014;151:776–84 doi:10.1177/0194599814546112 pmid:25139950
    CrossRefPubMed
  19. 19.↵
    1. Lieberman IH,
    2. Webb JK
    . Cervical spine injuries in the elderly. J Bone Joint Surg Br 1994;76:877–81 pmid:7983110
    PubMed
  20. 20.↵
    1. Bank M,
    2. Gibbs K,
    3. Sison C, et al
    . Age and other risk factors influencing long-term mortality in patients with traumatic cervical spine fracture. Geriatr Orthop Surg Rehabil 2018;9:2151459318770882 doi:10.1177/2151459318770882 pmid:29760965
    CrossRefPubMed
  21. 21.↵
    1. Mendonça TS,
    2. de Arruda Andrade VD,
    3. Nogarotto Cembraneli P, et al
    . Clinical and radiological differences in patients following traumatic SCI at different ages. Ortop Traumatol Rehabil 2021;23:305–14 doi:10.5604/01.3001.0015.2368 pmid:34511425
    CrossRefPubMed
  22. 22.↵
    1. Radmard M,
    2. Tafazolimoghadam A,
    3. Hoseinyazdi M, et al
    . Is older age an appropriate criterion alone for ordering cervical spine CT after trauma. Acad Emerg Med 2024 Jun 38 [Epub ahead of print] doi:10.1111/acem.14976 pmid:38940447
    CrossRefPubMed
  23. 23.↵
    1. Asemota AO,
    2. Ahmed AK,
    3. Purvis TE, et al
    . Analysis of cervical spine injuries in elderly patients from 2001 to 2010 using a nationwide database: increasing incidence, overall mortality, and inpatient hospital charges. World Neurosurg 2018;120:e114–30 doi:10.1016/j.wneu.2018.07.228 pmid:30077751
    CrossRefPubMed
  24. 24.↵
    1. Rizvi SA,
    2. Helseth E,
    3. Harr ME, et al
    . Management and long-term outcome of type II acute odontoid fractures: a population-based consecutive series of 282 patients. Spine J 2021;21:627–37 doi:10.1016/j.spinee.2020.11.012 pmid:33346157
    CrossRefPubMed
  25. 25.↵
    1. Yokogawa N,
    2. Kato S,
    3. Sasagawa T, et al
    . Differences in clinical characteristics of cervical spine injuries in older adults by external causes: a multicenter study of 1512 cases. Sci Rep 2022;12:15867 doi:10.1038/s41598-022-19789-y pmid:36151125
    CrossRefPubMed
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Mahla Radmard, Armin Tafazolimoghadam, Shuchi Zinzuwadia, Akua Afrah Amoah, Arjun Chanmugam, David M. Yousem
Differences in Cervical Spine Fractures in Patients Younger or Older Than 65 Years of Age: Implications for the Canadian C-Spine Rule
American Journal of Neuroradiology Oct 2024, DOI: 10.3174/ajnr.A8416

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Differences in Cervical Spine Fractures in Patients Younger or Older Than 65 Years of Age: Implications for the Canadian C-Spine Rule
Mahla Radmard, Armin Tafazolimoghadam, Shuchi Zinzuwadia, Akua Afrah Amoah, Arjun Chanmugam, David M. Yousem
American Journal of Neuroradiology Oct 2024, DOI: 10.3174/ajnr.A8416
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