Shifting Perspectives: Equal Blunt Cerebrovascular Risk in Low-Versus High-Energy Cervical Fracture

Clinical implications of screening for blunt cerebrovascular injury (BCVI) after low-energy mechanisms of injury (LEMI) remain unclear. We assessed BCVI incidence and outcomes in LEMI versus high-energy mechanisms of injury (HEMI) patients. In this retrospective cohort study, blunt trauma adults adm...

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Bibliographic Details
Published in:The Journal of surgical research 2024-08, Vol.300, p.63-70
Main Authors: Turaczyk Kolodziej, David A., Lung, Michael, Lilienthal, Michele, Galet, Colette, Mani, Vishnu, Skeete, Dionne
Format: Article
Language:English
Subjects:
Antithrombotic
Blunt cerebrovascular injury
Cervical spine fracture
Low-energy mechanism of injury
Outcomes
Screening
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Summary:Clinical implications of screening for blunt cerebrovascular injury (BCVI) after low-energy mechanisms of injury (LEMI) remain unclear. We assessed BCVI incidence and outcomes in LEMI versus high-energy mechanisms of injury (HEMI) patients. In this retrospective cohort study, blunt trauma adults admitted between July 2015 and June 2021 with cervical spine fractures, excluding single spinous process, osteophyte, and chronic fractures were included. Demographics, comorbidities, injuries, screening and treatment data, iatrogenic complications, and mortality were collected. Our primary end point was to compare BCVI rates between LEMI and HEMI patients. Eight hundred sixty patients (78%) were screened for BCVI; 120 were positive for BCVI. LEMI and HEMI groups presented similar BCVI rates (12.6% versus 14.4%; P = 0.640). Compared to HEMI patients (n = 95), LEMI patients (n = 25) were significantly older (79 ± 14.9 versus 54.3 ± 17.4, P 
ISSN:0022-4804
1095-8673
1095-8673
DOI:10.1016/j.jss.2024.04.058