The Secondary Contiguous or Non-contiguous Subchondral Bone Impactions in Subaxial Cervical Spinal Injury: Incidence and Associated Primary Injury Patterns

2014 ◽  
Vol 18 (3) ◽  
pp. 232
Author(s):  
Jun Gu Han ◽  
Yeo Ju Kim ◽  
Seung Hwan Yoon ◽  
Kyu Jung Cho ◽  
Eugene Kim ◽  
...  
Keyword(s):  
Subchondral Bone ◽  
Spinal Injury ◽  
Injury Incidence ◽  
Injury Patterns ◽  
Primary Injury ◽  
Cervical Spinal Injury

Airway Management in Adults after Cervical Spine Trauma

2006 ◽  
Vol 104 (6) ◽  
pp. 1293-1318 ◽  
Author(s):  
Edward T. Crosby ◽  
David C. Warltier
Keyword(s):  
Airway Management ◽  
Spinal Injury ◽  
Standard Of Care ◽  
Outcome Data ◽  
Neurologic Injury ◽  
Spinal Movement ◽  
Imaging Strategy ◽  
Ray Series ◽  
Primary Injury ◽  
Cervical Spinal Injury

Cervical spinal injury occurs in 2% of victims of blunt trauma; the incidence is increased if the Glasgow Coma Scale score is less than 8 or if there is a focal neurologic deficit. Immobilization of the spine after trauma is advocated as a standard of care. A three-view x-ray series supplemented with computed tomography imaging is an effective imaging strategy to rule out cervical spinal injury. Secondary neurologic injury occurs in 2-10% of patients after cervical spinal injury; it seems to be an inevitable consequence of the primary injury in a subpopulation of patients. All airway interventions cause spinal movement; immobilization may have a modest effect in limiting spinal movement during airway maneuvers. Many anesthesiologists state a preference for the fiberoptic bronchoscope to facilitate airway management, although there is considerable, favorable experience with the direct laryngoscope in cervical spinal injury patients. There are no outcome data that would support a recommendation for a particular practice option for airway management; a number of options seem appropriate and acceptable.

Diaphragmatic pacemaker as an alternative to mechanical ventilation in patients with cervical spinal injury

2011 ◽  
Vol 35 (1) ◽  
pp. 13-21
Author(s):  
F.J. Romero-Ganuza ◽  
C. Gambarrutta-Malfatti ◽  
E. Diez de la Lastra-Buigues ◽  
M.Á. Marín-Ruiz ◽  
V.E. Merlo-González ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Spinal Injury ◽  
Cervical Spinal Injury

scholarly journals Impact of cervical spinal cord contusion on the breathing pattern across the sleep-wake cycle in the rat

2019 ◽  
Vol 126 (1) ◽  
pp. 111-123 ◽  
Author(s):  
Kun-Ze Lee
Keyword(s):  
Spinal Cord ◽  
Tidal Volume ◽  
Spinal Injury ◽  
Cervical Spinal Cord ◽  
Minute Ventilation ◽  
Respiratory Frequency ◽  
Breathing Patterns ◽  
Cord Injury ◽  
Spinal Contusion ◽  
Cervical Spinal Injury

The present study was designed to investigate breathing patterns across the sleep-wake state following a high cervical spinal injury in rats. The breathing patterns (e.g., respiratory frequency, tidal volume, and minute ventilation), neck electromyogram, and electroencephalography of unanesthetized adult male rats were measured at the acute (i.e., 1 day), subchronic (i.e., 2 wk), and/or chronic (i.e., 6 wk) injured stages after unilateral contusion of the second cervical spinal cord. Cervical spinal cord injury caused a long-term reduction in the tidal volume but did not influence the sleep-wake cycle duration. The minute ventilation during sleep was usually lower than that during the wake period in uninjured animals due to a decrease in respiratory frequency. However, this sleep-induced reduction in respiratory frequency was not observed in contused animals at the acute injured stage. By contrast, the tidal volume was significantly lower during sleep in contused animals but not uninjured animals from the acute to the chronic injured stage. Moreover, the frequency of sigh and postsigh apnea was elevated in acutely contused animals. These results indicated that high cervical spinal contusion is associated with exacerbated sleep-induced attenuation of the tidal volume and higher occurrence of sleep apnea, which may be detrimental to respiratory functional recovery after cervical spinal cord injury. NEW & NOTEWORTHY Cervical spinal injury is usually associated with sleep-disordered breathing. The present study investigated breathing patterns across sleep-wake state following cervical spinal injury in the rat. Unilateral cervical spinal contusion significantly impacted sleep-induced alteration of breathing patterns, showing a blunted frequency response and exacerbated attenuated tidal volume and occurrence of sleep apnea. The result enables us to investigate effects of cervical spinal injury on the pathogenesis of sleep-disordered breathing and evaluate potential therapies to improve respiration.

scholarly journals Injury patterns of South African international cricket players over a two-season period

2011 ◽  
Vol 23 (2) ◽  
pp. 45 ◽  
Author(s):  
RA Stretch ◽  
RP Raffan
Keyword(s):  
South African ◽  
Exposure Time ◽  
Lower Limbs ◽  
Anatomical Site ◽  
Injury Incidence ◽  
International Level ◽  
Mechanism Of Injury ◽  
Injury Patterns ◽  
Prevalence Data ◽  
Acute Injuries

Objective. The aim of the study was to determine the incidence and nature of injury patterns of South African international cricket players. Methods. A questionnaire was completed for each cricketer who presented with an injury during the 2004 - 2005 (S1) and 2005 - 2006 (S2) cricket seasons to determine the anatomical site, month, diagnosis and mechanism of injury. Results. The results showed that 113 injuries were sustained, with a match exposure time of 1 906 hours for one-day internationals (ODIs) and 5 070 hours for test matches. The injury prevalence was 4% per match, while the incidence of injury was 90 injuries per 10 000 hours of matches. Injuries occurred mostly to the lower limbs, back and trunk, upper limbs and head and neck. The injuries occurred primarily during test matches (43%), practices (20%) and practices and matches (19%). Acute injuries comprised 87% of the injuries. The major injuries during S1 were haematomas (20 %), muscle strains (14%) and other trauma (20%), while during S2 the injuries were primarily muscle strains (16%), other trauma (32%), tendinopathy (10%) and acute sprains (12%). The primary mechanisms of injury occurred when bowling (67%), on impact by the ball (batting – 65%, fielding – 26%) and when sliding for the ball (19%). Conclusion. The study provided prospective injury incidence and prevalence data for South African cricketers playing at international level over a two-season period, high-lighting the increased injury prevalence for away matches and an increased match injury incidence for test and ODI matches possibly as a result of increased match exposure time.

scholarly journals Retrospective Review of Injury Patterns Among Ghanaian Footballers During the 2009-2010 League Season

2020 ◽  
Vol 2 (1) ◽  
pp. 61-67
Author(s):  
Maxwell Larwch ◽  
◽  
Jonathan Quartey ◽  
Samuel Koranteng Kwakye ◽  
◽  
...  
Keyword(s):  
Retrospective Review ◽  
Body Part ◽  
First Aid ◽  
Football Players ◽  
Injury Incidence ◽  
Professional Football ◽  
Mechanism Of Injury ◽  
Injury Patterns ◽  
Premier League ◽  
Mental Demands

BackgroundThe increased popularity of football in addition to the physical and mental demands placed on players increase the risk of soccer injuries. We set out to identify injury patterns among footballers involved in selected Glo sponsored Ghana premier league games during the 2009/2010 season.MethodologyDigital video compact discs (DVDs) of thirty randomly selected 2009/2010 matches were acquired for the study from the Ghana Football Association. A Samsung DVD player and television set were used to playback and watch the matches. The researchers stopped the video immediately an injury occurred and the disc was then put in slow playback movement whilst the occurrence of injury was recorded on an injury report form.All statistical analyses were performed using SPSS version 20.ResultsA total of 139 injuries were recorded during the study with an average injury incidence of 4.63±1.99 injuries per match. Tackling attempts (51.1%) was the predominant mechanism of injury with the ankle (26.6%) being the most injured body part. There was a significant association between player position and number of injuries suffered (p=0.038) and a significant association observed between player position and severity of injuries (p = 0.042). The uses of icepack (34.5%) and vapocoolant spray (32.4%) were the most common first aid treatment for the injuries sustained.ConclusionThe study indicated that professional football players in Ghana are exposed to high injury risks as evident by the relatively high injury incidence. Keywords: Football, footballers,playback, injuries, digital video compact discs

scholarly journals Anterior Cervical Decompression, Fusion, and Stabilization by Cervical Plate and Screw for Traumatic Lower Cervical Spinal Injury: A Series of 62 Patients

2016 ◽  
Vol 6 (1_suppl) ◽  
pp. s-0036-1582996-s-0036-1582996
Author(s):  
Sharif Ahmed Jonayed ◽  
Shah Alam ◽  
Rezaul Karim ◽  
Shubhendu Chakraborty ◽  
Tashfique Alam
Keyword(s):  
Spinal Injury ◽  
Anterior Cervical Decompression ◽  
Cervical Plate ◽  
Cervical Spinal Injury

scholarly journals MP13: Injuries presenting to the ED following jumps from bridges into water: a multi-agency retrospective case series

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S47-S47
Author(s):  
D. Stephanian ◽  
D. Shearer ◽  
N. Bandara ◽  
J. Brubacher
Keyword(s):  
Injury Severity ◽  
Cold Water ◽  
Mild Hypothermia ◽  
Water Immersion ◽  
Case Series ◽  
Incidence Rates ◽  
Coast Guard ◽  
Injury Incidence ◽  
Injury Patterns ◽  
Retrospective Case

Introduction: Suicidal jumps from bridges into water are a unique blunt trauma mechanism. Impact into water produces substantial variation in injuries as compared to falls onto hard surfaces. Outcomes can be further complicated by submersion injuries. We identified cases through a multi-agency review in order to analyze injury patterns seen in EDs. Methods: Cases in British Columbia's Lower Mainland of jumps from bridges >12m into water between 2006 and 2017 were identified by retrospective review of Coast Guard and Police records. Records pertaining to identified incidents were located in ambulance and then hospital records. This multi-agency approach was necessary to generate a comprehensive case series, as case identification was not possible at the hospital level. Patient hospital charts were abstracted and injury incidence rates were analyzed. Results: Records were available for 41 of 52 patients. The population was 63% (26/41) male, median age 37 (IQR 29-48). Thirty-two cases were admitted to hospital, seven were deceased in the ED, one was discharged, and disposition is unknown for one. Most patients (85%) presented to Level One trauma centers. Bridge heights ranged from 15m to 70m; the mean fall height was 40.1m. Pulmonary injuries were nearly universal, including pneumothorax (51%), haemothorax (22%), and pulmonary infiltrate (34%). The primary cardiovascular concern was cardiac arrhythmia (51%). A quarter of cases had intraabdominal lacerations or ruptures (27%). Vertebral fractures at all levels were frequent (59%), although there was only one case each of cord transection and contusion. Neurological injuries were rare; 59% of patients presented to the ED with GCS ≥14 and the incidence of intracranial bleeding was low (7%). Rib fractures were commonly reported (37%) along with other fractures (32%). Body temperature was reported in 24 cases with 3 reports of moderate and 6 reports of mild hypothermia. Conclusion: This case series is the first to characterize injury patterns of jumps from bridges into water in Canada. Patterns are similar to reports in the literature from other countries. However, we found lower injury severity, and higher incidences of spinal fractures and cardiac arrhythmias. The low injury severity reflects the survivorship bias inherent to the sample: data was only obtained from patients who survived to be assessed the ED. These results suggest that patients with this mechanism of injury should be treated for both suspected trauma and cold-water immersion injuries.

scholarly journals Catastrophic cervical spinal injury in an amateur college wrestler

2017 ◽  
pp. bcr-2017-220260 ◽  
Author(s):  
Jayakrishnan Kelamangalathu Narayana Kurup ◽  
Ravitheja Jampani ◽  
Simanchal P Mohanty
Keyword(s):  
Spinal Injury ◽  
Cervical Spinal Injury
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