Occurrence and prognostic effect of cervical spine injuries and cervical artery injuries with concomitant severe head injury.

ABSTRACT:

Background

Blunt cerebrovascular injuries (BCVIs) and cervical spinal injuries (CSIs) are not uncommon injuries in patients with severe head injury and may affect patient recovery. We aimed to assess the independent relationship between BCVI, CSI, and outcome in patients with severe head injury.

Methods

We identified patients with severe head injury from the Helsinki Trauma Registry treated during 2015-2017 in a large level 1 trauma hospital. We assessed the association between BCVI and SCI using multivariable logistic regression, adjusting for injury severity. Our primary outcome was functional outcome at 6 months, and our secondary outcome was 6-month mortality.

Results

Of 255 patients with a cervical spine CT, 26 patients (10%) had a CSI, and of 194 patients with c

SUBMITTER: Vehvilainen J 

PROVIDER: S-EPMC7235059 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature