Scientific Reports (Sep 2022)
Differences in clinical characteristics of cervical spine injuries in older adults by external causes: a multicenter study of 1512 cases
- Noriaki Yokogawa,
- Satoshi Kato,
- Takeshi Sasagawa,
- Hiroyuki Hayashi,
- Hiroyuki Tsuchiya,
- Kei Ando,
- Hiroaki Nakashima,
- Naoki Segi,
- Toru Funayama,
- Fumihiko Eto,
- Akihiro Yamaji,
- Satoshi Nori,
- Junichi Yamane,
- Takeo Furuya,
- Atsushi Yunde,
- Hideaki Nakajima,
- Tomohiro Yamada,
- Tomohiko Hasegawa,
- Yoshinori Terashima,
- Ryosuke Hirota,
- Hidenori Suzuki,
- Yasuaki Imajo,
- Shota Ikegami,
- Masashi Uehara,
- Hitoshi Tonomura,
- Munehiro Sakata,
- Ko Hashimoto,
- Yoshito Onoda,
- Kenichi Kawaguchi,
- Yohei Haruta,
- Nobuyuki Suzuki,
- Kenji Kato,
- Hiroshi Uei,
- Hirokatsu Sawada,
- Kazuo Nakanishi,
- Kosuke Misaki,
- Hidetomi Terai,
- Koji Tamai,
- Eiki Shirasawa,
- Gen Inoue,
- Kenichiro Kakutani,
- Yuji Kakiuchi,
- Katsuhito Kiyasu,
- Hiroyuki Tominaga,
- Hiroto Tokumoto,
- Yoichi Iizuka,
- Eiji Takasawa,
- Koji Akeda,
- Norihiko Takegami,
- Haruki Funao,
- Yasushi Oshima,
- Takashi Kaito,
- Daisuke Sakai,
- Toshitaka Yoshii,
- Tetsuro Ohba,
- Bungo Otsuki,
- Shoji Seki,
- Masashi Miyazaki,
- Masayuki Ishihara,
- Seiji Okada,
- Shiro Imagama,
- Kota Watanabe
Affiliations
- Noriaki Yokogawa
- Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University
- Satoshi Kato
- Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University
- Takeshi Sasagawa
- Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University
- Hiroyuki Hayashi
- Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University
- Hiroyuki Tsuchiya
- Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University
- Kei Ando
- Department of Orthopedic Surgery, Nagoya University, Graduate School of Medicine
- Hiroaki Nakashima
- Department of Orthopedic Surgery, Nagoya University, Graduate School of Medicine
- Naoki Segi
- Department of Orthopedic Surgery, Nagoya University, Graduate School of Medicine
- Toru Funayama
- Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba
- Fumihiko Eto
- Department of Orthopaedic Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
- Akihiro Yamaji
- Department of Orthopaedic Surgery, Ibaraki Seinan Medical Center Hospital
- Satoshi Nori
- Department of Orthopaedic Surgery, Keio University School of Medicine
- Junichi Yamane
- Department of Orthopaedic Surgery, National Hospital Organization Murayama Medical Center
- Takeo Furuya
- Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
- Atsushi Yunde
- Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
- Hideaki Nakajima
- Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of Fukui
- Tomohiro Yamada
- Department of Orthopaedic Surgery, Hamamatsu University School of Medicine
- Tomohiko Hasegawa
- Department of Orthopaedic Surgery, Hamamatsu University School of Medicine
- Yoshinori Terashima
- Department of Orthopaedic Surgery, Sapporo Medical University
- Ryosuke Hirota
- Department of Orthopaedic Surgery, Sapporo Medical University
- Hidenori Suzuki
- Department of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine
- Yasuaki Imajo
- Department of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine
- Shota Ikegami
- Department of Orthopaedic Surgery, Shinshu University School of Medicine
- Masashi Uehara
- Department of Orthopaedic Surgery, Shinshu University School of Medicine
- Hitoshi Tonomura
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
- Munehiro Sakata
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
- Ko Hashimoto
- Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine
- Yoshito Onoda
- Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine
- Kenichi Kawaguchi
- Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University
- Yohei Haruta
- Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University
- Nobuyuki Suzuki
- Department of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences
- Kenji Kato
- Department of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences
- Hiroshi Uei
- Department of Orthopaedic Surgery, Nihon University Hospital
- Hirokatsu Sawada
- Department of Orthopaedic Surgery, Nihon University School of Medicine
- Kazuo Nakanishi
- Department of Orthopedics, Traumatology and Spine Surgery, Kawasaki Medical School
- Kosuke Misaki
- Department of Orthopedics, Traumatology and Spine Surgery, Kawasaki Medical School
- Hidetomi Terai
- Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
- Koji Tamai
- Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
- Eiki Shirasawa
- Department of Orthopaedic Surgery, Kitasato University School of Medicine
- Gen Inoue
- Department of Orthopaedic Surgery, Kitasato University School of Medicine
- Kenichiro Kakutani
- Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine
- Yuji Kakiuchi
- Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine
- Katsuhito Kiyasu
- Department of Orthopaedic Surgery, Kochi Medical School, Kochi University
- Hiroyuki Tominaga
- Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University
- Hiroto Tokumoto
- Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University
- Yoichi Iizuka
- Department of Orthopaedic Surgery, Gunma University, Graduate School of Medicine
- Eiji Takasawa
- Department of Orthopaedic Surgery, Gunma University, Graduate School of Medicine
- Koji Akeda
- Department of Orthopaedic Surgery, Mie University Graduate School of Medicine
- Norihiko Takegami
- Department of Orthopaedic Surgery, Mie University Graduate School of Medicine
- Haruki Funao
- Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare
- Yasushi Oshima
- Department of Orthopaedic Surgery, The University of Tokyo Hospital
- Takashi Kaito
- Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine
- Daisuke Sakai
- Department of Orthopedics Surgery, Surgical Science, Tokai University School of Medicine
- Toshitaka Yoshii
- Department of Orthopaedic Surgery, Tokyo Medical and Dental University
- Tetsuro Ohba
- Department of Orthopaedic Surgery, University of Yamanashi
- Bungo Otsuki
- Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University
- Shoji Seki
- Department of Orthopaedic Surgery, Faculty of Medicine, University of Toyama
- Masashi Miyazaki
- Department of Orthopaedic Surgery, Faculty of Medicine, Oita University
- Masayuki Ishihara
- Department of Orthopaedic Surgery, Kansai Medical University Hospital
- Seiji Okada
- Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine
- Shiro Imagama
- Department of Orthopedic Surgery, Nagoya University, Graduate School of Medicine
- Kota Watanabe
- Department of Orthopaedic Surgery, Keio University School of Medicine
- DOI
- https://doi.org/10.1038/s41598-022-19789-y
- Journal volume & issue
-
Vol. 12,
no. 1
pp. 1 – 10
Abstract
Abstract Although traumatic cervical spine injuries in older adults are commonly caused by minor traumas, such as ground-level falls, their prognosis is often unfavorable. Studies examining the clinical characteristics of cervical spine injuries in older adults according to the external cause of injury are lacking. This study included 1512 patients of ≥ 65 years of age with traumatic cervical spine injuries registered in a Japanese nationwide multicenter database. The relationship between the external causes and clinical characteristics, as well as factors causing unfavorable outcomes at the ground-level falls, were retrospectively reviewed and examined. When fall-induced cervical spine injuries were categorized and compared based on fall height, the patients’ backgrounds and injury statuses differed significantly. Of note, patients injured from ground-level falls tended to have poorer pre-injury health conditions, such as medical comorbidities and frailty, compared with those who fell from higher heights. For ground-level falls, the mortality, walking independence, and home-discharge rates at 6 months post-injury were 9%, 67%, and 80%, respectively, with preexisting medical comorbidities and frailty associated with unfavorable outcomes, independent of age or severity of neurological impairment at the time of injury.
