Cervical fractures with associated spinal cord injury in children and adolescents

epidemiology, costs, and in-hospital mortality rates in 4418 patients

Amit Jain, Jaysson T. Brooks, Sandesh S. Rao, Michael Ain, Paul David Sponseller

Research output: Contribution to journalArticle

Abstract

Background: Cervical spine fractures with spinal cord injury (CFSCI) can be devastating. We describe the epidemiology of children and adolescents with CFSCI. Methods: Using the Nationwide Inpatient Sample (NIS) database, we identified 4418 patients (≤18 years old) who had CFSCI from 2000 through 2010. Outcomes of interest were patient characteristics (age, sex), injury characteristics [fracture location, spinal cord injury (SCI) pattern], economic variables (duration of hospital stay, total hospital charges), and mortality. Results: Upper cervical fractures (UCFs) occurred half as often (31.4 %) as lower cervical fractures (LCFs; 68.8 %). Among patients

Original languageEnglish (US)
Pages (from-to)171-175
Number of pages5
JournalJournal of Children's Orthopaedics
Volume9
Issue number3
DOIs
StatePublished - May 8 2015

Fingerprint

Hospital Mortality
Spinal Cord Injuries
Epidemiology
Costs and Cost Analysis
Spine
Mortality
Hospital Charges
Sex Characteristics
Inpatients
Length of Stay
Economics
Databases
Wounds and Injuries

Keywords

  • Cervical spine
  • Children
  • Death
  • Spinal cord injury
  • Trauma

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

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abstract = "Background: Cervical spine fractures with spinal cord injury (CFSCI) can be devastating. We describe the epidemiology of children and adolescents with CFSCI. Methods: Using the Nationwide Inpatient Sample (NIS) database, we identified 4418 patients (≤18 years old) who had CFSCI from 2000 through 2010. Outcomes of interest were patient characteristics (age, sex), injury characteristics [fracture location, spinal cord injury (SCI) pattern], economic variables (duration of hospital stay, total hospital charges), and mortality. Results: Upper cervical fractures (UCFs) occurred half as often (31.4 {\%}) as lower cervical fractures (LCFs; 68.8 {\%}). Among patients",
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AU - Rao, Sandesh S.

AU - Ain, Michael

AU - Sponseller, Paul David

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AB - Background: Cervical spine fractures with spinal cord injury (CFSCI) can be devastating. We describe the epidemiology of children and adolescents with CFSCI. Methods: Using the Nationwide Inpatient Sample (NIS) database, we identified 4418 patients (≤18 years old) who had CFSCI from 2000 through 2010. Outcomes of interest were patient characteristics (age, sex), injury characteristics [fracture location, spinal cord injury (SCI) pattern], economic variables (duration of hospital stay, total hospital charges), and mortality. Results: Upper cervical fractures (UCFs) occurred half as often (31.4 %) as lower cervical fractures (LCFs; 68.8 %). Among patients

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