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Factors Associated with Blunt Cerebrovascular Injury in Patients with Cervical Spine Injury
Blunt cerebrovascular injury (BCVI) is known to be a potentially fatal complication of cervical spine injury (CSI). Methods for screening the appropriate population remain to be elucidated, especially in Japan. This retrospective study was conducted to predict the risk factors relevant to BCVIs. Amo...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japan Neurosurgical Society
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533431/ https://www.ncbi.nlm.nih.gov/pubmed/24390186 http://dx.doi.org/10.2176/nmc.oa.2013-0135 |
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author | NAKAJIMA, Hiroyuki NEMOTO, Manabu TORIO, Tetsuya TAKEDA, Ririko OOIGAWA, Hidetoshi ARAKI, Ryuichiro KURITA, Hiroki |
author_facet | NAKAJIMA, Hiroyuki NEMOTO, Manabu TORIO, Tetsuya TAKEDA, Ririko OOIGAWA, Hidetoshi ARAKI, Ryuichiro KURITA, Hiroki |
author_sort | NAKAJIMA, Hiroyuki |
collection | PubMed |
description | Blunt cerebrovascular injury (BCVI) is known to be a potentially fatal complication of cervical spine injury (CSI). Methods for screening the appropriate population remain to be elucidated, especially in Japan. This retrospective study was conducted to predict the risk factors relevant to BCVIs. Among 92 patients with CSI transferred to our institution from April 2007 to March 2012, 40 patients (35 men, 5 women) with neurological deficits and/or significant cervical spine fracture including fracture of transversarium, facet, body, lamina, and spinous process, underwent multi-detector computed tomography angiography (MDCTA) and magnetic resonance angiography (MRA), which identified 10 patients with BCVI [2 carotid artery injuries (BCAIs) and 9 vertebral artery injuries (BVAIs); 1 patient suffered both]. Univariate analyses exploring associations between individual risk factors and BCVI and BVAI were performed using Fisher's exact test and Chi-square test for dichotomous variables and the unpaired t-test for continuous variables. Multiple logistic regression analyses for BCVI and BVAI were carried out using stepwise methods. On univariate and multivariate analysis, hyperextension injury was significantly associated with BVAI (p = 0.01 and p = 0.02), and subluxation (dislocation of vertebral body > 5 mm) was a significant predictor of BCVI (p = 0.04 and p = 0.03) and BVAI (p = 0.01 and p = 0.01). Prompt evaluation for BCVIs is recommended in CSI patients with hyperextension injury and dislocation of the vertebral body. |
format | Online Article Text |
id | pubmed-4533431 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | The Japan Neurosurgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-45334312015-11-05 Factors Associated with Blunt Cerebrovascular Injury in Patients with Cervical Spine Injury NAKAJIMA, Hiroyuki NEMOTO, Manabu TORIO, Tetsuya TAKEDA, Ririko OOIGAWA, Hidetoshi ARAKI, Ryuichiro KURITA, Hiroki Neurol Med Chir (Tokyo) Original Article Blunt cerebrovascular injury (BCVI) is known to be a potentially fatal complication of cervical spine injury (CSI). Methods for screening the appropriate population remain to be elucidated, especially in Japan. This retrospective study was conducted to predict the risk factors relevant to BCVIs. Among 92 patients with CSI transferred to our institution from April 2007 to March 2012, 40 patients (35 men, 5 women) with neurological deficits and/or significant cervical spine fracture including fracture of transversarium, facet, body, lamina, and spinous process, underwent multi-detector computed tomography angiography (MDCTA) and magnetic resonance angiography (MRA), which identified 10 patients with BCVI [2 carotid artery injuries (BCAIs) and 9 vertebral artery injuries (BVAIs); 1 patient suffered both]. Univariate analyses exploring associations between individual risk factors and BCVI and BVAI were performed using Fisher's exact test and Chi-square test for dichotomous variables and the unpaired t-test for continuous variables. Multiple logistic regression analyses for BCVI and BVAI were carried out using stepwise methods. On univariate and multivariate analysis, hyperextension injury was significantly associated with BVAI (p = 0.01 and p = 0.02), and subluxation (dislocation of vertebral body > 5 mm) was a significant predictor of BCVI (p = 0.04 and p = 0.03) and BVAI (p = 0.01 and p = 0.01). Prompt evaluation for BCVIs is recommended in CSI patients with hyperextension injury and dislocation of the vertebral body. The Japan Neurosurgical Society 2014-05 2013-12-27 /pmc/articles/PMC4533431/ /pubmed/24390186 http://dx.doi.org/10.2176/nmc.oa.2013-0135 Text en © 2014 The Japan Neurosurgical Society This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Original Article NAKAJIMA, Hiroyuki NEMOTO, Manabu TORIO, Tetsuya TAKEDA, Ririko OOIGAWA, Hidetoshi ARAKI, Ryuichiro KURITA, Hiroki Factors Associated with Blunt Cerebrovascular Injury in Patients with Cervical Spine Injury |
title | Factors Associated with Blunt Cerebrovascular Injury in Patients with Cervical Spine Injury |
title_full | Factors Associated with Blunt Cerebrovascular Injury in Patients with Cervical Spine Injury |
title_fullStr | Factors Associated with Blunt Cerebrovascular Injury in Patients with Cervical Spine Injury |
title_full_unstemmed | Factors Associated with Blunt Cerebrovascular Injury in Patients with Cervical Spine Injury |
title_short | Factors Associated with Blunt Cerebrovascular Injury in Patients with Cervical Spine Injury |
title_sort | factors associated with blunt cerebrovascular injury in patients with cervical spine injury |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533431/ https://www.ncbi.nlm.nih.gov/pubmed/24390186 http://dx.doi.org/10.2176/nmc.oa.2013-0135 |
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