The impact of body mass index on severity of cervical spine fracture: A retrospective cohort study
BACKGROUND: No study has evaluated the relationship between increasing BMI and severity/type of cervical spine injuries. AIMS AND OBJECTIVES: The objective of our study was to study the impact of body mass index (BMI) on severity of cervical spine fracture. METHODS: We performed a retrospective coho...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008661/ https://www.ncbi.nlm.nih.gov/pubmed/32089615 http://dx.doi.org/10.4103/jcvjs.JCVJS_95_19 |
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author | Choo, Stephanie Jain, Nikhil Malik, Azeem Tariq Gennell, Tania Yu, Elizabeth |
author_facet | Choo, Stephanie Jain, Nikhil Malik, Azeem Tariq Gennell, Tania Yu, Elizabeth |
author_sort | Choo, Stephanie |
collection | PubMed |
description | BACKGROUND: No study has evaluated the relationship between increasing BMI and severity/type of cervical spine injuries. AIMS AND OBJECTIVES: The objective of our study was to study the impact of body mass index (BMI) on severity of cervical spine fracture. METHODS: We performed a retrospective cohort study of patients with traumatic cervical spine fractures at a level I trauma center over a 74-year period. CT scans of the cervical spine were blindly graded according to the AO Spine sub-axial cervical spine classification. The association between BMI and severity of cervical spine fracture was studied by multiple-variable logistic regression. RESULTS: A total of 291 patients with an average BMI of 26.1 ± 5.4 kg/m(2) were studied. Higher BMI was not associated with more severe injury (OR 1.03, 95%, CI: 0.97–1.08). For rollover motor vehicle accident (MVA), the association was trending towards significance (OR 2.55, 95%, CI: 0.98-6.66, P = 0.06). CONCLUSIONS: Patients with higher BMI may be predisposed to more severe cervical spine fracture in rollover MVA, but not non-rollover MVA or falls. |
format | Online Article Text |
id | pubmed-7008661 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-70086612020-02-21 The impact of body mass index on severity of cervical spine fracture: A retrospective cohort study Choo, Stephanie Jain, Nikhil Malik, Azeem Tariq Gennell, Tania Yu, Elizabeth J Craniovertebr Junction Spine Original Article BACKGROUND: No study has evaluated the relationship between increasing BMI and severity/type of cervical spine injuries. AIMS AND OBJECTIVES: The objective of our study was to study the impact of body mass index (BMI) on severity of cervical spine fracture. METHODS: We performed a retrospective cohort study of patients with traumatic cervical spine fractures at a level I trauma center over a 74-year period. CT scans of the cervical spine were blindly graded according to the AO Spine sub-axial cervical spine classification. The association between BMI and severity of cervical spine fracture was studied by multiple-variable logistic regression. RESULTS: A total of 291 patients with an average BMI of 26.1 ± 5.4 kg/m(2) were studied. Higher BMI was not associated with more severe injury (OR 1.03, 95%, CI: 0.97–1.08). For rollover motor vehicle accident (MVA), the association was trending towards significance (OR 2.55, 95%, CI: 0.98-6.66, P = 0.06). CONCLUSIONS: Patients with higher BMI may be predisposed to more severe cervical spine fracture in rollover MVA, but not non-rollover MVA or falls. Wolters Kluwer - Medknow 2019 2020-01-23 /pmc/articles/PMC7008661/ /pubmed/32089615 http://dx.doi.org/10.4103/jcvjs.JCVJS_95_19 Text en Copyright: © 2020 Journal of Craniovertebral Junction and Spine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Choo, Stephanie Jain, Nikhil Malik, Azeem Tariq Gennell, Tania Yu, Elizabeth The impact of body mass index on severity of cervical spine fracture: A retrospective cohort study |
title | The impact of body mass index on severity of cervical spine fracture: A retrospective cohort study |
title_full | The impact of body mass index on severity of cervical spine fracture: A retrospective cohort study |
title_fullStr | The impact of body mass index on severity of cervical spine fracture: A retrospective cohort study |
title_full_unstemmed | The impact of body mass index on severity of cervical spine fracture: A retrospective cohort study |
title_short | The impact of body mass index on severity of cervical spine fracture: A retrospective cohort study |
title_sort | impact of body mass index on severity of cervical spine fracture: a retrospective cohort study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008661/ https://www.ncbi.nlm.nih.gov/pubmed/32089615 http://dx.doi.org/10.4103/jcvjs.JCVJS_95_19 |
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