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...

Descripción completa

Detalles Bibliográficos
Autores principales: Choo, Stephanie, Jain, Nikhil, Malik, Azeem Tariq, Gennell, Tania, Yu, Elizabeth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
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
_version_ 1783495510727852032
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
work_keys_str_mv AT choostephanie theimpactofbodymassindexonseverityofcervicalspinefracturearetrospectivecohortstudy
AT jainnikhil theimpactofbodymassindexonseverityofcervicalspinefracturearetrospectivecohortstudy
AT malikazeemtariq theimpactofbodymassindexonseverityofcervicalspinefracturearetrospectivecohortstudy
AT gennelltania theimpactofbodymassindexonseverityofcervicalspinefracturearetrospectivecohortstudy
AT yuelizabeth theimpactofbodymassindexonseverityofcervicalspinefracturearetrospectivecohortstudy
AT choostephanie impactofbodymassindexonseverityofcervicalspinefracturearetrospectivecohortstudy
AT jainnikhil impactofbodymassindexonseverityofcervicalspinefracturearetrospectivecohortstudy
AT malikazeemtariq impactofbodymassindexonseverityofcervicalspinefracturearetrospectivecohortstudy
AT gennelltania impactofbodymassindexonseverityofcervicalspinefracturearetrospectivecohortstudy
AT yuelizabeth impactofbodymassindexonseverityofcervicalspinefracturearetrospectivecohortstudy