Concomitant trauma of brain and upper cervical spine: lessons in injury patterns and outcomes.
Nicolò MarchesiniAndreas K DemetriadesWilco C PeulNicola TommasiPaolo ZanattaGiampietro PinnaFrancesco SalaPublished in: European journal of trauma and emergency surgery : official publication of the European Trauma Society (2023)
The rate of concomitant cranial and upper cervical spine injury was 1.4%. Risk factors were female gender, age ≥ 55, and pedestrians. RAs were the most common mechanism of injury. There was an association between the upper cervical injury group and longer ICU stay as well as higher mortality rates. Increased understanding of the pattern of concomitant craniospinal injury can help guide comprehensive diagnosis, avoid missed injuries, and appropriate treatment.