Frequency of acute cervical and lumbar pathology in common types of motor vehicle collisions: a retrospective record review

BMC Musculoskeletal Disorders

Research Article

Rami Hashish¹  Hasan Badday² 

[1] National Biomechanics Institute, 2447 Pacific Coast Highway, Suite 200, 90254, Hermosa Beach, CA, USA;Pacific Pain & Regenerative Medicine, 20301 Southwest Birch Street, Suite 102, 92660, Newport Beach, CA, USA;

关键词: Accident;    Disc;    Herniation;    Prolapse;    Radiculitis;    Spine;   

DOI  :  10.1186/s12891-017-1797-5

 received in 2017-03-08, accepted in 2017-11-01,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThere are more than 5 million motor vehicle collisions annually in the United States, resulting in more than 2 million injured occupants. The most common types of collisions are head-on impacts, rear-ends, side-swipes, and t-bones, whilst the most common injury sites are the cervical and lumbar spine. The purpose of this retrospective record review was to examine the differences in frequency of cervical and lumbar pathology across and between these common collision types.MethodsNine-hundred and three patients were included in this analysis, 88 of whom described being in a head-on collision, 546 in a rear-end, 123 in a side-swipe, and 146 in a t-bone. Four diagnoses were examined, two each for the cervical and lumbar regions: disc derangement and radiculitis. Pearson’s Chi-squared contingency tables were used to test whether there were differences in clinical diagnosis frequencies across collision type, while Marascuilo’s post hoc multiple proportion comparisons were conducted to determine inter-group differences.ResultsThere were significant differences across collision type for cervical disc derangement (p < 0.0001), cervical radiculitis (p < 0.00001), lumbar disc derangement (p = 0.0002) and lumbar radiculitis (p < 0.00001). There were also significant differences in pathology frequency between collision types.ConclusionsSymptomatic cervical disc derangements were more common among patients who were involved in aside-swipe, whereas symptomatic lumbar disc derangements were more common among those in head-on or side-swipe collisions. Expanded controlled prospective studies are encouraged to better understand the mechanisms of injury and determine radiculitis tolerance limits.

【 授权许可】

CC BY   
© The Author(s). 2017