Falls Top Vehicle Crashes as Leading Reason for U.S. Spine Injuries

 

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TUESDAY, Jan. 28, 2014 (HealthDay News) Spinal cord injury rates in the United States are rising, and the leading cause now appears to be falls suffered by seniors rather than traffic crashes, according to a new study. The findings suggest that programs to prevent falls in elderly people could significantly reduce the number of spinal injuries in the nation, the. Falls accounted for 41.5 percent of spinal cord injuries during the study period, followed by traffic crashes at 35.5 percent. The researchers also found that fall-related spinal cord injuries accounted for 30 percent of all injuries among seniors in 2009, compared to 23.6 percent in 2007.

Baltimore – Falls have overtaken motor vehicle crashes as the leading cause of serious traumatic spinal cord injuries, according to a new study from Johns Hopkins University. Researchers analyzed a sample of 43,137 adult spinal cord injury cases treated in hospital emergency departments between 2007 and 2009. According to Johns Hopkins University, Falls have surpassed motor vehicle accidents as the leading cause of traumatic spinal cord injuries in the United States.

– Traffic collisions are the leading cause of spinal cord injuries. Here in the U.S., about 12,000 spinal cord injuries are reported each year. Approximately 250,000 people in the U.S. are permanently disabled by a spinal cord injury. Spinal Stenosis. Spinal stenosis isn’t usually caused by a car accident, but a car accident can oftentimes cause asymptomatic spinal stenosis to become symptomatic.

If you’re already dealing with spinal canal narrowing and vertebral height degeneration, which is natural as we age, the trauma from an accident can accelerate the onset of symptoms that likely wouldn’t. Unintentional injuries—such as those caused by burns, drowning, falls, poisoning and road traffic—are the leading cause of morbidity and mortality among children in the United States. Each year, among those 0 to 19 years of age, more than 12,000 people die from unintentional injuries and more than 9.2 million are treated in emergency. Unsurprisingly, car accidents are the leading cause of injury to this part of the body, accounting for roughly 47% of all cases. Slip and falls, the second cause, account for 21% of injuries.

During a collision, the force generated is sufficient to twist, bend, and break the back, leading to fractured vertebrae. Falls were the leading cause of traumatic spinal cord injury over the three-year study period at 41.5 percent, followed by motor vehicle crashes at 35.5 percent. Fall-related spinal cord injuries.

Weymouth Car Accident and Spinal Cord Injury Attorneys. Car accidents are a leading cause of spinal cord and back injuries. Even slow-speed crashes can cause the head and spine to whip suddenly and violently, causing serious injuries to nerves and tissues.

Spinal cord injuries generally fall into one of two medical classifications — complete and incomplet.

List of related literature:

The most common cause of spinal cord injury in the United States is motor vehicle accidents, which account for about 40%, and the second most common is falls, which represent another 28%.

“Surgical Anatomy and Techniques to the Spine E-Book” by Daniel H. Kim, Alexander R. Vaccaro, Curtis A. Dickman, Dosang Cho, SangKook Lee, Ilsup Kim
from Surgical Anatomy and Techniques to the Spine E-Book
by Daniel H. Kim, Alexander R. Vaccaro, et. al.
Elsevier Health Sciences, 2013

However, further analysis shows that 66.6% of glenoid fractures were caused by low-energy standing falls and falls from a low height, whereas 41.7% of body fractures resulted from motor vehicle accidents or falls from a height although a further 33.3% of scapula body fractures followed a standing fall.

“Rockwood and Green's Fractures in Adults” by Charles Court-Brown, James D. Heckman, Michael McKee, Margaret M. McQueen, William Ricci, Paul Tornetta, III
from Rockwood and Green’s Fractures in Adults
by Charles Court-Brown, James D. Heckman, et. al.
Wolters Kluwer Health, 2014

In the very old, falls constitute the leading cause of injury-related deaths, with TBI causing at least one-third of 15,000+ fall-related fatalities every year.

“Bradley's Neurology in Clinical Practice E-Book” by Robert B. Daroff, Joseph Jankovic, John C Mazziotta, Scott L Pomeroy
from Bradley’s Neurology in Clinical Practice E-Book
by Robert B. Daroff, Joseph Jankovic, et. al.
Elsevier Health Sciences, 2015

(e) Cervical spinal injuries more likely to occur in fatal crashes than those to other spinal regions.

“APC Textbook of Forensic Medicine and Toxicology Avichal Publishing Company” by Anil Aggrawal, Avichal Publishing Company
from APC Textbook of Forensic Medicine and Toxicology Avichal Publishing Company
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Avichal Publishing Company,

More recent statistics suggest that motor vehicle accidents (40.9%), followed by falls (22.4%), acts of violence (21.6%), and sports-related injuries (7.5%), are now the most common causes of SCIs in the United States (National Spinal Cord Injury Statistical Center, 2004).

“Neurologic Interventions for Physical Therapy E-Book” by Suzanne Tink Martin, Mary Kessler
from Neurologic Interventions for Physical Therapy E-Book
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Although 1% to 3% of all severely injured patients will have C-spine fractures, the incidence is increased when restraints are not used, following ejection from the passenger compartment, in auto-pedestrian accidents, and following head-first falls or diving accidents.

“Trauma: Emergency Resuscitation, Perioperative Anesthesia, Surgical Management, Volume I” by William C. Wilson, Christopher M. Grande, David B. Hoyt
from Trauma: Emergency Resuscitation, Perioperative Anesthesia, Surgical Management, Volume I
by William C. Wilson, Christopher M. Grande, David B. Hoyt
CRC Press, 2007

Motor vehicle collisions, falls and sporting injuries – notably diving and water sports – are the major causes of acute spinal cord injury in Australia.2–5 Road traffic accidents account for about half of all spinal injuries.

“Textbook of Adult Emergency Medicine E-Book” by Peter Cameron, George Jelinek, Anne-Maree Kelly, Lindsay Murray, Anthony F. T. Brown
from Textbook of Adult Emergency Medicine E-Book
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Spinal cord trauma occurs in approximately 10,000 individuals per year in the United States (Pearson and Gordon, 2000b).The most common cause is automobile accidents, followed by falls, gunshot wounds, and recreational activities such as diving accidents.

“Basic and Clinical Anatomy of the Spine, Spinal Cord, and ANS E-Book” by Gregory D. Cramer, Susan A. Darby
from Basic and Clinical Anatomy of the Spine, Spinal Cord, and ANS E-Book
by Gregory D. Cramer, Susan A. Darby
Elsevier Health Sciences, 2005

Data compiled for American Caving Accidents indicate that the leading cause of caving injury is falls, and that hypothermia, fractures, and head injuries top the list of complaints.19,20 Unfortunately, with significant falls, spinal injury must be contemplated, which compounds the transportation challenge.

“Wilderness Medicine E-Book: Expert Consult Premium Edition Enhanced Online Features” by Paul S. Auerbach
from Wilderness Medicine E-Book: Expert Consult Premium Edition Enhanced Online Features
by Paul S. Auerbach
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According to data from the CDC, 1.4 million brain injuries are sustained each year, with 1.1 million evaluated in U.S. emergency departments.17 Falls are the most common cause of brain injuries, with those at the extremes of age being the most vulnerable to this mechanism.

“Sabiston Textbook of Surgery E-Book: The Biological Basis of Modern Surgical Practice” by Courtney M. Townsend Jr., R. Daniel Beauchamp, B. Mark Evers, Kenneth L. Mattox
from Sabiston Textbook of Surgery E-Book: The Biological Basis of Modern Surgical Practice
by Courtney M. Townsend Jr., R. Daniel Beauchamp, et. al.
Elsevier Health Sciences, 2015

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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