PMID- 32820149
OWN - NLM
STAT- MEDLINE
DCOM- 20210809
LR  - 20210821
IS  - 2058-6124 (Electronic)
IS  - 2058-6124 (Linking)
VI  - 6
IP  - 1
DP  - 2020 Aug 20
TI  - Patterns of spinal cord injury in automobiles versus motorcycles and bicycles.
PG  - 75
LID - 10.1038/s41394-020-00324-y [doi]
LID - 75
AB  - STUDY DESIGN: Retrospective case series. OBJECTIVES: To examine the patterns and 
      relative rates of occurrence of spinal cord injury (SCI) in automobiles compared 
      to motorcycles and bicycles. SETTING: Los Angeles County, California. METHODS: A 
      retrospective chart review of SCI consults at Rancho Los Amigos National 
      Rehabilitation Center in Los Angeles County, California between 2003 and 2013 
      were selected and screened for a mechanism of injury involving a vehicular 
      accident. Chart review was performed to determine neurological levels and extent 
      of impairment, which were graded according to the International Standards for 
      Neurological Classification of Spinal Cord Injury. RESULTS: We identified 398 
      cases of SCI from 2003 to 2013 that fit the inclusion criteria. Overall, the 
      relative percentages of ASIA impairment scale (AIS) A/B/C/D did not differ 
      statistically across automobiles, motorcycles, or bicycles. When stratified by 
      spinal region, motorcycles had a higher percentage of thoracic SCIs compared to 
      automobiles. Automobiles resulted in more cervical SCIs with few injuries in the 
      lumbar region. Bicycle patterns followed automobiles, not motorcycles. Thoracic 
      SCIs were more likely graded motor complete than cervical or lumbar injuries, 
      regardless of the mechanism. CONCLUSIONS: Automobile, motorcycle, and bicycle 
      related SCIs occur primarily in the cervicothoracic region. SCIs due to 
      motorcycle accidents have a higher predilection for the thoracic region, and 
      there is a statistically higher percentage of motor complete injuries. A higher 
      percentage of cervical SCIs occur as a result of automobile and bicycle 
      accidents. Extrapolations from motor vehicle usage data suggest that the relative 
      rate of occurrence of SCI for motorcycles is higher than for automobiles.
FAU - Medina, Omar
AU  - Medina O
AD  - Department of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA.
FAU - Singla, Varun
AU  - Singla V
AD  - Department of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA. 
      vsingla945@gmail.com.
FAU - Liu, Charles
AU  - Liu C
AD  - Department of Neurosurgery and Orthopedic Surgery, Rancho Los Amigos National 
      Rehabilitation Center, Downey, CA, USA.
FAU - Fukunaga, Dudley
AU  - Fukunaga D
AD  - Department of Neurosurgery and Orthopedic Surgery, Rancho Los Amigos National 
      Rehabilitation Center, Downey, CA, USA.
FAU - Rolfe, Kevin
AU  - Rolfe K
AD  - Department of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA.
AD  - Department of Neurosurgery and Orthopedic Surgery, Rancho Los Amigos National 
      Rehabilitation Center, Downey, CA, USA.
LA  - eng
PT  - Journal Article
DEP - 20200820
PL  - England
TA  - Spinal Cord Ser Cases
JT  - Spinal cord series and cases
JID - 101680856
SB  - IM
MH  - *Accidents, Traffic
MH  - Adult
MH  - *Automobiles
MH  - Bicycling/injuries
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Motorcycles
MH  - Retrospective Studies
MH  - Spinal Cord Injuries/*epidemiology
PMC - PMC7441156
COIS- The authors declare that they have no conflict of interest.
EDAT- 2020/08/21 06:00
MHDA- 2021/08/10 06:00
PMCR- 2021/08/20
CRDT- 2020/08/22 06:00
PHST- 2020/04/06 00:00 [received]
PHST- 2020/07/30 00:00 [accepted]
PHST- 2020/07/29 00:00 [revised]
PHST- 2020/08/22 06:00 [entrez]
PHST- 2020/08/21 06:00 [pubmed]
PHST- 2021/08/10 06:00 [medline]
PHST- 2021/08/20 00:00 [pmc-release]
AID - 10.1038/s41394-020-00324-y [pii]
AID - 324 [pii]
AID - 10.1038/s41394-020-00324-y [doi]
PST - epublish
SO  - Spinal Cord Ser Cases. 2020 Aug 20;6(1):75. doi: 10.1038/s41394-020-00324-y.