Publications by authors named "D Yousem"
Purpose: Occipital condyle fractures (OCFs) are classified by the Anderson and Montesano system into Type I (comminuted, minimally displaced), Type II (stable, associated with basilar skull fractures), and Type III (unstable avulsion fractures). We retrospectively analyzed 24,986 cervical spine CT examinations of emergency department patients over five years to determine the incidence and characteristics of OCFs, mechanism of injury, and associated intracranial and cervical spine injuries.
Methods And Materials: The study was IRB-approved and HIPAA compliant.
Article Synopsis
- The study re-evaluates the Canadian Cervical Spine Rule (CCR) for recommending cervical spine computed tomography (CSCT) on patients aged 65 and older, using trauma data from the last five years.
- Researchers analyzed fracture rates among trauma patients, distinguishing between those ≥ 65 and < 65 years old, and categorized the fractures into symptomatic or asymptomatic.
- The results show that the fracture rate for patients ≥ 65 (2.0%) was higher compared to those < 65 (1.6%), with a notable preference for females in the older group, but overall rates were significantly lower than previously reported by the CCR guidelines.
The Canadian Cervical Spine Rule, a clinical decision-making tool for patients post-trauma is often interpreted as recommending cervical spine computed tomography in patients ≥ 65 years old, who sustain a dangerous mechanism of injury, and/or have extremity paresthesias. We retrospectively reviewed 6 years' of emergency department cervical spine computed tomography reports to determine fracture rates in patients ≥ 65, symptomatic or not, who did and did not have a dangerous mechanism. Of those ≥ 65 years old, 240/13925 (1.
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- Researchers studied older and younger people to see if there are differences in neck injuries and CT scans for those over and under 65 years old.
- They looked at data from emergency rooms about 22,000 patients injured over 5 years, focusing on how injuries happened, types of fractures, and treatments.
- The study found that older people often hurt their necks from falling, while younger people were more likely to hurt themselves in car accidents, and the types of fractures varied between the two age groups.