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Ischemic stroke after cervical spine injury: analysis of 11,005 patients using the Japanese Diagnosis Procedure

Hirotaka Chikuda1, Junichi Ohya1, Hiromasa Horiguchi2

  • 1Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.

The Spine Journal : Official Journal of the North American Spine Society
|January 28, 2014
PubMed

Insights

Ischemic stroke after cervical spine injury is not uncommon, affecting 1.0% of patients. Stroke risk is linked to age, diabetes, and consciousness level, not the injury type.

Area of Science:

  • Neurology
  • Trauma Surgery
  • Epidemiology

Background:

  • The incidence and risk of ischemic stroke following cervical spine trauma are not well-established.
  • Cervical spine injuries represent a significant clinical challenge with potential systemic complications.

Purpose of the Study:

  • To determine the incidence of in-hospital ischemic stroke in patients with cervical spine injuries.
  • To analyze how different types of cervical spine injuries influence the occurrence of ischemic stroke.

Main Methods:

  • Retrospective analysis of the Japanese Diagnosis Procedure Combination database.
  • Inclusion of patients with cervical spine fractures, dislocations, or spinal cord injuries (SCI).
  • Evaluation of in-hospital mortality and ischemic stroke incidence, analyzing factors like age, comorbidities, and injury type.

Main Results:

  • 11,005 patients with cervical spine injuries were identified.
  • Ischemic stroke occurred in 1.0% of patients; in-hospital mortality was 4.1%.
  • Ischemic stroke was significantly associated with older age, diabetes, and lower consciousness level at admission, but not the specific injury type.

Conclusions:

  • Ischemic stroke is a notable complication after cervical spine injury, associated with increased mortality and morbidity.
  • Key risk factors for stroke include advanced age, diabetes, and impaired consciousness.
  • The specific classification of cervical spine injury did not significantly impact stroke risk.
Abstract

Keywords:
Cerebral infarctionCervical spineComplicationRiskSpinal cord injuryTrauma

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