Concomitant spine trauma in patients with traumatic brain injury: Patient characteristics and outcomes

• DOI: 10.3389/fneur.2022.861688
• Publication Date: 2022-08-19T08:36:55Z
• Authors: Lennart Riemann; Obada T. Alhalabi; Andreas W. Unterberg; Alexander Younsi
• Keywords: Concomitant

Objective Spine injury is highly prevalent in patients with poly-trauma, but data on the co-occurrence of spine trauma traumatic brain (TBI) are scarce. In this study, we used Collaborative European NeuroTrauma Effectiveness Research Traumatic Brain Injury (CENTER-TBI) database to assess prevalence, characteristics, and outcomes TBI a concurrent spinal (TSI). Methods Data from multi-center CENTER-TBI study were analyzed. Adult (≥18 years) presenting concomitant, isolated TSI at least serious severity (Abbreviated Scale; AIS ≥3) included. For outcome analysis, comparison groups systemic injuries (non-isolated TSI) without created using propensity score matching. Rates mortality, unfavorable (Glasgow Outcome Scale Extended; GOSe < 5), full recovery (GOSe 7–8) all separately for only mild (mTBI) compared between 6-month follow-up. Results A total 164 (4%) 4,254 core suffered concomitant TSI. The median age was 53 [interquartile range (IQR): 37–66] years 71% men. mTBI documented 62% cases, followed by severe (26%), mostly cervical (63%) or thoracic (31%). Surgical stabilization performed 19% cases 57% admitted ICU. Mortality 6 months 11% 36% regained recovery. There no significant differences rates outcomes, However, non-isolated associated an higher mortality. mTBI, negative association could be observed both Conclusion TSIs comparable after months. predictor These findings might indicate that moderate do not necessarily exhibit worse when having TSI, whereas more affected.