{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T10:30:44Z","timestamp":1793961044351,"version":"4.8.0"},"reference-count":49,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"vor","delay-in-days":207,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005296","name":"University Hospital Regensburg","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005296","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Brain and Spine"],"published-print":{"date-parts":[[2026]]},"DOI":"10.1016\/j.bas.2026.106247","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T23:34:55Z","timestamp":1785195295000},"page":"106247","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Diagnostic yield and number needed to screen for cervical and concomitant spinal injuries in geriatric head trauma"],"prefix":"10.1016","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9592-4208","authenticated-orcid":false,"given":"Josina","family":"Straub","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Arias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Ardelt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas","family":"Krueckel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Pielmeier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Malsy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5411-0412","authenticated-orcid":false,"given":"Gerardo","family":"Napodano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1135-9177","authenticated-orcid":false,"given":"Borys","family":"Frankewycz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Popp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Kerschbaum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Alt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siegmund","family":"Lang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bas.2026.106247_bib1","article-title":"Spinal fractures and\/or spinal cord injuries are associated with orthopedic and internal organ injuries in proximity to the spinal injury","volume":"6","author":"Anandasivam","year":"2021","journal-title":"North. Am. Spine. Soc. J"},{"key":"10.1016\/j.bas.2026.106247_bib2","doi-asserted-by":"crossref","first-page":"2792","DOI":"10.1016\/j.spinee.2025.05.004","article-title":"Risk factors for in-hospital mortality in cervical spinal cord injuries: a nationwide, cross-sectional analysis of concomitant injuries, comorbidities, and treatment strategies in 3,847 cases","volume":"25","author":"Ardelt","year":"2025","journal-title":"Spine. J. Off. J. North. Am. Spine. Soc."},{"key":"10.1016\/j.bas.2026.106247_bib3","doi-asserted-by":"crossref","DOI":"10.1177\/2151459318770882","article-title":"Age and other risk factors influencing long-term mortality in patients with traumatic cervical spine fracture","volume":"9","author":"Bank","year":"2018","journal-title":"Geriatr. Orthop. Surg. Rehabil."},{"key":"10.1016\/j.bas.2026.106247_bib4","article-title":"Falls and Fall injuries among adults aged \u226565 years \u2014 united States, 2014","volume":"65","author":"Bergen","year":"2016","journal-title":"MMWR. Morb. Mortal Wkly. Rep [Internet]"},{"key":"10.1016\/j.bas.2026.106247_bib5","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.injury.2019.12.036","article-title":"Incidence of intracranial bleeding in seniors presenting to the emergency department after a fall: a systematic review","volume":"51","author":"de Wit","year":"2020","journal-title":"Injury"},{"issue":"Suppl. 1","key":"10.1016\/j.bas.2026.106247_bib6","doi-asserted-by":"crossref","first-page":"S24","DOI":"10.1016\/S0020-1383(15)70007-0","article-title":"Management of upper cervical spine fractures in elderly patients: current trends and outcomes","volume":"46","author":"Delcourt","year":"2015","journal-title":"Injury"},{"key":"10.1016\/j.bas.2026.106247_bib7","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1136\/emermed-2020-210693","article-title":"Geriatric clinical screening tool for cervical spine injury after ground-level falls","volume":"39","author":"Engelbart","year":"2022","journal-title":"Emerg. Med. J. EMJ"},{"key":"10.1016\/j.bas.2026.106247_bib8","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1002\/agm2.12247","article-title":"Evaluation of factors affecting prognosis and mortality in geriatric patients presented to the emergency service with head trauma","volume":"6","author":"Eryurt","year":"2023","journal-title":"Aging Med"},{"key":"10.1016\/j.bas.2026.106247_bib9","doi-asserted-by":"crossref","DOI":"10.3389\/fmolb.2025.1558052","article-title":"Osteoporotic vertebral fractures and subsequent fractures: risk factors from a retrospective observational study of patients with osteoporosis","volume":"12","author":"Fan","year":"2025","journal-title":"Front. Mol. Biosci."},{"key":"10.1016\/j.bas.2026.106247_bib10","doi-asserted-by":"crossref","first-page":"1627","DOI":"10.2147\/CLEP.S181138","article-title":"Fall injuries, associated deaths, and 30-day readmission for subsequent falls are increasing in the elderly US population: a query of the WHO mortality database and National readmission database from 2010 to 2014","volume":"10","author":"Galet","year":"2018","journal-title":"Clin. Epidemiol."},{"key":"10.1016\/j.bas.2026.106247_bib11","doi-asserted-by":"crossref","first-page":"35","DOI":"10.11138\/gchir\/2018.39.1.035","article-title":"Trauma in elderly patients: a study of prevalence, comorbidities and gender differences","volume":"39","author":"Gioffr\u00e8-Florio","year":"2018","journal-title":"Il Giorn. Chir."},{"key":"10.1016\/j.bas.2026.106247_bib12","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1097\/TA.0b013e3181627625","article-title":"Isolated cervical spine fractures in the elderly: a deadly injury","volume":"64","author":"Golob","year":"2008","journal-title":"J. Trauma Acute Care Surg."},{"key":"10.1016\/j.bas.2026.106247_bib13","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1177\/000313481408000228","article-title":"Evaluation of cervical spine fracture in the elderly: can we trust our physical examination?","volume":"80","author":"Goode","year":"2014","journal-title":"Am. Surg."},{"key":"10.1016\/j.bas.2026.106247_bib14","doi-asserted-by":"crossref","first-page":"2823","DOI":"10.1007\/s00167-019-05627-8","article-title":"Salvage procedure for chronic periprosthetic knee infection: the application of DAIR results in better remission rates and infection-free survivorship when used with topical degradable calcium-based antibiotics","volume":"28","author":"Gramlich","year":"2020","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"10.1016\/j.bas.2026.106247_bib15","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1111\/1467-9566.12536","article-title":"Ageing, dementia and the social mind: past, present and future perspectives","volume":"39","author":"Higgs","year":"2017","journal-title":"Sociol. Health Illness"},{"key":"10.1016\/j.bas.2026.106247_bib16","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1056\/NEJM200007133430203","article-title":"Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. National Emergency X-Radiography Utilization study group","volume":"343","author":"Hoffman","year":"2000","journal-title":"N. Engl. J. Med."},{"key":"10.1016\/j.bas.2026.106247_bib17","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.1177\/000313481207801229","article-title":"Mortality factors in geriatric blunt trauma patients: creation of a highly predictive statistical model for mortality using 50,765 consecutive elderly trauma admissions from the National Sample Project","volume":"78","author":"Hranjec","year":"2012","journal-title":"Am. Surg."},{"key":"10.1016\/j.bas.2026.106247_bib18","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1097\/TA.0000000000001194","article-title":"Cervical spinal clearance: a prospective Western Trauma Association Multi-institutional trial","volume":"81","author":"Inaba","year":"2016","journal-title":"J. Trauma Acute Care Surg."},{"key":"10.1016\/j.bas.2026.106247_bib19","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.ijsu.2017.12.009","article-title":"Over the hill and falling down: can the NEXUS criteria be applied to the elderly?","volume":"49","author":"Jambhekar","year":"2018","journal-title":"Int. J. Surg. Lond Engl."},{"key":"10.1016\/j.bas.2026.106247_bib20","series-title":"Statpearls [Internet]","article-title":"Geriatric cervical spine injury","author":"Jeanmonod","year":"2025"},{"key":"10.1016\/j.bas.2026.106247_bib21","doi-asserted-by":"crossref","first-page":"1163","DOI":"10.1007\/s00586-015-4209-2","article-title":"Multilevel non-contiguous spinal injuries: incidence and patterns based on whole spine MRI","volume":"25","author":"Kanna","year":"2016","journal-title":"Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc."},{"key":"10.1016\/j.bas.2026.106247_bib22","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1111\/j.1532-5415.1978.tb03332.x","article-title":"Fatal cerebral injury in the elderly","volume":"26","author":"Kirkpatrick","year":"1978","journal-title":"J. Am. Geriatr. Soc."},{"key":"10.1016\/j.bas.2026.106247_bib23","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.1177\/00031348221080436","article-title":"A \u201cGAP\u201d in activation: a better way to manage geriatric and anticoagulated patients with head trauma","volume":"88","author":"Lee","year":"2022","journal-title":"Am. Surg."},{"key":"10.1016\/j.bas.2026.106247_bib24","doi-asserted-by":"crossref","first-page":"573","DOI":"10.2214\/ajr.178.3.1780573","article-title":"Cervical spine injuries in patients 65 years old and older","volume":"178","author":"Lomoschitz","year":"2002","journal-title":"Am. J. Roentgenol."},{"key":"10.1016\/j.bas.2026.106247_bib25","doi-asserted-by":"crossref","first-page":"2823","DOI":"10.1007\/s00330-017-5285-y","article-title":"Utility of MRI for cervical spine clearance in blunt trauma patients after a negative CT","volume":"28","author":"Malhotra","year":"2018","journal-title":"Eur. Radiol."},{"key":"10.1016\/j.bas.2026.106247_bib26","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1007\/s00586-008-0603-3","article-title":"Evaluation of morbidity, mortality and outcome following cervical spine injuries in elderly patients","volume":"17","author":"Malik","year":"2008","journal-title":"Eur. Spine J."},{"key":"10.1016\/j.bas.2026.106247_bib27","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1097\/BRS.0b013e3181c0ddad","article-title":"Soft and rigid collars provide similar restriction in cervical range of motion during fifteen activities of daily living","volume":"35","author":"Miller","year":"2010","journal-title":"Spine"},{"key":"10.1016\/j.bas.2026.106247_bib28","doi-asserted-by":"crossref","first-page":"1532","DOI":"10.1097\/BRS.0b013e3181f550a6","article-title":"The incidence of noncontiguous spinal fractures and other traumatic injuries associated with cervical spine fractures: a 10-year experience at an academic medical center","volume":"36","author":"Miller","year":"2011","journal-title":"Spine"},{"key":"10.1016\/j.bas.2026.106247_bib29","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1111\/1742-6723.12880","article-title":"Review article: NEXUS criteria to rule out cervical spine injury among older patients: a systematic review","volume":"30","author":"Paykin","year":"2018","journal-title":"Emerg Med Australas EMA"},{"key":"10.1016\/j.bas.2026.106247_bib30","doi-asserted-by":"crossref","first-page":"4531","DOI":"10.1177\/00031348221121545","article-title":"Appropriate imaging for geriatric trauma","volume":"89","author":"Pearcy","year":"2023","journal-title":"Am. Surg."},{"key":"10.1016\/j.bas.2026.106247_bib31","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.jss.2019.10.041","article-title":"Falling again? Falls in geriatric adults-risk factors and outcomes associated with recidivism","volume":"247","author":"Prabhakaran","year":"2020","journal-title":"J. Surg. Res."},{"key":"10.1016\/j.bas.2026.106247_bib32","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1007\/s00198-014-2939-3","article-title":"Ankylosing spondylitis confers substantially increased risk of clinical spine fractures: a nationwide case-control study","volume":"26","author":"Prieto-Alhambra","year":"2015","journal-title":"Osteoporos Int J Establ Result Coop Eur Found Osteoporos Natl Osteoporos Found USA"},{"key":"10.1016\/j.bas.2026.106247_bib33","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1186\/s13018-024-04875-w","article-title":"The association between osteoporosis and frailty: a cross-sectional observational study and mendelian randomization analysis","volume":"19","author":"Que","year":"2024","journal-title":"J. Orthop. Surg."},{"key":"10.1016\/j.bas.2026.106247_bib34","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1016\/j.bone.2010.06.015","article-title":"The population-based prevalence of osteoporotic vertebral fracture and densitometric osteoporosis in postmenopausal women over 50 in Valencia, Spain (the FRAVO study)","volume":"47","author":"Sanf\u00e9lix-Genov\u00e9s","year":"2010","journal-title":"Bone"},{"key":"10.1016\/j.bas.2026.106247_bib36","doi-asserted-by":"crossref","DOI":"10.3389\/fmed.2023.1117777","article-title":"Cranial CT is a mandatory tool to exclude asymptomatic cerebral hemorrhage in elderly patients on anticoagulation","volume":"10","author":"Schindler","year":"2023","journal-title":"Front. Med."},{"key":"10.1016\/j.bas.2026.106247_bib35","doi-asserted-by":"crossref","first-page":"1667","DOI":"10.3390\/jcm9061667","article-title":"Severe Traumatic Brain Injury (TBI) modulates the kinetic profile of the inflammatory response of markers for neuronal damage","volume":"9","author":"Schindler","year":"2020","journal-title":"J. Clin. Med."},{"key":"10.1016\/j.bas.2026.106247_bib37","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1177\/0194599814546112","article-title":"Epidemiological Survey of head and neck injuries and trauma in the United States","volume":"151","author":"Sethi","year":"2014","journal-title":"Otolaryngol--Head Neck Surg Off J Am Acad Otolaryngol-Head Neck Surg."},{"key":"10.1016\/j.bas.2026.106247_bib38","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.1016\/j.otc.2023.05.005","article-title":"Head & neck trauma in the geriatric population","volume":"56","author":"Shi","year":"2023","journal-title":"Otolaryngol. Clin."},{"key":"10.1016\/j.bas.2026.106247_bib39","article-title":"Thoracolumbar noncontiguous spinal fractures in surgically treated older patients with cervical spine injuries: incidence, risk factors, and impact on functional outcome","author":"Shimizu","year":"2025","journal-title":"Eur Spine J [Internet]"},{"key":"10.1016\/j.bas.2026.106247_bib40","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1590\/0100-3984.2017.0154","article-title":"C1-C2 fractures in asymptomatic elderly patients with minor head trauma: evaluation with a dedicated head CT protocol","volume":"52","author":"Squarza","year":"2019","journal-title":"Radiol. Bras."},{"key":"10.1016\/j.bas.2026.106247_bib41","doi-asserted-by":"crossref","first-page":"1841","DOI":"10.1001\/jama.286.15.1841","article-title":"The Canadian C-spine rule for radiography in alert and stable trauma patients","volume":"286","author":"Stiell","year":"2001","journal-title":"JAMA"},{"key":"10.1016\/j.bas.2026.106247_bib42","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.clineuro.2014.02.006","article-title":"Comparison of CT and MRI findings for cervical spine clearance in obtunded patients without high impact trauma","volume":"120","author":"Tan","year":"2014","journal-title":"Clin. Neurol. Neurosurg."},{"key":"10.1016\/j.bas.2026.106247_bib43","doi-asserted-by":"crossref","first-page":"252","DOI":"10.5811\/westjem.2016.3.29702","article-title":"Prospective validation of modified NEXUS cervical spine injury criteria in low-risk elderly fall patients","volume":"17","author":"Tran","year":"2016","journal-title":"West. J. Emerg. Med."},{"key":"10.1016\/j.bas.2026.106247_bib44","doi-asserted-by":"crossref","first-page":"e511","DOI":"10.1016\/j.jemermed.2023.07.009","article-title":"Computed tomography imaging of geriatric patients with uncertain head trauma","volume":"65","author":"Turchiaro","year":"2023","journal-title":"J. Emerg. Med."},{"key":"10.1016\/j.bas.2026.106247_bib45","first-page":"75","article-title":"Geriatric trauma patients with cervical spine fractures due to ground level fall: five years experience in a level one trauma center","volume":"5","author":"Wang","year":"2013","journal-title":"J. Clin. Med. Res."},{"key":"10.1016\/j.bas.2026.106247_bib46","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1017\/S1049023X11006315","article-title":"Development of statewide geriatric patients trauma triage criteria","volume":"26","author":"Werman","year":"2011","journal-title":"Prehospital Disaster Med."},{"key":"10.1016\/j.bas.2026.106247_bib47","article-title":"Cervical spine injuries in older patients with falls found on magnetic resonance imaging after computed tomography [Internet]","year":"2021","journal-title":"West. J. Emerg. Med."},{"key":"10.1016\/j.bas.2026.106247_bib48","series-title":"Statpearls [Internet]","article-title":"Geriatric head injury","author":"Yee","year":"2025"},{"key":"10.1016\/j.bas.2026.106247_bib49","article-title":"The association between ankylosing spondylitis and the risk of any, hip, or vertebral fracture: a meta-analysis","volume":"96","author":"Zhang","year":"2017","journal-title":"Medicine (Baltim.)"}],"container-title":["Brain and Spine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2772529426003231?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2772529426003231?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T10:11:49Z","timestamp":1793959909000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2772529426003231"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":49,"alternative-id":["S2772529426003231"],"URL":"https:\/\/doi.org\/10.1016\/j.bas.2026.106247","relation":{},"ISSN":["2772-5294"],"issn-type":[{"value":"2772-5294","type":"print"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Diagnostic yield and number needed to screen for cervical and concomitant spinal injuries in geriatric head trauma","name":"articletitle","label":"Article Title"},{"value":"Brain and Spine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bas.2026.106247","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V. on behalf of EANS, the European Association of Neurosurgical Societies, EUROSPINE, the Spine Society of Europe.","name":"copyright","label":"Copyright"}],"article-number":"106247"}}