{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T11:59:23Z","timestamp":1791460763399,"version":"4.3.4"},"reference-count":14,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","thespinejournalonline.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Spine Journal"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.spinee.2026.08.007","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:03:25Z","timestamp":1788307405000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Epidemiology and mechanisms of cervical spine injuries caused by nontraditional vehicles in the united states: an analysis of national emergency department data"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7171-0041","authenticated-orcid":false,"given":"Hagop","family":"Klachian","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9175-5989","authenticated-orcid":false,"given":"Abhishek","family":"Srivastava","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5387-3528","authenticated-orcid":false,"given":"Rami","family":"Taha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna","family":"Taha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2193-7023","authenticated-orcid":false,"given":"Madison","family":"McDonald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4215-2144","authenticated-orcid":false,"given":"Michael","family":"Megafu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Hecht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert L.","family":"Parisien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.spinee.2026.08.007_bib0001","doi-asserted-by":"crossref","first-page":"112","DOI":"10.46747\/cfp.7102112","article-title":"All-terrain vehicle injuries in children and adolescents","volume":"71","author":"Hadad","year":"2025","journal-title":"Can Fam Physician"},{"issue":"2","key":"10.1016\/j.spinee.2026.08.007_bib0002","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.jemermed.2016.12.035","article-title":"All-terrain vehicle injury in children and youth: examining current knowledge and future needs","volume":"53","author":"Doud","year":"2017","journal-title":"J Emerg Med"},{"issue":"5","key":"10.1016\/j.spinee.2026.08.007_bib0003","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1016\/j.jpedsurg.2010.02.021","article-title":"All-terrain vehicle riding among youth: how do they fair?","volume":"45","author":"Campbell","year":"2010","journal-title":"J Pediatr Surg"},{"issue":"1","key":"10.1016\/j.spinee.2026.08.007_bib0004","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.injury.2015.08.001","article-title":"The hazards of off-road motor sports: are four wheels better than two?","volume":"47","author":"Villegas","year":"2016","journal-title":"Injury"},{"key":"10.1016\/j.spinee.2026.08.007_bib0005","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1159\/000338728","article-title":"The epidemiology of injury in ATV and motocross sports","volume":"58","author":"Larson","year":"2012","journal-title":"Med Sport Sci"},{"key":"10.1016\/j.spinee.2026.08.007_bib0006","doi-asserted-by":"crossref","DOI":"10.5435\/JAAOS-D-25-00407","article-title":"Trends in all-terrain vehicle and dirt bike pediatric orthopaedic injuries in the United States from 2004 to 2023: a 20-year national review demonstrating a persistent public policy concern","author":"Nian","year":"2025","journal-title":"J Am Acad Orthop Surg"},{"issue":"8","key":"10.1016\/j.spinee.2026.08.007_bib0007","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1038\/sj.sc.3100878","article-title":"Characteristics of injuries to the cervical spine and spinal cord in polytrauma patient population: experience from a regional trauma unit","volume":"37","author":"Prasad","year":"1999","journal-title":"Spinal Cord"},{"issue":"2","key":"10.1016\/j.spinee.2026.08.007_bib0008","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1001\/archpedi.1987.04460020089033","article-title":"Clinical prediction of cervical spine injuries in children: radiographic abnormalities","volume":"141","author":"Rachesky","year":"1987","journal-title":"Am J Dis Child"},{"issue":"3","key":"10.1016\/j.spinee.2026.08.007_bib0009","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1053\/jpsu.2002.30826","article-title":"All-terrain vehicle and bicycle crashes in children: epidemiology and comparison of injury severity","volume":"37","author":"Brown","year":"2002","journal-title":"J Pediatr Surg"},{"issue":"1","key":"10.1016\/j.spinee.2026.08.007_bib0010","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1097\/TA.0000000000000266","article-title":"A prospective, multi-institutional study of pediatric all-terrain vehicle crashes","volume":"77","author":"Mazotas","year":"2014","journal-title":"J Trauma Acute Care Surg"},{"issue":"4","key":"10.1016\/j.spinee.2026.08.007_bib0011","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2022-059280","article-title":"COUNCIL ON INJURY, VIOLENCE, AND POISON PREVENTION. A comprehensive report on all-terrain vehicles and youth: continuing challenges for injury prevention","volume":"150","author":"Jennissen","year":"2022","journal-title":"Pediatrics"},{"issue":"4","key":"10.1016\/j.spinee.2026.08.007_bib0012","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1227\/NEU.0b013e3181f209db","article-title":"A population-based study of all-terrain vehicle-related head and spinal injuries","volume":"67","author":"Finn","year":"2010","journal-title":"Neurosurgery"},{"issue":"12","key":"10.1016\/j.spinee.2026.08.007_bib0013","doi-asserted-by":"crossref","first-page":"1365","DOI":"10.2105\/AJPH.2024.307820","article-title":"The burden of injuries associated with E-bikes, powered scooters, hoverboards, and bicycles in the United States: 2019\u20122022","volume":"114","author":"Burford","year":"2024","journal-title":"Am J Public Health"},{"issue":"6","key":"10.1016\/j.spinee.2026.08.007_bib0014","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1016\/j.jemermed.2017.12.012","article-title":"E-bike-related trauma in children and adults","volume":"54","author":"Gross","year":"2018","journal-title":"J Emerg Med"}],"container-title":["The Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943026006467?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943026006467?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T11:35:19Z","timestamp":1791459319000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1529943026006467"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":14,"alternative-id":["S1529943026006467"],"URL":"https:\/\/doi.org\/10.1016\/j.spinee.2026.08.007","relation":{},"ISSN":["1529-9430"],"issn-type":[{"value":"1529-9430","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Epidemiology and mechanisms of cervical spine injuries caused by nontraditional vehicles in the united states: an analysis of national emergency department data","name":"articletitle","label":"Article Title"},{"value":"The Spine Journal","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.spinee.2026.08.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}