{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T05:33:53Z","timestamp":1790228033634,"version":"4.1.0"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2019,8,1]],"date-time":"2019-08-01T00:00:00Z","timestamp":1564617600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can. J. Neurol. Sci."],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>ABSTRACT:<\/jats:title><jats:sec id=\"S031716711900252X_as1\"><jats:title>Background:<\/jats:title><jats:p>Traumatic spinal cord injuries (TSCI) have devastating consequences on patients\u2019 quality of life. More specifically, TSCI with spinal fractures (TSCIF) have the most severe neurological impairment, although limited data are available. This study aimed at providing data and analyzing TSCIF in a level I trauma center in the province of Qu\u00e9bec, Canada.<\/jats:p><\/jats:sec><jats:sec id=\"S031716711900252X_as2\"><jats:title>Methods:<\/jats:title><jats:p>Two hundred eighty-two TSCIF were reviewed. Spinal injuries and neurological impairment were assessed with AO classification and AIS, respectively. Variables included age, sex, cause, location, mechanism of injury (MOI), and severity of TSCIF. Chi-squared Pearson determined significant associations (<jats:italic>p<\/jats:italic> &lt; 0.05).<\/jats:p><\/jats:sec><jats:sec id=\"S031716711900252X_as3\"><jats:title>Results:<\/jats:title><jats:p>Male-to-female ratio was 3.21:1. Patients were 42.5 \u00b1 18.7 years. The leading causes of TSCIF were high-energy falls (28.4%), cars (26.2%) and vehicle without restraint system (motorcycle, all-terrain vehicle, snowmobile, and bicycle) (21.3%). Vehicle collisions, pooling cars and unrestrained vehicles, mostly affected the 20\u201349-year population (62.2%). The main MOI was distraction in males (47.9%), and axial compression in females (44.8%). There were significant associations between causes and injured spinal level, as well as between MOI and injured spinal level, sex, and TSCIF severity. Most patients involved in unrestrained vehicle accidents sustained a thoracolumbar spine distraction with complete motor deficit. A severe neurologic deficit affected most patients following car accidents that caused cervical spine distraction or axial torsion.<\/jats:p><\/jats:sec><jats:sec id=\"S031716711900252X_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>In Qu\u00e9bec, most TSCIF caused by vehicle collisions affect a young population and have severe neurological impairments. Future efforts should focus on better understanding accidents involving the unrestrained vehicle category to further improve preventive measures.<\/jats:p><\/jats:sec>","DOI":"10.1017\/cjn.2019.252","type":"journal-article","created":{"date-parts":[[2019,8,1]],"date-time":"2019-08-01T04:15:56Z","timestamp":1564632956000},"page":"727-734","source":"Crossref","is-referenced-by-count":9,"title":["Traumatic Spinal Cord Injuries with Fractures in a Qu\u00e9bec Level I Trauma Center"],"prefix":"10.1017","volume":"46","author":[{"given":"Eric","family":"Wagnac","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Marc","family":"Mac-Thiong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre-Jean","family":"Arnoux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Michel","family":"Desrosiers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne-Laure","family":"M\u00e9nard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvan","family":"Petit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2019,8,1]]},"reference":[{"key":"S031716711900252X_ref6","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2009.78"},{"key":"S031716711900252X_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.06.040"},{"key":"S031716711900252X_ref24","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-013-2738-0"},{"key":"S031716711900252X_ref13","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000005220"},{"key":"S031716711900252X_ref22","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyu209"},{"key":"S031716711900252X_ref8","doi-asserted-by":"publisher","DOI":"10.1179\/107902610X12923394765733"},{"key":"S031716711900252X_ref1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2009.77"},{"key":"S031716711900252X_ref2","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-018-0491-4"},{"key":"S031716711900252X_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31822e5ff8"},{"key":"S031716711900252X_ref11","doi-asserted-by":"publisher","DOI":"10.1007\/BF02221591"},{"key":"S031716711900252X_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000207258.80129.03"},{"key":"S031716711900252X_ref5","unstructured":"5. Montr\u00e9al HdS-Cd. Les bless\u00e9s m\u00e9dullaires, la client\u00e8le [in French]; 2018. Available at: http:\/\/www.hscm.ca\/soins-et-services\/les-soins-et-services-medicaux-chirurgicaux-psychiatriques-et-professionnels\/t\/centre-de-traumatologie\/clientele\/blesses-medullaires\/index.html#c2091; accessed December 17, 2018."},{"key":"S031716711900252X_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2017.10.013"},{"key":"S031716711900252X_ref12","volume-title":"AOSpine manual: clinical applications","author":"Aebi","year":"2007"},{"key":"S031716711900252X_ref14","unstructured":"14. Statistics Canada GoC. Population by year, by province and territory (Number); 2017. Available at: http:\/\/www.statcan.gc.ca\/tables-tableaux\/sum-som\/l01\/cst01\/demo02a-eng.htm; accessed April 10, 2018."},{"key":"S031716711900252X_ref15","unstructured":"15. AOSpine. AOSpine classification systems: upper cervical classification system; 2019. Available at: https:\/\/aospine.aofoundation.org\/clinical-library-and-tools\/aospine-classification-systems; accessed March 30, 2019."},{"key":"S031716711900252X_ref16","doi-asserted-by":"publisher","DOI":"10.1080\/02688697.2018.1441975"},{"key":"S031716711900252X_ref17","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2010.77"},{"key":"S031716711900252X_ref18","doi-asserted-by":"publisher","DOI":"10.4045\/tidsskr.10.0859"},{"key":"S031716711900252X_ref21","first-page":"100","article-title":"The global map for traumatic spinal cord injury epidemiology: update 2011, global incidence rate","volume":"52","author":"Lee","year":"2013","journal-title":"Spinal Cord"},{"key":"S031716711900252X_ref23","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-016-0307-3"},{"key":"S031716711900252X_ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-3831-3"},{"key":"S031716711900252X_ref19","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.171"},{"key":"S031716711900252X_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S0317167100053373"},{"key":"S031716711900252X_ref20","first-page":"355","article-title":"Association of impact velocity with serious-injury and fatality risks to cyclists in commercial truck-cyclist accidents","volume":"61","author":"Matsui","year":"2017","journal-title":"Stapp Car Crash J"}],"container-title":["Canadian Journal of Neurological Sciences \/ Journal Canadien des Sciences Neurologiques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S031716711900252X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,12,4]],"date-time":"2019-12-04T22:12:20Z","timestamp":1575497540000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S031716711900252X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,1]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["S031716711900252X"],"URL":"https:\/\/doi.org\/10.1017\/cjn.2019.252","relation":{},"ISSN":["0317-1671","2057-0155"],"issn-type":[{"value":"0317-1671","type":"print"},{"value":"2057-0155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,1]]}}}