{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T05:33:47Z","timestamp":1790228027874,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,5,15]],"date-time":"2019-05-15T00:00:00Z","timestamp":1557878400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2019,5,15]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. C2 cervical fractures account for approximately 18% of cervical spine injuries. Few studies have examined patients presenting to an emergency department (ED) with this injury relative to demographics, injury mechanism, and hospital course.<jats:italic> Objectives<\/jats:italic>. To compare multiple variables of ED patients presenting with these types of injuries.<jats:italic> Methods<\/jats:italic>. In this retrospective cohort study, data were obtained from the Trauma Registry of an academic trauma referral center from January 1, 2011, to December 31, 2015. Patients who presented with a C2 fracture were identified. Information regarding the patient\u2019s gender, age, mechanism of injury, associated injuries, if a procedure was required, disposition, and mortality was extracted. Comparative analyses were conducted between cases over or under age 60.<jats:italic> Results<\/jats:italic>. Between January 1, 2011, to December 31, 2015, a total of 139 patients with C2 fractures were identified. Most patients were 60 years or older (79%). Of those, 62% were female, and falls were the most common mechanism (78%). Of those under 60, 50% were female and motor vehicle crashes (MVCs) were the most common mechanism (71%). Odontoid fractures comprised 84% of C2 fractures. Only 6% had an associated spinal cord injury. Less than one-third of patients required operative intervention for their spinal injuries, and intervention was more common in older patients. Following admission, 19% of patients required placement into a nursing home or skilled nursing facility.<jats:italic> Conclusions<\/jats:italic>. C2 fractures are more common in older adults and usually resulted from falls. Odontoid fractures are most common. Most C2 fractures do not result in neurologic injury, and only a third were treated surgically. However, several patients were unable to return to their homes following their injury.<\/jats:p>","DOI":"10.1155\/2019\/4301051","type":"journal-article","created":{"date-parts":[[2019,5,15]],"date-time":"2019-05-15T19:31:17Z","timestamp":1557948677000},"page":"1-7","source":"Crossref","is-referenced-by-count":13,"title":["Characteristics and Management of Emergency Department Patients Presenting with C2 Cervical Spine Fractures"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3965-7101","authenticated-orcid":true,"given":"Allison","family":"Tadros","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, West Virginia University School of Medicine, 1 Medical Center Dr., Morgantown, WV 26506, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Sharon","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, West Virginia University School of Medicine, 1 Medical Center Dr., Morgantown, WV 26506, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5149-8617","authenticated-orcid":true,"given":"Kristen","family":"Craig","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, West Virginia University School of Medicine, 1 Medical Center Dr., Morgantown, WV 26506, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Krantz","sequence":"additional","affiliation":[{"name":"Department of Radiology, West Virginia University School of Medicine, Morgantown, WV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000417"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.4021\/jocmr1227w"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.O.00468"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/8321680"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31828b82f5"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.02.024"},{"issue":"4","key":"7","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1007\/s12178-016-9368-1","volume":"9","year":"2016","journal-title":"Current Reviews in Musculoskeletal Medicine"},{"key":"9","volume-title":"Odontoid fractures (dens fractures)","year":"2019"},{"key":"10","volume-title":"Hangman's fractures","year":"2019"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.11.011"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0b013e31827ab62a"},{"key":"13","year":"2014"},{"issue":"3","key":"14","first-page":"94","volume":"112","year":"2016","journal-title":"West Virginia Medical Journal"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.3171\/2017.3.SPINE161176"},{"key":"17","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1227\/01.NEU.0000366118.21964.A8","volume":"66","year":"2010","journal-title":"Neurosurgery"},{"key":"18","first-page":"1","volume":"17","year":"2017","journal-title":"Advances in Orthopedics"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1097\/bsd.0b013e3181cc43c7"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e3182446742"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182377486"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000894"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200007133430203"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2015.03.005"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.02.013"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1001\/jama.286.15.1841"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2019\/4301051.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2019\/4301051.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2019\/4301051.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,15]],"date-time":"2019-05-15T19:31:19Z","timestamp":1557948679000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/bmri\/2019\/4301051\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,15]]},"references-count":24,"alternative-id":["4301051","4301051"],"URL":"https:\/\/doi.org\/10.1155\/2019\/4301051","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,15]]}}}