{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T14:58:27Z","timestamp":1770562707624,"version":"3.49.0"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Head and spine injuries sustained following golf cart accidents have been rarely analyzed. This study aimed to describe a series of patients sustaining golf cart injuries requiring neurosurgical management for head or spine injuries.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>The University of Puerto Rico Neurosurgery database was used to retrospectively identify and investigate patients who sustained a golf cart-related injury requiring a neurosurgical evaluation during 15 years.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>The analysis identified 25 patients with golf cart-related injuries requiring neurosurgical management with a median age of 16 (interquartile range 13\u201334). Seventeen patients (68%) were female. The primary mechanism of injury was ejection from the cart in 84% of the patients (<jats:italic>n<\/jats:italic> = 21). The most frequent head injury was a skull fracture in 80% of patients (<jats:italic>n<\/jats:italic> = 20). Intracranial hemorrhage was present in 76% of patients (<jats:italic>n<\/jats:italic> = 19), with brain contusions (<jats:italic>n<\/jats:italic> = 16, 64%) being the most common. Eighteen patients (72%) were admitted for surgery or neurological monitoring. The median hospital length of stay among hospitalized patients was 5.5 days. Ten patients (40%) were admitted to the intensive care unit (ICU) with a median stay of 8.5 days. Four patients (16%) required surgery for their injuries. At discharge, 80% of patients (<jats:italic>n<\/jats:italic> = 20) had a good outcome.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>This study showed that children and adolescents are at high risk for golf cart-related neurosurgical injuries. This form of transportation can produce considerable neurological injuries, the primary mechanism of injury being ejection from the cart. Approximately three-quarters of the patients need hospital admission, with half requiring an ICU stay.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_185_2024","type":"journal-article","created":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T11:21:39Z","timestamp":1719573699000},"page":"222","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Golf cart-related neurosurgical injuries"],"prefix":"10.25259","volume":"15","author":[{"given":"Annelisse","family":"Torres-Urquia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orlando 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