Neurologic Outcome and Vehicle and Crash Factors in Motor Vehicle Related Spinal Cord Injuries

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Abstract
Spinal cord injuries are a tragic problem with severe medical and economic consequences. This report describes the incidence of motor vehicle related spinal cord injuries, their neurologic outcomes, and certain features of the vehicle and the crash that caused them. All cases in 18 Northern California Counties were found, and information from hospital, coroner, and police records was abstracted. Spinal cord injuries occurring from crashes when the vehicle overturned were more prevalent than expected. Spinal cord injury crash involvement rates were highest for motorcycles, smaller vehicles, and large trucks, as well as for pre-1968 model year vehicles. A greater proportion of complete spinal cord injuries was found in persons involved in head-on collisions or in those ejected from the vehicle in the crash sequence.

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