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Radiologic predictors of in-hospital mortality after traumatic craniocervical dissociation

The Journal of Trauma and Acute Care Surgery Aug 26, 2020

Schellenberg M, Anderson GA, Owattanapanich N, et al. - Researchers assessed 36 trauma patients who arrived to their Level 1 trauma center (January 2008 to April 2019) with craniocervical dissociation (CCD) in order to ascertain if greater dissociation, based on radiologic measurements of CCD, is predictive of in-hospital mortality among patients surviving to the emergency department. Of these patients, 12 (33%) died and 24 (67%) survived. Observations revealed no increased mortality among patients who arrive alive to hospital after traumatic CCD in correlation with greater radiologic dissociation. However, in-hospital death was observed in correlation with increased soft tissue edema at the level of mid C1, particularly 10.86 mm or greater. Findings thereby enhance the understanding of this highly lethal injury and aid better prognostication of patients arriving alive to hospital with CCD.

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