Spinal Injury in Motor Vehicle Crashes: Elevated Risk Persists Up to 12 Years of Age

This article reports on a retrospective study undertaken to determine whether age is associated with serious spinal injury in pediatric motor vehicle occupants, after controlling for crash-related factors. The study included all motor vehicle passengers 0 -16 years treated at two major children's hospitals from 1999 to 2004 with ICD 10 codes for spinal trauma (n = 72 cases). By age group, there were 58 children younger than 12 years and 14 children aged 12 years or older. The authors used logistic regression to adjust for confounders, including crash severity and crash type, and then determined that age younger than 12 was significantly associated with serious spinal injury. The authors hypothesis that this age breakpoint may reflect the adequacy of seat belt fit, as use of adult seatbelts alone before age 12 may increase a child's risk of serious spinal injury. They conclude by recommending that children aged younger than 12 years, those in higher severity crashes, and those in impacts with fixed roadside objects should receive additional scrutiny from emergency personnel for serious spinal injury.

  • Availability:
  • Authors:
    • Brown, Julie
    • Bilston, Lynne E
  • Publication Date: 2009-7


  • English

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Filing Info

  • Accession Number: 01148185
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Dec 31 2009 9:45AM