The Journal of Spinal Cord Medicine, 2019 · DOI: 10.1080/10790268.2019.1607055 · Published: January 1, 2019
This study investigates how sex influences injury characteristics and outcomes after acute spine trauma (AST). It compares females and males regarding the epidemiology, injury characteristics, and clinical outcomes of AST. The study found that females with AST often have more pre-existing health issues, are more likely to experience trauma in the thoraco-lumbar region, and tend to have less severe neurological impairment. Motor vehicle accidents were also more common in females. Despite these differences, the length of stay in the acute spine center, in-hospital survival, the need for mechanical ventilation, and tracheostomy were similar for both sexes after AST.
Current acute spine trauma care guidelines do not need to account for sex as a key determinant of patient outcomes.
While neurological impairment might be less severe in females, a greater number of co-morbidities (assessed by CIRS) can pose management challenges.
Further investigation is needed to determine the best measures of pre-existing medical co-morbidities when evaluating outcomes after AST, especially in rehabilitation centers.