Table 1.
Characteristics of 14 resuscitated patients with fatal cervical spinal cord injury
No | Age/Sex | Cause of injury | Possible mechanism | CT diagnosis | MRI T2 finding | First ECG finding | CA time (min) | CPC |
---|---|---|---|---|---|---|---|---|
1 | 71/M | Motor vehicle crash | Distraction, HE, HF | Hangman Fracture (type 2) | C1‐2 intramedullary hyperintensity | PEA | 5 | 4 |
2 | 82/M | Sports | HE, Vertical compression | Hangman Fracture (type 1) | — | Asystole | 35 | 5 |
3 | 90/F | Pedestrian | HE | Odontoid Fracture (type 2) | C2 spinal cord discontinuity | Unknown | 8 | 5 |
4 | 71/M | Fall (1.5 m) | Distraction, HE | Odontoid Fracture (type 2) | C2 spinal cord discontinuity | Unknown | 10 | 4 |
5 | 62/M | Bicycle crash | Distraction, HE | Odontoid Fracture (type 2) | — | Asystole | 28 | 5 |
6 | 87/F | Fall (ground level) | HE, Vertical compression | Odontoid Fracture (type 2) | C2 spinal cord discontinuity | — | RA | 5 |
7 | 52/M | Fall (3 m) | HE | Odontoid Fracture (type 3) | C2 spinal cord discontinuity | — | RA | 2 |
8 | 78/M | Fall (staircase) | Distraction, HF | Atlanto‐axial dislocation (vertical) | — | PEA | 18 | 3 |
9 | 72/M | Motor vehicle crash | Distraction, HF | Atlanto‐axial dislocation (lateral) | — | PEA | 20 | 5 |
10 | 69/M | Fall (3 m) | HE | Atlanto‐axial subluxation | C1‐3 intramedullary hyperintensity | Asystole | 10 | 2 |
11 | 71/M | Motor vehicle crash | Distraction, HE, HF | Atlanto‐axial subluxation | C1 intramedullary hyperintensity | PEA | 16 | 5 |
12 | 67/M | Fall (staircase) | HE | C3/4, C4/5 subluxation | C2‐5 intramedullary hyperintensity | PEA | 38 | 4 |
13 | 92/M | Fall (ground level) | HE | C4/5 posterior dislocation | — | Asystole | 6 | 5 |
14 | 75/M | Fall (staircase) | HE | C4/5 anterior dislocation | C2‐6 intramedullary hyperintensity | — | RA | 2 |
Clinical characteristics and radiological findings of the 14 patients with cardiac or respiratory arrest caused by cervical SCI. CA time, cardiac arrest time; CPC, Glasgow‐Pittsburg Cerebral Performance Categories; ECG, electrocardiogram; HE, hyperextension; HF, hyperflexion; PEA, pulseless electric activity; RA, respiratory arrest.