Cervical spine injuries in adults? 65 years after low-level falls-A systematic review and meta-analysis

Background: Adults >= 65 are at risk of cervical spine (C-spine) injury, even after low-level falls. The objectives of this systematic review were to determine the prevalence of C-spine injury in this population and explore the as-sociation of unreliable clinical exam with C-spine injury. Methods: We conducted this systematic review according to PRISMA guidelines. We searched MEDLINE, PubMed, EMBASE, Scopus, Web of Science, and the Cochrane Database of Systematic reviews to include studies reporting on C-spine injury in adults >= 65 years after low-level falls. Two reviewers independently screened articles, ab-stracted data, and assessed bias. Discrepancies were resolved by a third reviewer. A meta-analysis was performed to estimate overall prevalence and the pooled odds ratio for the association between C-spine injury and an unre-liable clinical exam. Results: The search identified 2044citations, 138 full texts were screened, and 21 studies were included in the sys-tematic review. C-spine injury prevalence in adults >= 65 years after low-level falls was 3.8% (95% CI: 2.8-5.3). The odds of c-spine injury in those with altered level of consciousness (aLOC) v/s not aLOC was 1.21 (0.90-1.63) and in those with GCS < 15 v/s GCS 15 was 1.62 (0.37-6.98). Studies were at a low-risk of bias, although some had low recruitment and significant loss to follow-up. Conclusions: Adults >= 65 years are at risk of cervical spine injury after low-level falls. More research is needed to determine whether there is an association between cervical spine injury and GCS < 15 or altered level of consciousness. (c) 2023 Elsevier Inc. All rights reserved.

Automated summary

This systematic review found that adults aged 65 and older are at risk of cervical spine injury after low-level falls, and explored the association between unreliable clinical exam and C-spine injury. A meta-analysis of 21 studies revealed a prevalence rate of 3.8% for C-spine injury in this population. More research is needed to determine whether there is an association between GCS < 15 or altered level of consciousness and cervical spine injury.