Journal of Forensic and Legal Medicine
Volume 15, Issue 7 , Pages 457-461 , October 2008

Acute death due to hyperextension injury of the cervical spine caused by falling and slipping onto the face

Received 10 December 2007 ,Accepted 15 February 2008.

References 

  1. Adams MA. Biomechanics of the cervical spine. In:  Gunzburg R,  Szpalski M editor. Whiplash injuries. Philadelphia: Lippincott-Raven; 1998;p. 13–20
  2. Jónsson H, Cesarini K, Sahlstedt B, et al. Findings and outcome in whiplash-type neck distortions. Spine. 1994;19:2733–2743
  3. Turk EE, Tsokos M. Pathologic features of fatal falls from height. Am J Forensic Med Pathol. 2004;25:194–199
  4. Crawford PM, Shepherd DI. Hyperextension injuries to the cervical cord in the elderly. BMJ. 1989;299:669–670
  5. Schneider RC, Cherry G, Pantek H. The syndrome of acute central cervical spinal cord injury; with special reference to the mechanisms involved in hyperextension injuries of cervical spine. J Neurosurg. 1954;11:546–577
  6. Kiwerski J. The influence of the mechanism of cervical spine injury on the degree of the spinal cord lesion. Paraplegia. 1991;29:531–536
  7. Marar BC. Hyperextension injuries of the cervical spine. The pathogenesis of damage to the spinal cord. J Bone Joint Surg Am. 1974;56:1655–1662
  8. McMillan BS, Silver JR. Extension injuries of the cervical spine resulting in tetraplegia. Injury. 1987;18:224–233
  9. Quencer RM, Bunge RP, Egnor M, et al. Acute traumatic central cord syndrome: MRI-pathological correlations. Neuroradiology. 1992;34:85–94
  10. Kinoshita H. Pathology of spinal cord injuries due to fracture and fracture-dislocations of the cervical spine. Paraplegia. 1994;32:642–650
  11. Hayes KC, Kakulas BA. Neuropathology of human spinal cord injury sustained in sports-related activities. J Neurotraum. 1997;14:235–248
  12. Gupta SM, Chandra J, Dogra TD. Blunt force lesions related to the heights of a fall. Am J Forensic Med Pathol. 1982;3:35–43
  13. Li G, Baker SP, Smialek JE, Soderstrom CA. Use of alcohol as a risk factor for bicycling injury. JAMA. 2001;285:893–896
  14. Bohlman HH. Acute fractures and dislocations of the cervical spine. An analysis of three hundred hospitalized patients and review of the literature. J Bone Joint Surg Am. 1979;61:1119–1142
  15. Hayes KC, Askes HK, Kakulas BA. Retropulsion of intervertebral discs associated with traumatic hyperextension of the cervical spine and absence of vertebral fracture: an uncommon mechanism of spinal cord injury. Spinal Cord. 2002;40:544–547
  16. Panjabi MM, Grauer JN, Cholewicki J, et al. Whiplash trauma injury mechanism: a biomechanical viewpoint. In:  Gunzburg R,  Szpalski M editor. Whiplash injuries. Philadelphia: Lippincott-Raven; 1998;p. 79–87

PII: S1752-928X(08)00041-3

doi: 10.1016/j.jflm.2008.02.006

Journal of Forensic and Legal Medicine
Volume 15, Issue 7 , Pages 457-461 , October 2008