A patient falls from a height of 6 feet. What is a significant risk factor for cervical spine injury?

• A. Age less than 30
• B. History of cervical surgery
• C. Fall from a reclining chair
• D. Age > 65

Answer: (D)

A significant risk factor for cervical spine injury, particularly in the context of a fall from a height, is age greater than 65. As individuals age, there are several physiological changes that contribute to an increased vulnerability to cervical spine injuries. This includes decreased bone density, which leads to a higher risk of fractures, as well as degenerative changes in the cervical spine. The risk of severe spinal cord injuries, fractures, and instability also escalates with age due to these changes, making individuals over 65 particularly susceptible to significant injuries from falls.

While the other options highlight certain aspects related to cervical spine injuries, they do not present as strong a risk factor in the context of this scenario. For instance, those under the age of 30 often have better bone quality and resilience, making them less prone to severe injury from falls. A history of cervical surgery can indicate a previous condition or weakness but does not by itself significantly heighten the risk associated with this type of fall. Falling from a reclining chair also does not typically create a force sufficient to cause a cervical spine injury like a fall from 6 feet would, especially in younger and healthier individuals. Thus, the age over 65 stands out as the most critical factor in this context.