Introduction:

Spinal cord trauma is a devastating condition that causes sensory, motor and autonomic alterations, however, survival depends on prognostic factors described in the literature such as: comorbidities of the individual, the severity of the initial trauma, the level of the injury, among others.

Objective:

To evaluate the clinical and epidemiological factors that overshadow the evolution in geriatric patients with traumatic cervical spinal cord injury.

Methods:

The research was carried out over a period of three years, in the Neurosurgery service and consisted of several stages: two years were dedicated to the selection of patients: January 2018 to July 2020, the time allocated to the study was completed with follow-up by consultation up to six months.

Results:

The group of 60 to 69 years of male sex prevailed with 56.6% with domain of severity groups A and B of the ASIA scale. Poor prognostic factors in spinal cord injury were degenerative changes of the spine, low injury level and high rate of complications among others. As a result, the degree of social dependence in the group was moderate or severe and the deceased were 46,6% of the cases treated.

Conclusions:

Cervical spinal cord trauma represents a complex and multifactorial event that is influenced by comorbidities, the characteristics of the traumatic event and the technological development of the center. Proper assessment of each of them can improve outcomes for those injured over 60 years of age.

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