Spinal cord injury in the setting of traumatic thoracolumbar fracture is not reliably associated with increased risk of associated intra-abdominal injury following blunt trauma:An analysis of a National Trauma Registry database

作     者：Veacheslav Zilbermints Yehuda Hershkovitz Kobi Peleg Joseph J.Dubose Adi Givon David Aranovich Mickey Dudkiewicz Israeli Trauma Group Boris Kessel Zilbermints Veacheslav;Hershkovitz Yehuda;Peleg Kobi;Dubose Joseph J.;Givon Adi;Aranovich David;Dudkiewicz Mickey;Israeli Trauma Group;Kessel Boris

作者机构：Surgical DivisionHillel Yaffe Medical Center Affiliated to Rappoport Medical SchoolTechnionHaderaIsrael Department of SurgeryShamir Medical Center Affiliated to Sackler Faculty of MedicineTel Aviv UniversityTel AvivIsrael National Center for Trauma and Emergency Medicine ResearchGertner Institute for Epidemiology and Health Policy ResearchTel HashomerIsrael University of Maryland School of MedicineBaltimoreMDUSA Hospital AdministrationHillel Yaffe Medical CenterHaderaIsrael 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2021年第24卷第3期

页      面：132-135页

核心收录：

学科分类：0403[教育学-体育学] 1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：The study was approved by Gertner Institute IRB committee(protocol#5138-19 ethical approval number 20187640) 

主　　题：Spinal fractures Blunt trauma Abdominal injuries Spinal cord injury 

摘      要：Purpose:There is a common opinion that spinal fractures usually reflect the substantial impact of injuries and therefore may be used as a marker of significant associated injuries,specifically for intra-abdominal injury(IAI).The impact of concomitant spinal cord injury(SCI)with the risk of associated IAI has not been well *** aim of this study was to evaluate the incidence and severity of IAIs in patients suffering from spinal fractures with or without ***:A retrospective cohort study using the Israeli National Trauma Registry was *** with thoracic,lumbar and thoracolumbar fractures resulting from blunt mechanisms of injury from January 1,1997 to December 31,2018 were examined,comparing the incidence,severity and mortality of IAIs in patients with or without *** collected variables included age,gender,mechanism of injury,incidence and severity of the concomitant IAIs and pelvic fractures,abbreviated injury scale,injury severity score,and *** analysis was performed using GraphPad InStat?Version 3.10,with Chi-square test for independence and two sided Fisher’s exact probability ***:Review of the Israeli National Trauma Database revealed a total of 16,878 patients with spinal *** thoracic and lumbar fractures were observed in 1272 patients(7.5%),isolated thoracic fractures in 4967 patients(29.4%)and isolated lumbar fractures in 10,639 patients(63.0%).The incidence of concomitant SCI was found in 4.95%(63/1272),7.65%(380/4967)and 2.50%(266/10639)of these patients,*** overall mortality was 2.5%,proving higher among isolated thoracic fracture patient than among isolated lumbar fracture counterparts(11.3%vs.4.6%,p0.001).Isolated thoracic fractures with SCI were significantly more likely to die than non-SCI counterparts(8.2%vs.3.1%,p0.001).There were no differences in the incidence of IAIs between patients with or without SCI following thoracolumbar fractures overall or in isolated