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Incidence,prevalence,and causes of spinal injuries in China,1990-2019:Findings from the Global Burden of Disease Study 2019

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Chinese Medical Journal 2024年第6期137卷 704-710页

作者： Chenjun Liu Tingling Xu Weiwei Xia Shuai Xu Zhenqi Zhu Maigeng Zhou Haiying Liu Department of spinal Surgery Peking University People’s HospitalPeking UniversityBeijing 100044China Chinese Preventive Medicine Association Committee on Prevention and Control of Spinal DiseaseBeijing 100009China National Center for Chronic and Noncommunicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijing 100050China School of Public Health Xi’an Jiaotong UniversityXi’anShaanxi 710061China

Background:spinal injuries are an urgent public health priority;nevertheless,no China-wide studies of these injuries *** study measured the incidence,prevalence,causes,regional distribution,and annual trends of spinal injuries in China from 1990 to ***:We used data from the Global Burden of Diseases,injuries,and Risk Factors Study 2019 to estimate the incidence and prevalence of spinal injuries in *** data of 33 provincial-level administrative regions(excluding Taiwan,China)provided by the National Center for Chronic and Noncommunicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention(CDC)were use to systematically analyze the provincial etiology,geographical distribution,and annual trends of spinal *** Bayesian meta-regression tool DisMod-MR 2.1 was used to ensure the consistency among incidence,prevalence,and mortality rates in each ***:From 1990 to 2019,the number of living patients with spinal injuries in China increased by 138.32%,from 2.14 million to 5.10 million,while the corresponding age-standardized prevalence increased from 0.20%(95%uncertainty interval[UI]:0.18-0.21%)to 0.27%(95%UI:0.26-0.29%).The incidence of spinal injuries in China increased by 89.91%(95%UI:72.39-107.66%),and the prevalence increased by 98.20%(95%UI:89.56-106.82%),both the most significant increases among the G20 countries;71.00%of the increase could be explained by age-specific *** 2019,the incidence was 16.47(95%UI:12.08-22.00,per 100,000 population),and the prevalence was 358.30(95%UI:333.96-386.62,per 100,000 population).Based on the data of 33 provincial-level administrative regions provided by CDC,age-standardized incidence and prevalence were both highest in developed provinces in Eastern *** primary causes were falls and road injuries;however,the prevalence and specific causes differed across ***:In China,the overall disease burden of spinal injuries increased significantl

关键词： spinal injuries Global Burden of Diseases,injuries and Risk Factors Study 2019 Incidence Prevalence Falls Road injuries

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Imaging diagnosis of cervical spine and spinal cord injuries in children

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Chinese Journal of Traumatology 2001年第4期4卷 222-225页

作者：戴力扬 Department of Orthopedic Surgery Xinhua Hospital Shanghai Second Medical University Shanghai 200092 China.

Objective: To provide the experience in imaging diagnosis of cervical spine and spinal cord injuries in children. Methods: Imaging data of cervical spine and spinal cord injuries in 62 children were retrospectively reviewed. The routine radiography including the lateral, anteroposterior and open-mouth odontoid views were performed in all the patients. Tomography was available for 25 patients, and flexion-extension lateral views for 28 patients, CT scanning for 21 patients, MRI for 26 patients. Results: Of these patients, 46 patients were identified with injuries of upper cervical spine (9 with atlantal arch fracture, seven with axial fracture, 21 with odontoid fracture, 1 with atlantal arch fracture combining with odontoid fracture, and 1 with atlantal transverse ligament disruption); 7 patients sustained injuries of lower cervical spine (3 fractures of vertebral body, 2 dislocations and 6 fracture-dislocations); 2 patients had multiple noncontiguous cervical injuries; and 3 had cervical spinal cord injury without radiographic abnormalities (SCIWORA). Conclusions: Imaging assessment is of great importance in the diagnosis of cervical spine and spinal cord injuries in children. Whenever cervical spine and spinal cord injuries are suspected for children patients, and the three-views should be routinely indicated. MRI should be routinely performed in all children with cervical SCIWORA.

关键词： Cervical vertebrae spinal injuries spinal cord injuries Diagnosis

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One stage anterior-posterior approach for traumatic atlantoaxial instability combined with subaxial cervical spinal cord injury

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Chinese Journal of Traumatology 2011年第3期14卷 137-142页

作者： WANG Chang-sheng LIU Mou-jun LIN Jian-hua XU Wei-hong LUO Hong-bin Department of spinal Surgery First Affiliated Hospital of Fujian Medical University Fuzhou 350005 China Department of Orthopaedics People's Hospital of Pengzhou City Pengzhou 611930 Sichuan Province China

Objectives： To explore the clinical fea- tures of traumatic atlantoaxial instability combined with subaxial cervical spinal cord injury （CSCI）, and to analyze the feasibility, indication and therapeutic effects of anterior-posterior approach in such cases. Methods： From March 2004 to September 2009, 16 cases with this trauma were admitted and surgically treated in our department. Before surgery, skull traction was performed. Posterior atlantoaxial pedicle screw internal fixation and bone graft fusion were conducted to manage traumatic atlantoaxial instability. As for subaxial CSCI, anterior cervical corpectomy or discectomy decompression, bone grafting and internal fixation with steel plates were applied. Results： All operations were successful. The average operation time was 3 hours and operative blood loss 400 ml. Satisfactory reduction of both the upper and lower cervical spine and complete decompression were achieved. All patients were followed up for 12 to 36 months. Their clinical symptoms were improved by various levels. The Japanese Orthopaedic Association （JOA） scores ranged from 10（improvement rate=70.10%）. X-rays, spiral CT and MRI confirmed normal cervical alignments, complete decompression and fine implants＇ position. There was no breakage or loosening of screws, nor exodus of titanium mesh or implanted bone blocks. The grafted bone achieved fusion 3-6 months postoperatively and no atlantoaxial instability was observed. Conclusions： Traumatic atlantoaxial instability may combine with subaxial CSCI, misdiagnosis of which should be especially alerted and avoided. For severe cases, one stage anterior-posterior approach to decompress the upper and lower cervical spine, together with reposition, bone grafting and fusion, as well as internal fixation can immediately restore the normal alignments and stability of the cervical spine and effectively improve the spinal nervous function, thus being an ideal approach.

关键词： Atlanto-axial joint Cervical vertebrae spinal injuries Cervicoplasty

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Establishment of a regional multicenter traumatic spine fracture/dislocation registry

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Chinese Journal of Traumatology 2014年第4期17卷 235-238页

作者： Vafa Rahimi-Movaghar Soheil Saadat Saba Jafarpour Department of Neurosurgery Shariati Hospital Tehran University of Medical Sciences Tehran Iran Sina Trauma and Surgery Research Center Tehran University of Medical Sciences Tehran Iran Sina Trauma and Surgery Research Center Tehran University of Medical Sciences Tehran Iran

Objective：Trauma is one of the leading causes of mortality and morbidity in adults and a major contributor to health care *** spine-related injuries constitute a small proportion of trauma cases,they need special consideration due to poor functional outcomes and substantial *** relatively extensive previous studies on traumatic spinal injuries,there is still obscurity in some aspects of the *** purpose of this study is to establish a regional multicenter traumatic spine fracture/dislocation ***：This is a prospective case series study,including all patients with acute traumatic spine lesions admitted to a regional multicenter since *** is extracted based upon a form developed by Sina Trauma and Surgery Research Center,Tehran University of Medical Sciences,Tehran,*** electronic data entry software is initiated and data will be entered to the *** remains confidential and security considerations will be taken based on standards of data entry ***：The results of this study will include age and gender distribution of the patients,causes of injury,location of pain and neurological deficit,the American spinal Injury Association score and Frankel grade on admission,at discharge,after 6 and 12 months and at the latest annual follow-up,radiologic findings,details of operative procedures and methods of external ***：This study will identify prognostic factors that influence the ultimate fate of spine fracture patients and determine short and long-term outcome of different treatment *** can lead to a considerable improvement in patient care and will have a great national and transnational impact.

关键词： spinal fractures Registries spinal injuries Prospective studies

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Post-discharge follow-up of patients with spine trauma in the National spinal Cord Injury Registry of Iran during the COVID-19 pandemic:Challenges and lessons learned

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Chinese Journal of Traumatology 2024年第3期27卷 173-179页

作者： Zahra Azadmanjir Moein Khormali Mohsen Sadeghi-Naini Vali Baigi Habibollah Pirnejad Mohammad Dashtkoohi Zahra Ghodsi Seyed Behnam Jazayeri Aidin Shakeri Mahdi Mohammadzadeh Laleh Bagheri Mohammad-Sajad Lotfi Salman Daliri Amir Azarhomayoun Homayoun Sadeghi-Bazargani Gerard O'reilly Vafa Rahimi-Movaghai Health Information Management Department School of Allied Medical SciencesTehran University of Medical SciencesTehranIran Sina Trauma and Surgery Research Center Tehran University of Medical SciencesTehranIran Department of Neurosurgery Lorestan University of Medical SciencesKhoram-AbadIran Department of Epidemiology and Biostatistics School of Public HealthTehran University of Medical SciencesTehranIran Patient Safety Research Center Clinical Rsearch Institute Urma Universty of Medical SciencesUrmaIran Erasmus School of Health Policy&Management(ESHPM) Erasmus University RotterdamRoterdamthe Netherlands Brain and spinal Cord Injury Research Center Neuroscience InstituteTehran University of Medical SciencesTehranIran Students Scientifc Research Center(SSRC) Tehran University of Medical SciencesTehranIran Department of Neurosurgery Arak University of Medical SciencesArakIran Trauma Research Center Kashan University of Medical SciencesKashanIran Shahid Rahnemoun Hospital Shahid Sadoughi University of Medical SciencesYazdIran Trauma Nuring Rearch entre Faculty of Nursing and Midwifry Kahan Universty of Medical Sciences Kahan Iran Clinical Research Development Unit Imam Hossein HospitalShahroud University of Medical SciencesShahroudIran Research Center for Evidence Based Medicine Faculty of MedicineTabriz University of Medical SciencesTabrizIran Road Trafic Injury Research Center Tabriz University of Medical SciencesTabrizIran School of Public Health and Preventive Medicine Monash UniversityMelbourneAustralia National Trauma Research Institute The AlfredMelbourneAustralia Department of Neurosurgery Shariati HospitalTehran University of Medical SciencesTehranIran Universal Scientific Education and Research Network(USERN) TehranIran Institute of Biochemistry and Biophysics University of TehranTehranIran

Purpose:The purpose of the National spinal Cord Injury Registry of Iran(NSCIR-IR)is to create an infrastructure to assess the quality of care for spine trauma and in this study,we aim to investigate whether the NSCIR-IR successfully provides necessary post-discharge follow-up data for these ***:An observational prospective study was conducted from April 11,2021 to April 22,2022 in 8 centers enrolled in NSCIR-IR,respectively Arak,Rasht,Urmia,Shahroud,Yazd,Kashan,Tabriz,and *** were classified into 3 groups based on their need for care resources,respectively:(1)non-spinal cord injury(SCI)patients without surgery(group 1),(2)non-SCI patients with surgery(group 2),and(3)SCI patients(group 3).The assessment tool was a self-designed questionnaire to evaluate the care quality in 3 phases:pre-hospital,in-hospital,and *** data from the first 2 phases were collected through the *** post-hospital data were collected by conducting follow-up *** follow-ups were conducted for groups 1 and 2(non-SCI patients),while group 3(SCI patients)had a face-to-face *** study took place during the COVID-19 *** on age and time interval from injury to follow-up were expressed as mean±standard deviation(SD)and response rate and follow-up loss as a ***:Altogether 1538 telephone follow-up records related to 1292 patients were registered in the *** the total calls,918(71.05%)were related to successful follow-ups,but 38 cases died and thus were excluded from data *** the end,post-hospital data from 880 patients alive were *** success rate of follow-ups by telephone for groups 1 and 2 was 73.38%and 67.05%respectively,compared to 66.67%by face-to-face visits for group 3,which was very hard during the COVID-19 *** data completion rate after discharge ranged from 48%-100%,22%-100%and 29%-100%for groups ***:To improve patient accessibility,NSCIR-IR should take me

关键词： Follow-up studies spinal injuries spinal cord injuries COVID-19 NSCIR-IR

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Impact of intravenous acetaminophen therapy on the necessity of cervical spine imaging in patients with cervical spine trauma

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Chinese Journal of Traumatology 2014年第4期17卷 204-207页

作者： Koorosh Ahmadi Amir Masoud Hashemian Elham Pishbin Mahdi Sharif-Alhoseini Vafa Rahimi-Movaghar Department of Emergency Medicine Alborz University of Medical Sciences Karaj Iran Department of Emergency Medicine Mashhad University of Medical Sciences Mashhad Iran Sina Trauma and Surgery Research Center Tehran University of Medical Sciences Tehran Iran Department of Neurosurgery Shariati Hospital Tehran University of Medical Sciences Tehran Iran

Objective：We evaluated a new hypothesis of acetaminophen therapy to reduce the necessity of imaging in patients with probable traumatic cervical spine ***：Patients with acute blunt trauma to the neck and just posterior midline cervical tenderness received acetaminophen （15 mg/kg） intravenously after cervical spine ***,all the patients underwent plain radiography and computerized tomography of the cervical *** outcome measure was the presence of traumatic cervical spine *** minutes after acetaminophen infusion,posterior midline cervical tendemess was ***：Of 1 309 patients,41 had traumatic cervical spine injuries based on *** minutes after infusion,posterior midline cervical tenderness was eliminated in 1 041 patients,none of whom had abnormal ***：Patients with cervical spine trauma do not need imaging if posterior midline cervical tendemess is eliminated after acetaminophen *** analgesia could be considered as a diagnostic and therapeutic intervention.

关键词： Acetaminophen Diagnosis spinal injuries Cervical vertebrae Radiography

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Spondyloptosis of C6-C7： a rare case report

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Chinese Journal of Traumatology 2010年第6期13卷 377-379页

作者： Manish Chadha Ajay Pal Singh Arun Pal Singh Department of Orthopaedics Guru Teg Bahadur Hospital University College of Medical Sciences University of Delhi New Delhi 110095 India Department of Orthopaedics and Joint Replacement Indraprastha Apollo Hospital New Delhi 110095 India

A 35 years old female presented to us after falling from a height. She complained of a neck pain and a complete quadriplegia and was diagnosed as having spondyloptosis of the C6-C7. Skeletal traction was performed on her. CT scan showed fractures of the C5, C6, and C7 vertebral body. The patient underwent anterior approach partial corpectomy with anterior cervical locking plate and strut grafting from ipsilateral iliac crest. Intraoperatively it was found that the disc was completely ruptured and there was a dural tear and cerebrospinal fluid leak. Her postoperative period was complicated by cerebrospinal fluid collection and posterior instrumentation was not performed due to the poor general condition. She had no neural recovery at the last follow-up. Spondyloptosis is a severe and highly unstable injury with a three column ligamentous disruption and may be complicated, as in our case, with a dural *** of these cases is fraught with complications,and prognosis for neural recovery is dismal.

关键词： Spondylolisthesis Spine spinal injuries

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Thoracic spinal trauma associated with closed thoraco-abdominal injury

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Chinese Journal of Traumatology 2003年第3期6卷 171-173页

作者：路磊吴立文范广宇 Department of Orthopedics First Clinical CollegeChina Medical University Department of Ultrasonics First Clinical CollegeChina Medical University

Objective: To explore the management of thoracic spinal trauma (TST) associated with closed thoraco abdominal injuries (CTAI). Methods: A retrospective study was made on 259 patients with TST admitted to our department as an emergency treatment from January 1996 to June 2001. We summarized the clinical features of TST associated with CTAI. Results: Among 259 patients with thoracic spinal trauma, 112 were associated with CTAI. Traffic accident was the most common cause. The force causing upper TST was more violent than that causing the lower. Pulmonary complications were the leading cause of death in this group. Surgery could not improve neurological function for completely paraplegic patients. Conclusions: The reason that upper TST has the tendency to be associated with CTAI is its special anatomical feature. Routine ultrasonic examination can avoid misdiagnosis of latent closed abdominal injuries associated with spinal injury. The presence of potential injuries, especially CTAI, should be considered when deciding whether or not to perform surgery early.

关键词： spinal injuries Hemopneumothorax Abdominal injuries

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One stage anterior-posterior approach for traumatic atlantoaxial instability combined with subaxial cervical spinal cord injury

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中华创伤杂志(英文版) 2011年第3期

Abstract:Objectives: To explore the clinical features of traumatic atlantoaxial instability combined with subaxial cervical spinal cord injury (CSCI), and to analyze the feasibility, indication and therapeutic effects of anterior-posterior approach in such ***: From March 2004 to September 2009, 16cases with this trauma were admitted and surgically treated in our department. Before surgery, skull traction was performed. Posterior atlantoaxial pedicle screw internal fixation and bone graft fusion were conducted to manage traumatic atlantoaxial instability. As for subaxial CSCI, anterior cervical corpectomy or discectomy decompression, bone grafting and internal fixation with steel plates were ***: All operations were successful. The average operation time was 3 hours and operative blood loss 400 ml. Satisfactory reduction of both the upper and lower cervical spine and complete decompression were achieved. All patients were followed up for 12 to 36 months. Their clinical symptoms were improved by various levels. The Japanese Orthopaedic Association (JOA) scores ranged from 10to 16 one year postoperatively, 13.95±2.06 on average (improvement rate= 70.10% ). X-rays, spiral CT and MRI confirmed normal cervical alignments, complete decompression and fine implants'' position. There was no breakage or loosening of screws, nor exodus of titanium mesh or implanted bone blocks. The grafted bone achieved fusion 3-6 months postoperatively and no atlantoaxial instability was ***: Traumatic atlantoaxial instability may combine with subaxial CSCI, misdiagnosis of which should be especially alerted and avoided. For severe cases, one stage anterior-posterior approach to decompress the upper and lower cervical spine, together with reposition, bone grafting and fusion, as well as internal fixation can immediately restore the normal alignments and stability of the cervical spine and effectively improve the spinal nervous function, thus being an ide

关键词： Atlanta-axial joint Cervical vertebrae spinal injuries Cervicoplasty 参考文献: Grauer JN,Shaft B,Hilibrand AS,et al.Proposal of a modified,treatment-oriented classification of odontoid fractures.Spine J 2005 5(2):123-129.

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