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Incidence and pattern of traumatic spinal fractures and associated spinal cord injury resulting from motor vehicle collisions in China over 11 years: An observational study
Wang HW(王洪伟); Liu XW(刘欣伟); Zhao YW(赵忆文); Ou L(欧兰); Zhou Y(周跃); Li CQ(李长青); Liu J(刘军); Chen Y(陈语); Yu HL(于海龙); Wang Q(王琪); Han JD(韩建达); Xiang LB(项良碧)
作者部门机器人学研究室
关键词Driver Mvcs Passenger Pedestrian Spinal Cord Injury Spine Fracture
发表期刊MEDICINE
ISSN0025-7974
2016
卷号95期号:43页码:1-5
收录类别SCI
WOS记录号WOS:000387272700032
产权排序2
资助机构Foundation of the State Key Laboratory of Robotics [2014-O12] ; Medjaden Academy & Research Foundation for Young Scientists [MJR20150013] ; Liaoning Province Doctor Startup Fund [201601389]
摘要

To investigate the incidence and pattern of traumatic spinal fractures (TSFs) and associated spinal cord injury (SCI) resulting from motor vehicle collisions (MVCs).This was a cross-sectional study. We retrospectively reviewed 698 patients with TSFs resulting from MVCs admitted to our university-affiliated hospitals from 2001 to 2011. The incidence and pattern were summarized with respect to different age groups, fracture levels, and the role of patients.There were 464 males (66.5%) and 234 females (33.5%) aged 40.513.8 years old. The most common roles of patients in MVCs were car drivers (189, 27.1%), pedestrians hurt by a car (155, 22.2%), and car passengers (145, 20.8%). The most common fracture levels were L1 (n = 198, 19.2%) and T12 (n = 116, 11.3%), followed by C2 (n = 86, 8.3%). A total of 298 (42.7%) patients suffered a spinal cord injury. The frequencies of SCIs decreased from 53.1% to 24.6% with increasing age. The patients in the 20 to 39 age group (45.3% of all patients) had the largest sex ratio (2.4) and highest frequency of complete SCIs (19.3%) and complications (3.2%). Motorcycle drivers had the youngest mean age (35.7 +/- 10.2), largest sex ratio (10.4), and highest frequency of SCIs (56.0%) and complications (4.4%). Motorcycle passengers had the highest frequency of complete SCI (22.7%) and ASOIs (45.5%) and the largest mean injury severity scoring (ISS) (18.9 +/- 9.6). The most common fracture levels of motorcycle drivers were C3-C7, while that of others were T11-L2.The most common role of patients who sustained TSFs were car drivers who were 20 to 39 years old. Motorcycle drivers had the highest frequency of SCIs and complications. Motorcycle passengers had the highest frequency of complete SCIs and ASOIs and the largest ISS. Therefore, we should pay more attention to MVC patients, especially car drivers and motorcycle drivers and passengers.

语种英语
WOS标题词Science & Technology ; Life Sciences & Biomedicine
WOS类目Medicine, General & Internal
关键词[WOS]Vertebral Fractures ; Clinical Article ; Rollover Crashes ; Cervical-spine ; Epidemiology ; Occupants ; Pedestrians ; Experience ; Accidents ; Outcomes
WOS研究方向General & Internal Medicine
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.sia.cn/handle/173321/19431
专题机器人学研究室
通讯作者Wang HW(王洪伟)
作者单位1.Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA
2.State Key Laboratory of Robotics, Shenyang Institute of Automation, Chinese Academy of Science, Shenyang, Liaoning
3.Department of Radiology, Southwest Hospital
4.Department of Orthopedics, Xinqiao Hospital, the Third Military Medical University, Chongqing, China.
推荐引用方式
GB/T 7714
Wang HW,Liu XW,Zhao YW,et al. Incidence and pattern of traumatic spinal fractures and associated spinal cord injury resulting from motor vehicle collisions in China over 11 years: An observational study[J]. MEDICINE,2016,95(43):1-5.
APA Wang HW.,Liu XW.,Zhao YW.,Ou L.,Zhou Y.,...&Xiang LB.(2016).Incidence and pattern of traumatic spinal fractures and associated spinal cord injury resulting from motor vehicle collisions in China over 11 years: An observational study.MEDICINE,95(43),1-5.
MLA Wang HW,et al."Incidence and pattern of traumatic spinal fractures and associated spinal cord injury resulting from motor vehicle collisions in China over 11 years: An observational study".MEDICINE 95.43(2016):1-5.
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