Spinal injuries in motorcycle crashes: Patterns and outcomes
Spinal injuries in motorcycle crashes: Patterns and outcomes
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DOI：
10.1097/00005373-200207000-00002
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发表时间：
2002-07-01
影响因子：
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通讯作者：
Smith, RM
中科院分区：
文献类型：
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作者：
Robertson, A;Giannoudis, PV;Smith, RM
背景资料：本研究的目的是确定摩托车碰撞导致的脊柱损伤模式和临床结果。方法：我们分析了1,121名摩托车驾驶员在道路交通事故中的数据（从1993-2000年），并确定那些谁遭受了脊髓损伤。结果：126名（11.2%）骑手（112名男性骑手[88.9%]和14名女性骑手[11.1%]）发生脊柱损伤，平均年龄为30.2岁（范围，16-61岁），损伤严重程度评分为18.8（范围，4-66）。30名（23.8%）骑手发生脊柱孤立性损伤。胸椎损伤69例（54.8%），腰椎损伤37例（29.4%），颈椎损伤34例（27.0%）。54例（42.9%）多个椎体节段受累。25名骑手（19.8%）发生神经损伤，14名（4名颈椎，9名胸椎和1名腰椎）发生完全远端神经损伤。11例（8.7%）患者需要脊柱手术。结论：胸椎是摩托车碰撞中最常见的脊柱损伤部位。多层次损伤是常见的。集中于颈椎区域的放射学清除的方案可能会错过大量的脊柱损伤。在评估这些患者时需要保持警惕，他们通常有多处受伤。
Background: The purpose of this study was to determine patterns of spinal injury and clinical outcomes resulting from motorcycle crashes.Methods: We analyzed data collected on 1,121 motorcyclists involved in road traffic accidents (from 1993-2000) and identified those who had sustained a spinal injury.Results: Spinal injury occurred in 126 (11.2%) riders (112 male riders [88.9%] and 14 female riders [11.1%]), with a mean age of 30.2 years (range, 16-61 years) and Injury Severity Score of 18.8 (range, 4-66). Isolated injuries to the spine occurred in 30 (23.8%) riders. The thoracic spine was injured in 69 (54.8%), the lumbar spine in 37 (29.4%), and the cervical spine in 34 (27.0%) cases. Multiple vertebral levels were affected in 54 (42.9%). Neurologic injury occurred in 25 riders (19.8%), with complete distal neurologic injury in 14 (4 cervical, 9 thoracic, and 1 lumbar). Eleven (8.7%) patients required spinal surgery. There were 13 (10.3%) deaths.Conclusion: The thoracic spine is the most commonly injured spinal region in motorcycle crashes. Multiple level injuries are common. Protocols concentrating on the radiographic clearance of the cervical region may miss a significant number of spinal injuries. Vigilance is required in assessing these patients, who often have multiple injuries.