Spine fractures in falling accidents: analysis of multidetector CT findings
Spine fractures in falling accidents: analysis of multidetector CT findings
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DOI：
10.1007/s00330-003-2090-6
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发表时间：
2004-04-01
影响因子：
5.9
通讯作者：
Koskinen, SK
中科院分区：
文献类型：
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作者：
Bensch, FV;Kiuru, MJ;Koskinen, SK
本研究的目的是评估跌倒导致的脊柱骨折的发生率、骨折类型和位置。对26个月期间所有急诊室CT检查进行了回顾。研究对象包括跌倒或跳跃并首次接受多层螺旋CT(MDCT)检查的患者。MDCT研究由两位放射科医生对创伤部位、骨折类型和多节段受累进行评估。共有237名患者(男性184名，女性53名，年龄16-86岁，平均年龄42岁)符合纳入标准。127例患者共203个椎体骨折。爆裂性骨折(n=78)是最常见的创伤类型，通常位于胸腰椎交界处(50%)。胸腰段压缩性骨折(n=52)最常见(39%)。后柱骨折(n=52)最常见于颈椎(40%)。损伤患者中41例(32%)为多节段脊柱骨折，其中12例(29%)为不连续节段骨折。随着身高的增加，骨折的总体发生率增加，爆裂性骨折和多节段脊柱骨折变得更加常见。年龄对骨折类型和骨折部位无影响。由于跌倒导致的脊柱骨折很常见。爆裂性骨折是最常见的骨折类型，最常见于胸腰椎交界处。32%的病例可见多节段骨折，其中29%为不连续节段骨折。严重的脊柱骨折见于所有跌落高度和年龄段。
The purpose of the present study was to assess incidence, fracture type, and location of spine fractures due to falls. All emergency room CT requests during a time period of 26 months were reviewed retrospectively. Patients who had fallen or jumped and were initially examined with multidetector CT (MDCT) were included. The MDCT studies were evaluated by two radiologists for trauma location, fracture type, and multiple level involvement. A total of 237 patients (184 males, 53 female, age range 16-86 years, mean age 42 years) met the inclusion criteria. A total of 203 vertebral fractures were seen in 127 patients. Burst fracture (n=78) was the most frequent type of trauma, usually located in the thoracolumbar junction (50%). Also, compression fracture (n=52) was most common in the thoracolumbar junction (39%). Posterior column fracture (n=52) was most frequently detected in the cervical spine (40%). Multiple-level spine fractures were seen in 41 (32%) of the injured patients, of which 12 (29%) had fractures at noncontinuous levels. With increasing height the overall incidence of fractures increased, and burst fractures and multiple level spine fractures became more frequent. Age had no effect on fracture type or location. Spine fractures due to falls are common. Burst fracture is the most common fracture type and most frequently seen in the thoracolumbar junction. Multiple-level fractures were seen in 32% of the cases, of which 29% were seen at noncontinuous levels. Serious spine fractures are seen in all falling height and age groups.