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Associated Injuries in Spine Trauma Patients: A Single-Center Experience

Journal of Trauma and Injury 2020년 33권 4호 p.242 ~ 247
유승한, 최혁진, 이정환, 김별철, 하만정, 한인호,
소속 상세정보
유승한 ( Yu Seung-Han ) - Pusan National University Hospital Department of Neurosurgery
최혁진 ( Choi Hyuk-Jin ) - Pusan National University Hospital Department of Neurosurgery
이정환 ( Lee Jung-Hwan ) - Pusan National University Hospital Department of Neurosurgery
김별철 ( Kim Byung-Chul ) - Pusan National University Hospital Department of Neurosurgery
하만정 ( Ha Mahn-Jeong ) - Pusan National University Hospital Department of Neurosurgery
한인호 ( Han In-Ho ) - Pusan National University Hospital Department of Neurosurgery

Abstract


Purpose: The purpose of this study was to determine the incidence and characteristics of associated injuries in patients with spine trauma.

Methods: Data of 3,920 consecutive patients admitted to a regional trauma center during a 3-year period were analyzed retrospectively.

Results: Of the 3,920 patients who were admitted to the trauma center during the 3-year study period, 389 (9.9%) had major spinal injuries. Among these 389 patients, 303 (77.9%) had associated injuries outside the spine. The most common body region of associated injuries was the extremities or pelvis (194 cases, 49.4%), followed by the chest (154 cases, 39.6%) and face (127 cases, 32.6%). Of these 303 patients, 149 (64%) had associated injuries that required surgical treatment such as laparotomy or internal fixation. Associated injuries were more common in patients with lumbar injuries (93.3%) or multiple spinal injuries (100%) than in those with lower cervical injuries (67.4%). There was a significant correlation between the location of the spinal injury and the body region of the associated injury. However, distant associated injuries were also common.

Conclusions: Associated injuries were very common in spinal injury patients. Based on demographic groups, the trauma mechanism, and the location of spinal injury, an associated injury should be suspected until proven otherwise. Using a multidisciplinary and integrated approach to treat trauma victims is of the paramount importance.

키워드

Spinal injuries; Multiple trauma; Trauma centers

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