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单板滑雪者比滑雪者更容易损伤脊椎吗?从对新西兰奥塔哥滑雪场脊椎损伤的一项研究中获得的经验教训。

Are snowboarders more likely to damage their spines than skiers? Lessons learned from a study of spinal injuries from the Otago skifields in New Zealand.

作者信息

Donald Simon, Chalmers David, Theis Jean-Claude

机构信息

General Medicine, Aberdeen Royal Infirmary, Aberdeen, UK.

出版信息

N Z Med J. 2005 Jun 24;118(1217):U1530.

PMID:15980904
Abstract

AIMS

The aim of this study was to determine the incidence, nature, and circumstances of spinal injuries caused by skiing and snowboarding at the Otago skifields and treated at Dunedin Hospital during the period 1991 to 2002.

METHODS

Patients were identified from the audit records of the Department of Orthopaedic Surgery at Dunedin Hospital.

RESULTS

Twenty-five cases were included in the study, 18 snowboarders, and 7 skiers. Twenty-two cases had spinal fractures, with skiers having a higher proportion of burst fractures and multiple fractures. The most frequently fractured vertebrae were T12 and L1, and wedge fractures were the most common fracture type. Jump-related activities were the most common cause of injury in snowboarders, in contrast to skiers whose injuries were more commonly fall-related.

CONCLUSIONS

Skier-related spinal injuries were rare and sporadic over the study period, whereas snowboarder-related spinal injuries were more frequent and more recent in occurrence.

摘要

目的

本研究旨在确定1991年至2002年期间在奥塔哥滑雪场因滑雪和单板滑雪导致并在达尼丁医院接受治疗的脊柱损伤的发生率、性质和情况。

方法

从达尼丁医院骨科的审计记录中识别出患者。

结果

该研究纳入了25例病例,其中18名单板滑雪者和7名滑雪者。22例有脊柱骨折,滑雪者爆裂骨折和多发骨折的比例更高。最常发生骨折的椎体是T12和L1,楔形骨折是最常见的骨折类型。与跳跃相关的活动是单板滑雪者受伤的最常见原因,相比之下,滑雪者的受伤更常见于与跌倒相关。

结论

在研究期间,与滑雪者相关的脊柱损伤很少见且呈散发性,而与单板滑雪者相关的脊柱损伤更频繁且发生时间更近。

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