机动车碰撞中导致儿童颈椎致命损伤的研究：基于独特的全国关联数据集的分析
Fatal child cervical spine injuries in motor vehicle collisions: Analysis using unique linked national datasets.
机构信息
Department of Surgery, Division of Critical Care, Trauma and Burn, Ohio State University Medical Center, 395 West 12th Avenue, Columbus, OH 43210, USA.
出版信息
Injury. 2009 Aug;40(8):864-7. doi: 10.1016/j.injury.2008.11.011. Epub 2009 Apr 17.
AIM
To improve insight into fatal child cervical spine injuries (CSI) caused by motor vehicle collisions.
METHOD
Two large national mortality datasets were linked at the level of the individual decedent to analyse and compare anatomical injuries and vehicle crash characteristics for fatally injured child occupants.
RESULTS
Cervical spine injury was identified among 176 of 6065 child (age 0-15 years) motor vehicle occupant fatalities. Presence compared with absence of CSI had significant association with female gender, traumatic brain injury and seat restraint, but not with age, vehicle model, year or type, exposure to airbag, severe vehicle intrusion, collision speed or direction, drivability of the vehicle or seating position.
CONCLUSIONS
Cervical spine injury, which was uncommon in the studied subset of child decedents, was associated with female gender, the use of passenger restraints and the presence of traumatic brain injury.
目的
深入了解机动车碰撞导致的致命儿童颈椎损伤（CSI）。
方法
通过个体死者的水平，将两个大型国家死亡率数据集进行关联，以分析和比较致命儿童乘员的解剖损伤和车辆碰撞特征。
结果
在 6065 名儿童（0-15 岁）机动车乘员死亡中，发现了 176 例颈椎损伤。存在 CSI 与不存在 CSI 相比，与女性性别、创伤性脑损伤和座椅约束有显著关联，但与年龄、车辆型号、年份或类型、是否接触安全气囊、严重车辆侵入、碰撞速度或方向、车辆可操作性或座椅位置无关。
结论
在研究的儿童死者子集中，颈椎损伤不常见，但与女性性别、使用乘客约束装置和创伤性脑损伤有关。
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