Postma I L E, Oner F C, Bijlsma T S, Heetveld M J, Goslings J C, Bloemers F W
*Academic Medical Centre, Amsterdam, the Netherlands †University Medical Centre Utrecht, Utrecht, the Netherlands ‡Medical Centre Alkmaar, Alkmaar, the Netherlands §Kennemer Gasthuis, Haarlem, the Netherlands; and ¶VU University Medical Centre, Amsterdam, the Netherlands.
Spine (Phila Pa 1976). 2015 Apr 15;40(8):530-6. doi: 10.1097/BRS.0000000000000820.
Retrospective cohort.
Spinal injuries of the survivors of an airplane crash are described. On the basis of injury morphology and knowledge of the conditions of the accident, injury mechanisms are described and prevention measures are discussed.
The most common causes of spinal fractures are a high energy fall (incidence 21.2%-39%) and motor vehicle accidents (21.7%-33.61%). Detailed reports solely on spinal injuries, as a result of an airplane crash, are scarce in literature.
An analysis was performed on the spinal injuries of all 126 survivors of a commercial airplane (Boeing 737) crash near Amsterdam in 2009. Level of injury and fracture classification by morphology, independently performed by 4 specialists in spinal trauma, was documented. An analysis was done on the type of injuries and the suggested mechanism of injury by evaluating the crash characteristics analysis.
Twenty-three (18.3%) of the survivors sustained a total of 27 spinal injuries. Four (17.1% of the patients with spinal injury) experienced a single cervical spine fracture. Eight (29.6%) injuries were at the thoracic spine and 15 (55.6%) at the lumbar spine level. More than half of the injuries included a burst component.
A high number of spinal injuries was found after this airplane crash. The morphology of the injuries consisted of a high rate of burst-type fractures presumably caused by a mainly vertical trauma mechanism as shown by the accident analysis.
回顾性队列研究。
描述一起飞机坠毁事故幸存者的脊柱损伤情况。基于损伤形态及事故情况的了解，阐述损伤机制并讨论预防措施。
脊柱骨折最常见的原因是高能量坠落（发生率21.2%-39%）和机动车事故（21.7%-33.61%）。文献中关于飞机坠毁导致脊柱损伤的详细报告较少。
对2009年在阿姆斯特丹附近坠毁的一架商用飞机（波音737）的126名幸存者的脊柱损伤进行分析。由4名脊柱创伤专家独立进行损伤节段及骨折形态分类记录。通过评估坠机特征分析对损伤类型及推测的损伤机制进行分析。
23名（18.3%）幸存者共发生27处脊柱损伤。4名（脊柱损伤患者中的17.1%）经历了单处颈椎骨折。8处（29.6%）损伤位于胸椎，15处（55.6%）位于腰椎水平。超过半数的损伤包含爆裂成分。
此次飞机坠毁后发现大量脊柱损伤。损伤形态以爆裂型骨折为主，推测主要由事故分析显示的垂直创伤机制导致。
4级。
