Laurer Helmut, Maier Bernd, El Saman André, Lehnert Mark, Wyen Hendrik, Marzi Ingo
Department of Trauma, Hand, and Reconstructive Surgery, University Hospital of the Johann Wolfgang Goethe-University, Theodor-Stern-Kai 7, 60590, Frankfurt/Main, Germany.
1Department of Trauma, Hand, and Reconstructive Surgery, University Hospital of the Johann Wolfgang Goethe-University, Frankfurt/Main, Germany.
Eur J Trauma Emerg Surg. 2007 Oct;33(5):476-81. doi: 10.1007/s00068-007-7124-3. Epub 2007 Sep 27.
Injury to the spinal column and cord are often part of life-threatening multiple trauma. Epidemiological data could help to establish an evidence-based assessment and therapy of these patients. We present a retrospective chart analysis of 590 multiple traumatized patients admitted within a 4-year-period. Patients suffering from injuries of the spinal column were analysed regarding mechanism and distribution of their injuries to all body regions. Thirty-one percent (n = 183) of polytraumatized patients displayed a spine injury. Distribution analysis showed peaks in the cervical spine and the thoraco-lumbar junction. The risk of relevant associated injuries is mainly influenced from anatomical vicinity to the injured spinal segment. Injuries to the spinal column are frequent in the multiple trauma patients population. Diagnosed injuries to distinct body regions should make the trauma team suspicious of injury to the nearby spinal column. Appropriate treatment includes thorough assessment of all injuries to clarify the damage and carry on special protection of these spinal regions preventing from deterioration.
脊柱和脊髓损伤常常是危及生命的多发伤的一部分。流行病学数据有助于对这些患者进行循证评估和治疗。我们对4年内收治的590例多发伤患者进行了回顾性病历分析。对脊柱受伤患者的损伤机制及其在身体各个部位的分布情况进行了分析。31%（n = 183）的多发伤患者存在脊柱损伤。分布分析显示颈椎和胸腰段交界处损伤最为集中。相关伴随损伤的风险主要受损伤脊柱节段附近解剖结构的影响。在多发伤患者群体中，脊柱损伤很常见。对身体特定部位的诊断性损伤应使创伤团队怀疑附近脊柱受到损伤。适当的治疗包括对所有损伤进行全面评估以明确损伤情况，并对这些脊柱区域进行特殊保护以防止病情恶化。
