中国11年间机动车碰撞所致创伤性脊柱骨折及相关脊髓损伤的发生率和模式：一项观察性研究。
Incidence and pattern of traumatic spinal fractures and associated spinal cord injury resulting from motor vehicle collisions in China over 11 years: An observational study.
作者信息
Wang Hongwei, Liu Xinwei, Zhao Yiwen, Ou Lan, Zhou Yue, Li Changqing, Liu Jun, Chen Yu, Yu Hailong, Wang Qi, Han Jianda, Xiang Liangbi
机构信息
Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA State Key Laboratory of Robotics, Shenyang Institute of Automation, Chinese Academy of Science, Shenyang, Liaoning Department of Radiology, Southwest Hospital Department of Orthopedics, Xinqiao Hospital, the Third Military Medical University, Chongqing, China.
出版信息
Medicine (Baltimore). 2016 Oct;95(43):e5220. doi: 10.1097/MD.0000000000005220.
To investigate the incidence and pattern of traumatic spinal fractures (TSFs) and associated spinal cord injury (SCI) resulting from motor vehicle collisions (MVCs).This was a cross-sectional study. We retrospectively reviewed 698 patients with TSFs resulting from MVCs admitted to our university-affiliated hospitals from 2001 to 2011. The incidence and pattern were summarized with respect to different age groups, fracture levels, and the role of patients.There were 464 males (66.5%) and 234 females (33.5%) aged 40.5 ± 13.8 years old. The most common roles of patients in MVCs were car drivers (189, 27.1%), pedestrians hurt by a car (155, 22.2%), and car passengers (145, 20.8%). The most common fracture levels were L1 (n = 198, 19.2%) and T12 (n = 116, 11.3%), followed by C2 (n = 86, 8.3%). A total of 298 (42.7%) patients suffered a spinal cord injury. The frequencies of SCIs decreased from 53.1% to 24.6% with increasing age. The patients in the 20 to 39 age group (45.3% of all patients) had the largest sex ratio (2.4) and highest frequency of complete SCIs (19.3%) and complications (3.2%). Motorcycle drivers had the youngest mean age (35.7 ± 10.2), largest sex ratio (10.4), and highest frequency of SCIs (56.0%) and complications (4.4%). Motorcycle passengers had the highest frequency of complete SCI (22.7%) and ASOIs (45.5%) and the largest mean injury severity scoring (ISS) (18.9 ± 9.6). The most common fracture levels of motorcycle drivers were C3-C7, while that of others were T11-L2.The most common role of patients who sustained TSFs were car drivers who were 20 to 39 years old. Motorcycle drivers had the highest frequency of SCIs and complications. Motorcycle passengers had the highest frequency of complete SCIs and ASOIs and the largest ISS. Therefore, we should pay more attention to MVC patients, especially car drivers and motorcycle drivers and passengers.
调查机动车碰撞（MVC）导致的创伤性脊柱骨折（TSF）及相关脊髓损伤（SCI）的发生率和模式。这是一项横断面研究。我们回顾性分析了2001年至2011年期间入住我校附属医院的698例因MVC导致TSF的患者。总结了不同年龄组、骨折节段以及患者角色方面的发生率和模式。共有464例男性（66.5%）和234例女性（33.5%），年龄为40.5±13.8岁。MVC中患者最常见的角色是汽车驾驶员（189例，27.1%）、被汽车撞伤的行人（155例，22.2%）和汽车乘客（145例，20.8%）。最常见的骨折节段是L1（n = 198，19.2%）和T12（n = 116，11.3%），其次是C2（n = 86，8.3%）。共有298例（42.7%）患者发生脊髓损伤。随着年龄增长，SCI的发生率从53.1%降至24.6%。20至39岁年龄组的患者（占所有患者的45.3%）性别比最大（2.4），完全性SCI的发生率最高（19.3%），并发症发生率（3.2%）也最高。摩托车驾驶员的平均年龄最小（35.7±10.2），性别比最大（10.4），SCI发生率最高（56.0%），并发症发生率（4.4%）也最高。摩托车乘客的完全性SCI发生率（22.7%）和非脊髓损伤性脊髓损伤（ASOI）发生率（45.5%）最高，平均损伤严重程度评分（ISS）最大（18.9±9.6）。摩托车驾驶员最常见的骨折节段是C3 - C7，而其他患者是T11 - L2。发生TSF的患者最常见的角色是20至39岁的汽车驾驶员。摩托车驾驶员的SCI和并发症发生率最高。摩托车乘客的完全性SCI和ASOI发生率最高，ISS最大。因此，我们应更加关注MVC患者，尤其是汽车驾驶员、摩托车驾驶员和乘客。
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