Broe M P, Kelly J C, Groarke P J, Synnott K, Morris S
National Spinal Unit, Department of Trauma & Orthopaedics, Mater Misericordiae University Hospital, Dublin 7, Ireland.
National Spinal Unit, Department of Trauma & Orthopaedics, Mater Misericordiae University Hospital, Dublin 7, Ireland.
Surgeon. 2018 Aug;16(4):202-206. doi: 10.1016/j.surge.2017.07.004. Epub 2017 Aug 23.
Cycling has seen a large increase in popularity worldwide over the last number of years. This has been linked to an increase in the number of road traffic accidents involving cyclists. Participation in cycling as part of competitive sport and endurance events has seen particular growth.
To examine patients referred with spinal trauma related to cycling and to assess whether the growing popularity of cycling and particularly competitive cycling is linked to an increase in spinal trauma.
A retrospective analysis was carried out of a prospectively maintained database of referrals to a national referral centre for spinal trauma over a 4-year period (2010-2013). Data were further analysed for years 2012-2013, as there were incomplete data for years 2010-2011.
Spinal injuries involving cyclists increased by 200% from 2010 to 2013. In comparison those involving cars only increased by 29% and motorcycles reduced by 68%. From 2012 to 2013 there were 24 cyclist trauma referrals. The most common level injured was cervical spine (71%). Five patients (20.8%) had neurological deficit with 12.5% complete paralysis ASIA A disability score. The spinal fixation rate was 29.1%, 16.6% were managed with a HALO device. In total, 25% of patients were injured whilst training on a racer style bicycle, including all of the patients with complete spinal cord injury.
There has been a significant increase in spinal trauma due to cycling accidents over this four year period. Competitive cycling has been a factor in the most severely injured patients. Increased public awareness campaigns for those participating in cycling for sport may be warranted.
在过去数年里，骑行在全球范围内的受欢迎程度大幅上升。这与涉及骑行者的道路交通事故数量增加有关。作为竞技运动和耐力赛事一部分的骑行参与度尤其有所增长。
研究因骑行导致脊柱创伤而前来就诊的患者，并评估骑行尤其是竞技骑行日益增长的受欢迎程度是否与脊柱创伤增加有关。
对一个前瞻性维护的国家脊柱创伤转诊中心4年期间（2010 - 2013年）的转诊数据库进行回顾性分析。由于2010 - 2011年数据不完整，对2012 - 2013年的数据进行了进一步分析。
2010年至2013年，涉及骑行者的脊柱损伤增加了200%。相比之下，涉及汽车的脊柱损伤仅增加了29%，涉及摩托车的则减少了68%。2012年至2013年，有24例骑行者创伤转诊病例。受伤最常见的部位是颈椎（71%）。5名患者（20.8%）存在神经功能缺损，其中12.5%的患者美国脊髓损伤协会（ASIA）A级残疾评分为完全瘫痪。脊柱固定率为29.1%，16.6%的患者采用头环（HALO）装置治疗。总计25%的患者在使用竞赛型自行车训练时受伤，包括所有完全脊髓损伤的患者。
在这四年期间，因骑行事故导致的脊柱创伤显著增加。竞技骑行是导致最严重受伤患者的一个因素。可能有必要针对参与骑行运动的人群加强公众意识宣传活动。
