体重指数对颈椎骨折严重程度的影响：一项回顾性队列研究。
The impact of body mass index on severity of cervical spine fracture: A retrospective cohort study.
作者信息
Choo Stephanie, Jain Nikhil, Malik Azeem Tariq, Gennell Tania, Yu Elizabeth
机构信息
Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
出版信息
J Craniovertebr Junction Spine. 2019 Oct-Dec;10(4):224-228. doi: 10.4103/jcvjs.JCVJS_95_19. Epub 2020 Jan 23.
BACKGROUND
No study has evaluated the relationship between increasing BMI and severity/type of cervical spine injuries.
AIMS AND OBJECTIVES
The objective of our study was to study the impact of body mass index (BMI) on severity of cervical spine fracture.
METHODS
We performed a retrospective cohort study of patients with traumatic cervical spine fractures at a level I trauma center over a 74-year period. CT scans of the cervical spine were blindly graded according to the AO Spine sub-axial cervical spine classification. The association between BMI and severity of cervical spine fracture was studied by multiple-variable logistic regression.
RESULTS
A total of 291 patients with an average BMI of 26.1 ± 5.4 kg/m were studied. Higher BMI was not associated with more severe injury (OR 1.03, 95%, CI: 0.97-1.08). For rollover motor vehicle accident (MVA), the association was trending towards significance (OR 2.55, 95%, CI: 0.98-6.66, = 0.06).
CONCLUSIONS
Patients with higher BMI may be predisposed to more severe cervical spine fracture in rollover MVA, but not non-rollover MVA or falls.
背景
尚无研究评估体重指数（BMI）增加与颈椎损伤严重程度/类型之间的关系。
目的
本研究的目的是探讨体重指数（BMI）对颈椎骨折严重程度的影响。
方法
我们对一家一级创伤中心74年间创伤性颈椎骨折患者进行了一项回顾性队列研究。根据AO脊柱下颈椎分类标准对颈椎CT扫描结果进行盲法分级。通过多变量逻辑回归研究BMI与颈椎骨折严重程度之间的关联。
结果
共研究了291例平均BMI为26.1±5.4kg/m的患者。较高的BMI与更严重的损伤无关（比值比1.03，95%置信区间：0.97 - 1.08）。对于翻车机动车事故（MVA），这种关联有显著趋势（比值比2.55，95%置信区间：0.98 - 6.66，P = 0.06）。
结论
BMI较高的患者在翻车机动车事故中可能更容易发生更严重的颈椎骨折，但在非翻车机动车事故或跌倒中则不然。
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