Homeier Daniel D, Kang Daniel, Molinari Robert, Mesfin Addisu
Department of Orthopaedic Surgery, San Antonio Military Medical Center, San Antonio, TX, USA.
Department of Orthopaedic Surgery, Madigan Army Medical Center, Joint Base Lewis-McChord, WA, USA.
J Orthop. 2024 Mar 13;54:38-45. doi: 10.1016/j.jor.2024.03.014. eCollection 2024 Aug.
Historically musculoskeletal injury has substantially affected United States (US) service members. Lumbosacral spine injuries are among the most common sites of injury for service members across all US military branches and usually presents with pain in the lower back and extremities. The aim of this study is to identify and describe the 50 most-cited articles relevant to military medicine on the subject of the spine.
In April 2020 Web of Science was used to search the key words: spinal cord injury, spine, thoracic spine, lumbar spine, cervical spine, sacrum, sacral, cervical fusion, lumbar fusion, sacral fracture, combat, back pain, neck pain, and military. Articles published from 1900 to 2020 were evaluated for relevance to military spine orthopaedics and ranked based on citation number. The 50 most-cited articles were characterized based on country of origin, journal of publication, affiliated institution, topic, military branch, and conflict.
1900 articles met search criteria. The 50 most-cited articles were cited 24 to 119 times and published between 1993 and 2017. 30 articles (60%) originated in the United States. accounted for the most frequent (n = 10) destination journal followed by (n = 8). 37 institutions contributed to the top 50 most-cited articles. The most common article type was clinically focused retrospective analysis 36% (n = 18), clinically focused cohort study 10% (n = 5), and clinically focused cohort questionnaire, cross-sectional analysis, and randomized study 8% each (n = 4). 90% of articles were non-surgical (n = 45). The US Army had the greatest number of associated articles. Operation Iraqi Freedom and Operation Enduring Freedom were the most-cited conflicts.
The 50 most-cited articles relevant to military spine orthopaedics are predominantly clinically focused, arising from the US, and published in , , and .
从历史上看，肌肉骨骼损伤对美国军人产生了重大影响。腰骶部脊柱损伤是美国所有军事分支中军人最常见的损伤部位之一，通常表现为下背部和四肢疼痛。本研究的目的是识别和描述与军事医学中脊柱相关的被引用次数最多的50篇文章。
2020年4月，使用科学网搜索关键词：脊髓损伤、脊柱、胸椎、腰椎、颈椎、骶骨、骶部、颈椎融合、腰椎融合、骶骨骨折、战斗、背痛、颈痛和军事。对1900年至2020年发表的文章进行与军事脊柱骨科相关性评估，并根据引用次数进行排名。根据文章的原产国、发表期刊、附属机构、主题、军事分支和冲突对被引用次数最多的50篇文章进行特征描述。
1900篇文章符合搜索标准。被引用次数最多的50篇文章被引用24至119次，发表于1993年至2017年之间。30篇文章（60%）原产于美国。《脊柱》是最常被引用的目标期刊（n = 10），其次是《骨与关节外科杂志》（n = 8）。37个机构为被引用次数最多的50篇文章做出了贡献。最常见的文章类型是临床聚焦的回顾性分析36%（n = 18），临床聚焦的队列研究10%（n = 5），以及临床聚焦的队列问卷、横断面分析和随机研究各8%（n = 4）。90%的文章是非手术性的（n = 45）。美国陆军相关文章数量最多。伊拉克自由行动和持久自由行动是被引用次数最多的冲突。
与军事脊柱骨科相关的被引用次数最多的50篇文章主要聚焦于临床，原产于美国，发表于《脊柱》《骨与关节外科杂志》和《军事医学》。
