Prall J A, Winston K R, Brennan R
Division of Neurosurgery, University of Colorado Health Sciences Center, Denver 80262, USA.
J Trauma. 1995 Dec;39(6):1115-8. doi: 10.1097/00005373-199512000-00018.
Spine and spinal cord injuries are the most debilitating and costly of serious injuries sustained by downhill skiers. We present a series of 126 skiers with spine and spinal cord injuries drawn from 636 consecutive injured skiers evaluated at one center over an 11-year period. The incidence of spinal injury was very low (0.001/1000 skier-days). Eighteen (17%) patients had spinal cord injuries associated with their fractures; injuries in the cervical region were most likely to involve the spinal cord. The most commonly fractured levels were C6, T12 and L1; the most common fracture pattern was compression (38%). One-third of all patients had multisystem trauma; those with thoracolumbar injuries were much more likely to sustain torso and extremity trauma than those with cervical injuries. Information about injury patterns in skiers with spinal injuries should aid in the triage and initial evaluation of this blunt trauma population.
脊柱和脊髓损伤是速降滑雪者遭受的最使人衰弱且代价高昂的严重损伤。我们呈现了一组126例脊柱和脊髓损伤的滑雪者，这些病例来自于在11年期间于一个中心评估的636例连续受伤的滑雪者。脊柱损伤的发生率非常低（0.001/1000滑雪者日）。18例（17%）患者的脊髓损伤与其骨折相关；颈椎区域的损伤最有可能累及脊髓。最常发生骨折的节段是C6、T12和L1；最常见的骨折类型是压缩性骨折（38%）。所有患者中有三分之一有多系统创伤；胸腰段损伤的患者比颈椎损伤的患者更有可能遭受躯干和四肢创伤。有关脊髓损伤滑雪者损伤模式的信息应有助于对这一钝性创伤人群进行分诊和初步评估。
