Crites B M, Moorman C T, Hardaker W T
Division of Orthopaedic Surgery, Duke University Medical Center, Durham, NC 27710, USA.
J South Orthop Assoc. 1998 Winter;7(4):241-5.
Spinal injuries resulting from falls out of tree stands are often associated with concomitant neurologic deficit, prolonged hospitalization, and long-term disability. The purpose of this study was to review the types of spinal injuries that resulted from falls from hunting tree stands. We retrospectively reviewed 27 patients who came to our institution for treatment of spine injuries related to tree-stand accidents between 1981 and 1997. Eleven percent of the falls were alcohol related. Mean height of the fall was 19.6 feet (range, 10 to 35 feet). There were 17 burst fractures, 8 wedge compression fractures, 4 fractures involving the posterior elements, and 1 coronal fracture of the sacral body. Significant neurologic injury occurred in 12 patients (44%). Sixteen patients (59%) had associated injuries. Nine patients (33%) had open reduction, internal fixation, and fusion of their spine fractures. One patient was treated with a halo jacket. The remaining patients were treated in rigid, molded, polypropylene thoracolumbar orthoses or lumbosacral corsets. Accidental falls from tree stands may result in significant spinal fractures often associated with concomitant neurologic injury, extended hospitalization, and permanent disability. Many of these injuries may be prevented through aggressive hunter safety education.
从狩猎用的树上平台跌落导致的脊柱损伤常伴有神经功能缺损、住院时间延长和长期残疾。本研究的目的是回顾因从狩猎树上平台跌落而导致的脊柱损伤类型。我们回顾性分析了1981年至1997年间因与树上平台事故相关的脊柱损伤前来我院治疗的27例患者。11%的跌落与饮酒有关。平均跌落高度为19.6英尺（范围为10至35英尺）。有17例爆裂骨折、8例楔形压缩骨折、4例累及后部结构的骨折以及1例骶骨体冠状骨折。12例患者（44%）发生了严重神经损伤。16例患者（59%）有合并伤。9例患者（33%）接受了脊柱骨折的切开复位、内固定和融合术。1例患者采用头环背心治疗。其余患者采用硬塑聚丙烯胸腰段矫形器或腰骶部束腰治疗。从树上平台意外跌落可能导致严重的脊柱骨折，常伴有神经损伤、住院时间延长和永久性残疾。通过积极的猎人安全教育，许多此类损伤是可以预防的。
