局解手术学杂志2017，Vol.26Issue(2)：110-114,5.DOI:10.11659/jjssx.10E016033
创伤性胸腰椎骨折的临床特点分析
Clinical features of traumatic thoracolumbar fractures
摘要
Abstract
Objective To analyze the clinical features of traumatic thoracolumbar fractures,and to improve the level of prevention and treatment of traumatic thoracolumbar fractures.Methods A review of 527 patients with traumatic thoracolumbar fractures admitted to our hospital from January 2006 to December 2015 was performed to analyze their clinical features,who were divided into different groups according to the age,fracture level and etiology.Results Of the 527 patients,238 patients aged form 40 to 59 year-old,which accounting for about 45.2％.Combined thoracolumbar and other segments fracture were presented in 76 patients,accounting for about 14.4％,among which combined thoracolumbar and lumbar spine fracture in 42 patients (8.0％),thoracolumbar and thoracic spine fracture in 22 patients (4.2％),thoracolumbar and cervical spine fracture in 7 patients and thoracolumbar(1.3％),cervical spine,thoracic spine and lumbar spine fracture in 5 patients(0.9％).The sex ratio was 136∶49 (2.8),incidence of neurological deficit was 50.3％,incidence of combined injuries was 38.9％ in the 20 to 39 year-old patients.High fall,low fall and road traffic accident were the most common etiologies,accounting for 43.1％,23.3％ and 14.6％ respectively,other etiologies accounting for 19.0％.In the patients caused by struck by object group,the sex ratio was 52∶3 (17.3),incidence of neurological deficit was 60.0％,incidence of combined injuries was 47.3％ and mean ISS score was (21.4 ± 12.7) point,the values were significantly larger than the other patients (P ＜ 0.05).According to ASIA neurologic grading system,72 patients in grade A,17 patients in grade B,37 patients in grade C,95 patients in grade D,68 patients recovered 1 or more grades during hospitalization,which accounting 12.9％ of all the patients.Conclusion The epidemiological survey of traumatic thoracolumbar fractures reveals that the age from 40 to 59 year-old and high fall was the most common age and etiology for injuries of spinal fracture.The 20 to 39 year-old patients group and struck by object group presented with the highest sex ratio,incidence of neurological deficit and combined injuries,the prevention and treatment should be designed according to the injury features of different individuals.关键词
胸腰椎/骨折/脊髓损伤/创伤/流行病学Key words
thoracolumbar/fracture/spinal cord injury/trauma/epidemiology分类
医药卫生引用本文复制引用
王兴斌,王洪伟,陈语,于海龙,王琪,刘军..创伤性胸腰椎骨折的临床特点分析[J].局解手术学杂志,2017,26(2):110-114,5.基金项目
机器人学国家重点实验室开放课题(2014-012) （2014-012）
辽宁省博士科研启动基金(201601389) （201601389）
中国慢性贫血规范治疗青年医生科研基金(LIM-SS-16001) （LIM-SS-16001）
