Associated Injuries in Spine Trauma Patients: A Single-Center Experience

Purpose The purpose of this study was to determine the incidence and characteristics of associated injuries in patients with spine trauma. Methods Data of 3,920 consecutive patients admitted to a regional trauma center during a 3-year period were analyzed retrospectively. Results Of the 3,920 patien...

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Main Authors: Seunghan Yu, Hyuk Jin Choi, Jung Hwan Lee, Byung Chul Kim, Mahnjeong Ha, In Ho Han
Format: Article
Language:English
Published: Korean Society of Traumatology 2020-12-01
Series:Journal of Trauma and Injury
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Online Access:http://www.jtraumainj.org/upload/pdf/jti-2020-0071.pdf
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author Seunghan Yu
Hyuk Jin Choi
Jung Hwan Lee
Byung Chul Kim
Mahnjeong Ha
In Ho Han
author_facet Seunghan Yu
Hyuk Jin Choi
Jung Hwan Lee
Byung Chul Kim
Mahnjeong Ha
In Ho Han
author_sort Seunghan Yu
collection DOAJ
description Purpose The purpose of this study was to determine the incidence and characteristics of associated injuries in patients with spine trauma. Methods Data of 3,920 consecutive patients admitted to a regional trauma center during a 3-year period were analyzed retrospectively. Results Of the 3,920 patients who were admitted to the trauma center during the 3-year study period, 389 (9.9%) had major spinal injuries. Among these 389 patients, 303 (77.9%) had associated injuries outside the spine. The most common body region of associated injuries was the extremities or pelvis (194 cases, 49.4%), followed by the chest (154 cases, 39.6%) and face (127 cases, 32.6%). Of these 303 patients, 149 (64%) had associated injuries that required surgical treatment such as laparotomy or internal fixation. Associated injuries were more common in patients with lumbar injuries (93.3%) or multiple spinal injuries (100%) than in those with lower cervical injuries (67.4%). There was a significant correlation between the location of the spinal injury and the body region of the associated injury. However, distant associated injuries were also common. Conclusions Associated injuries were very common in spinal injury patients. Based on demographic groups, the trauma mechanism, and the location of spinal injury, an associated injury should be suspected until proven otherwise. Using a multidisciplinary and integrated approach to treat trauma victims is of the paramount importance.
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spelling doaj-art-bcc14448190e4e0ab255a4e5dbc072eb2025-01-08T08:08:35ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832020-12-0133424224710.20408/jti.2020.00711050Associated Injuries in Spine Trauma Patients: A Single-Center ExperienceSeunghan Yu0Hyuk Jin Choi1Jung Hwan Lee2Byung Chul Kim3Mahnjeong Ha4In Ho Han5Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, KoreaDepartment of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, KoreaDepartment of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, KoreaDepartment of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, KoreaDepartment of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, KoreaDepartment of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, KoreaPurpose The purpose of this study was to determine the incidence and characteristics of associated injuries in patients with spine trauma. Methods Data of 3,920 consecutive patients admitted to a regional trauma center during a 3-year period were analyzed retrospectively. Results Of the 3,920 patients who were admitted to the trauma center during the 3-year study period, 389 (9.9%) had major spinal injuries. Among these 389 patients, 303 (77.9%) had associated injuries outside the spine. The most common body region of associated injuries was the extremities or pelvis (194 cases, 49.4%), followed by the chest (154 cases, 39.6%) and face (127 cases, 32.6%). Of these 303 patients, 149 (64%) had associated injuries that required surgical treatment such as laparotomy or internal fixation. Associated injuries were more common in patients with lumbar injuries (93.3%) or multiple spinal injuries (100%) than in those with lower cervical injuries (67.4%). There was a significant correlation between the location of the spinal injury and the body region of the associated injury. However, distant associated injuries were also common. Conclusions Associated injuries were very common in spinal injury patients. Based on demographic groups, the trauma mechanism, and the location of spinal injury, an associated injury should be suspected until proven otherwise. Using a multidisciplinary and integrated approach to treat trauma victims is of the paramount importance.http://www.jtraumainj.org/upload/pdf/jti-2020-0071.pdfspinal injuriesmultiple traumatrauma centers
spellingShingle Seunghan Yu
Hyuk Jin Choi
Jung Hwan Lee
Byung Chul Kim
Mahnjeong Ha
In Ho Han
Associated Injuries in Spine Trauma Patients: A Single-Center Experience
Journal of Trauma and Injury
spinal injuries
multiple trauma
trauma centers
title Associated Injuries in Spine Trauma Patients: A Single-Center Experience
title_full Associated Injuries in Spine Trauma Patients: A Single-Center Experience
title_fullStr Associated Injuries in Spine Trauma Patients: A Single-Center Experience
title_full_unstemmed Associated Injuries in Spine Trauma Patients: A Single-Center Experience
title_short Associated Injuries in Spine Trauma Patients: A Single-Center Experience
title_sort associated injuries in spine trauma patients a single center experience
topic spinal injuries
multiple trauma
trauma centers
url http://www.jtraumainj.org/upload/pdf/jti-2020-0071.pdf
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AT byungchulkim associatedinjuriesinspinetraumapatientsasinglecenterexperience
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