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Observational Study
. 2016 Oct;95(43):e5220.
doi: 10.1097/MD.0000000000005220.

Incidence and pattern of traumatic spinal fractures and associated spinal cord injury resulting from motor vehicle collisions in China over 11 years: An observational study

Hongwei Wang  1 , Xinwei Liu, Yiwen Zhao, Lan Ou, Yue Zhou, Changqing Li, Jun Liu, Yu Chen, Hailong Yu, Qi Wang, Jianda Han, Liangbi Xiang
Affiliations
Observational Study

Incidence and pattern of traumatic spinal fractures and associated spinal cord injury resulting from motor vehicle collisions in China over 11 years: An observational study

Hongwei Wang et al. Medicine (Baltimore). 2016 Oct.

Abstract

To investigate the incidence and pattern of traumatic spinal fractures (TSFs) and associated spinal cord injury (SCI) resulting from motor vehicle collisions (MVCs).This was a cross-sectional study. We retrospectively reviewed 698 patients with TSFs resulting from MVCs admitted to our university-affiliated hospitals from 2001 to 2011. The incidence and pattern were summarized with respect to different age groups, fracture levels, and the role of patients.There were 464 males (66.5%) and 234 females (33.5%) aged 40.5 ± 13.8 years old. The most common roles of patients in MVCs were car drivers (189, 27.1%), pedestrians hurt by a car (155, 22.2%), and car passengers (145, 20.8%). The most common fracture levels were L1 (n = 198, 19.2%) and T12 (n = 116, 11.3%), followed by C2 (n = 86, 8.3%). A total of 298 (42.7%) patients suffered a spinal cord injury. The frequencies of SCIs decreased from 53.1% to 24.6% with increasing age. The patients in the 20 to 39 age group (45.3% of all patients) had the largest sex ratio (2.4) and highest frequency of complete SCIs (19.3%) and complications (3.2%). Motorcycle drivers had the youngest mean age (35.7 ± 10.2), largest sex ratio (10.4), and highest frequency of SCIs (56.0%) and complications (4.4%). Motorcycle passengers had the highest frequency of complete SCI (22.7%) and ASOIs (45.5%) and the largest mean injury severity scoring (ISS) (18.9 ± 9.6). The most common fracture levels of motorcycle drivers were C3-C7, while that of others were T11-L2.The most common role of patients who sustained TSFs were car drivers who were 20 to 39 years old. Motorcycle drivers had the highest frequency of SCIs and complications. Motorcycle passengers had the highest frequency of complete SCIs and ASOIs and the largest ISS. Therefore, we should pay more attention to MVC patients, especially car drivers and motorcycle drivers and passengers.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Age distribution of all 698 cases.
Figure 2
Figure 2
Role distribution of all 698 cases.
Figure 3
Figure 3
Fracture level distribution of all 698 cases.
See this image and copyright information in PMC

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References

    1. Pickett GE, Campos-Benitez M, Keller JL, et al. Epidemiology of traumatic spinal cord injury in Canada. Spine (Phila Pa 1976) 2006; 31:799–805. - PubMed
    1. Kattail D, Furlan JC, Fehlings MG. Epidemiology and clinical outcomes of acute spine trauma and spinal cord injury: experience from a specialized spine trauma center in Canada in comparison with a large national registry. J Trauma 2009; 67:936–943. - PubMed
    1. Jansson KA, Blomqvist P, Svedmark P, et al. Thoracolumbar vertebral fractures in Sweden: an analysis of 13,496 patients admitted to hospital. Eur J Epidemiol 2010; 25:431–437. - PMC - PubMed
    1. Lieutaud T, Ndiaye A, Frost F. A 10-year population survey of spinal trauma and spinal cord injuries after road accidents in the Rhone area. J Neurotrauma 2010; 27:1101–1107. - PubMed
    1. Ning GZ, Yu TQ, Feng SQ, et al. Epidemiology of traumatic spinal cord injury in Tianjin, China. Spinal Cord 2011; 49:386–390. - PubMed

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