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dc.contributor.authorZilbermints, Veacheslav
dc.contributor.authorHershkovitz, Yehuda
dc.contributor.authorPeleg, Kobi
dc.contributor.authorDuBose, Joseph J.
dc.contributor.authorGivon, Adi
dc.contributor.authorAranovich, David
dc.contributor.authorDudkiewicz, Mickey
dc.contributor.authorKessel, Boris
dc.date.accessioned2021-04-14T12:00:30Z
dc.date.available2021-04-14T12:00:30Z
dc.date.issued2021-03-26
dc.identifier.urihttp://hdl.handle.net/10713/15399
dc.description.abstractPurpose: There is a common opinion that spine fractures usually reflect the substantial impact of injuries and therefore may be used as a marker of significant associated injuries, specifically for intra-abdominal injury (IAI). The impact of concomitant spinal cord injury (SCI) with the risk of associated IAI has not been well clarified. The aim of this study was to evaluate the incidence and severity of IAIs in patients suffering from spine fractures with or without SCI. Methods: A retrospective cohort study using the Israeli National Trauma Registry was conducted. Patients with thoracic, lumbar and thoracolumbar fractures resulting from blunt mechanisms of injury from 1997 to 2018 were examined, comparing the incidence, severity and mortality of IAIs in patients with or without SCI. The collected variables included age, gender, mechanism of injury, incidence and severity of the concomitant IAIs and pelvic fractures, abbreviated injury scale, injury severity score, and mortality. Statistical analysis was performed using GraphPad InStat ® Version 3.10, with Chi-square test for independence and two sided Fisher's exact probability test. Results: Review of the Israeli National Trauma Database revealed a total of 16,878 patients with spinal fractures. Combined thoracic and lumbar fractures were observed in 7.5% of patients; isolated thoracic fractures in 29.4% and isolated lumbar fractures in 63.0%. The incidence of concomitant SCI was found in 4.95% (63/1272), 7.65% (380/4967) and 2.5% (266/10639) of these patients, respectively. The overall mortality was 2.5%, proving higher among isolated thoracic fractures patients than among isolated lumbar fractures counterparts (11.3% vs. 4.6%, p < 0.001). Isolated thoracic fractures with SCI were significantly more likely to die than non-SCI counterparts (8.2% vs. 3.1%, p < 0.001). There were no differences in the incidence of IAIs between patients with or without SCI following thoracolumbar fracture overall or in isolated thoracic fractures; although isolated lumbar fractures patients with SCI were more likely to have renal (3.4% vs. 1.6%, p = 0.02) or bowel injuries (2.3% vs. 1.0%, p = 0.04) than the non-SCI counterparts. Conclusion: SCI in the setting of thoracolumbar fracture does not appear to be a marker for associated IAI. However, in a subset of isolated lumbar fractures, SCI patient is associated with increased risks for renal and bowel injury.en_US
dc.description.urihttps://doi.org/10.1016/j.cjtee.2021.03.004en_US
dc.language.isoenen_US
dc.publisherElsevier B.V.en_US
dc.relation.ispartofChinese Journal of Traumatology - English Editionen_US
dc.subjectintra-abdominal injuriesen_US
dc.subject.meshSpinal Cord Injuriesen_US
dc.subject.meshSpinal Fractures--complicationsen_US
dc.titleSpinal cord injury in the setting of traumatic thoracolumbar fracture is not reliably associated with increased risk of associated intra-abdominal injury following blunt trauma: An analysis of a National Trauma Registry databaseen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.cjtee.2021.03.004


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