Non-spinal-associated injuries with lumbar transverse process fractures: influence of segments, amount, and concomitant vertebral fractures.
J Trauma Acute Care Surg
; 74(4): 1108-11, 2013 Apr.
Article
em En
| MEDLINE
| ID: mdl-23511152
ABSTRACT
BACKGROUND:
Lumbar transverse process fractures (LTPFs) are often with concomitant non-spinal-associated injuries (NSAIs). The purpose of this study was to analyze the correlation between the NSAIs and the LTPFs of different segments, amount, and concomitant thoracolumbar/lumbar vertebral fractures.METHODS:
A total of 1,181 patients with LTPFs or thoracolumbar/lumbar vertebral fractures were chosen between September 2006 and June 2010. The patients were divided into three groups thoracolumbar/lumbar vertebral fractures without LTPFs, with associated LTPFs, and isolated LTPFs (iLTPFs). The correlation of the NSAIs of different sites and the LTPFs of different segments, amount, and concomitant thoracolumbar/lumbar vertebral fractures were analyzed between and within groups by χ test and logistic regression analysis.RESULTS:
The incidence of NSAIs with iLTPFs and aLTFP groups were significantly higher than that of vertebral fractures without LTPF group (55.73% and 64.49% vs. 21.32%, respectively, p = 0.000). However, the incidence was not significantly different between the iLTPFs and the aLTFP groups (p = 0.106). The results with NSAIs of different sites were almost the same. L5TPFs were a stronger risk factor to NSAIs (relative risk [RR] = 15.72; 95% confidence interval [CI], 4.47-55.37; p = 0.000) in the iLTPF group (RR = 21.92; 95% CI, 6.68-71.92; p = 0.000) and in the vertebral fractures with associated LTPF group (RR = 9.42; 95% CI, 1.19-74.72; p = 0.034). L5TPFs were also a very important risk factor for pelvic injuries (RR = 46.10; 95% CI, 22.40-94.88; p = 0.000); 65.1% in L5iTPFs were accompanied with Tile-C pelvic injuries, slightly higher than in L5aTPFs (46.7%). L4TPFs were a risk factor to abdominal injuries within iLTPFs (RR = 2.27; 95% CI, 1.23-4.20; p = 0.009).CONCLUSIONS:
The incidence of NSAIs is very high in cases with LTPFs, particularly with L5TPFs. A detailed investigation should be performed to search for NSAIs once LTPFs are identified so that appropriate treatment can be initiated. LEVEL OF EVIDENCE Level III.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Vértebras Torácicas
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Fraturas da Coluna Vertebral
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Traumatismos Abdominais
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Vértebras Lombares
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
J Trauma Acute Care Surg
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
China