沙特阿拉伯一家大型创伤中心成人颈椎损伤的模式。
Patterns of cervical spine injuries in adults at a major trauma center in Saudi Arabia.
机构信息
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia. E-mail.
出版信息
Saudi Med J. 2020 Nov;41(11):1259-1262. doi: 10.15537/smj.2020.11.25426.
OBJECTIVES
To describe the patterns of cervical spine injuries in an adult population in a major trauma center in Riyadh, Saudi Arabia. Methods: A retrospective cohort study including all adults with cervical spine injuries from 2014 to 2018 was conducted. All patient data with radiological evidence of injury involving the cervical spine were collected. Results: The final sample size realized as 257 patients. Majority of the sample (85.6%) were male and the age ranged from 14-90 years (mean of 36.6 years±18.5 SD). Motor vehicle accidents were the most frequent mechanism of injury (92.6%, n=238). Single level of injury of the cervical spine was encountered in 52.9% (n=136) and 2 or more levels of injury were encountered in 47.1% (n=122) of patients. In total, 442 cervical spine injury levels were identified. At these levels, 559 fractures were observable radiologically. Associated head injury was present in 125 patients (48.6%). Only a small proportion (22.2%, n=57) had neurological sequelae.
CONCLUSION
It reflects the impact of this injury on younger male patient population.
目的
描述沙特阿拉伯利雅得一家大型创伤中心成人颈椎损伤的模式。
方法
进行了一项回顾性队列研究，纳入了 2014 年至 2018 年所有有颈椎损伤放射学证据的成年人。收集了所有涉及颈椎损伤的患者数据。
结果
最终样本量为 257 例患者。样本中大多数（85.6%）为男性，年龄为 14-90 岁（平均 36.6 岁±18.5 标准差）。最常见的损伤机制是机动车事故（92.6%，n=238）。52.9%（n=136）的患者为单节段颈椎损伤，47.1%（n=122）的患者为两节或更多节段颈椎损伤。总共确定了 442 个颈椎损伤节段。在这些节段上，可观察到 559 处骨折。125 例患者（48.6%）存在头部损伤。仅有一小部分（22.2%，n=57）有神经后遗症。
结论
这反映了这种损伤对年轻男性患者人群的影响。
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