Possible advantages of early stabilization of spinal fractures in multiply injured patients with leading thoracic trauma - analysis based on the TraumaRegister DGU®.
Lung failure
Multiple organ failure
Multiply injured patients
Spinal fracture
Thoracic trauma
Journal
Scandinavian journal of trauma, resuscitation and emergency medicine
ISSN: 1757-7241
Titre abrégé: Scand J Trauma Resusc Emerg Med
Pays: England
ID NLM: 101477511
Informations de publication
Date de publication:
24 May 2020
24 May 2020
Historique:
received:
08
04
2020
accepted:
14
05
2020
entrez:
26
5
2020
pubmed:
26
5
2020
medline:
27
10
2020
Statut:
epublish
Résumé
Major trauma often comprises fractures of the thoracolumbar spine and these are often accompanied by relevant thoracic trauma. Major complications can be ascribed to substantial simultaneous trauma to the chest and concomitant immobilization due to spinal instability, pain or neurological dysfunction, impairing the respiratory system individually and together. Thus, we proposed that an early stabilization of thoracolumbar spine fractures will result in significant benefits regarding respiratory organ function, multiple organ failure and length of ICU / hospital stay. Patients documented in the TraumaRegister DGU®, aged ≥16 years, ISS ≥ 16, AIS 1740 patients remained for analysis, with 1338 (76.9%) undergoing spinal surgery within their hospital stay. 976 (72.9%) had spine surgery within the first 72 h, 362 (27.1%) later on. Patients with injuries to the thoracic spine (AIS Multiply injured patients with at least serious thoracic trauma (AIS
Sections du résumé
BACKGROUND
BACKGROUND
Major trauma often comprises fractures of the thoracolumbar spine and these are often accompanied by relevant thoracic trauma. Major complications can be ascribed to substantial simultaneous trauma to the chest and concomitant immobilization due to spinal instability, pain or neurological dysfunction, impairing the respiratory system individually and together. Thus, we proposed that an early stabilization of thoracolumbar spine fractures will result in significant benefits regarding respiratory organ function, multiple organ failure and length of ICU / hospital stay.
METHODS
METHODS
Patients documented in the TraumaRegister DGU®, aged ≥16 years, ISS ≥ 16, AIS
RESULTS
RESULTS
1740 patients remained for analysis, with 1338 (76.9%) undergoing spinal surgery within their hospital stay. 976 (72.9%) had spine surgery within the first 72 h, 362 (27.1%) later on. Patients with injuries to the thoracic spine (AIS
CONCLUSIONS
CONCLUSIONS
Multiply injured patients with at least serious thoracic trauma (AIS
Identifiants
pubmed: 32448190
doi: 10.1186/s13049-020-00737-6
pii: 10.1186/s13049-020-00737-6
pmc: PMC7245984
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
42Références
Ann Surg. 2010 Apr;251(4):604-14
pubmed: 20224372
Spine (Phila Pa 1976). 2011 May 15;36(11):E727-33
pubmed: 21270685
Eur Spine J. 2013 Oct;22(10):2157-66
pubmed: 23263169
J Trauma. 2008 Oct;65(4):824-30; discussion 830-1
pubmed: 18849798
Unfallchirurg. 2012 Jan;115(1):30-2
pubmed: 22274601
Spine J. 2015 Aug 1;15(8):1713-8
pubmed: 24139863
Orthopade. 2005 Sep;34(9):889-905
pubmed: 16096745
J Trauma. 2004 Jan;56(1):52-7
pubmed: 14749565
J Neurosurg Spine. 2012 Nov;17(5):459-68
pubmed: 22978439
Unfallchirurg. 2004 Oct;107(10):911-8
pubmed: 15459806
Unfallchirurg. 2009 Mar;112(3):294-316
pubmed: 19277756
J Trauma Acute Care Surg. 2013 Apr;74(4):1108-11
pubmed: 23511152
Eur Spine J. 2007 May;16(5):579-87
pubmed: 17109106
J Trauma Acute Care Surg. 2014 Feb;76(2):366-73
pubmed: 24458043
Injury. 2005 Feb;36(2):293-302
pubmed: 15664594
Pneumologie. 2011 Jul;65(7):412-8
pubmed: 21370221
J Bone Joint Surg Am. 2006 May;88(5):997-1005
pubmed: 16651574
J Trauma. 2010 May;68(5):1208-12
pubmed: 19826315
Unfallchirurg. 2001 Jul;104(7):583-600
pubmed: 11490951
J Orthop Trauma. 2013 Jul;27(7):405-12
pubmed: 23287766
J Trauma. 1974 Mar;14(3):187-96
pubmed: 4814394
World J Emerg Surg. 2017 Sep 2;12:43
pubmed: 28878814
Thorac Surg Clin. 2007 Feb;17(1):1-9
pubmed: 17650692
J Trauma Acute Care Surg. 2012 Mar;72(3):793-5
pubmed: 22491571
PLoS One. 2013 Sep 03;8(9):e74204
pubmed: 24019957
Orthopade. 2006 Mar;35(3):331-6
pubmed: 16322967
J Trauma Acute Care Surg. 2013 Feb;74(2):590-6
pubmed: 23354256
Unfallchirurg. 2000 Dec;103(12):1032-47
pubmed: 11148899
Spine (Phila Pa 1976). 2010 Apr 20;35(9 Suppl):S138-45
pubmed: 20407345
Orthopade. 2007 Apr;36(4):365-71
pubmed: 17262180
Eur Spine J. 2010 Oct;19(10):1657-76
pubmed: 20499114
Crit Care. 2014 Sep 05;18(5):476
pubmed: 25394596
Int J Environ Res Public Health. 2017 Dec 11;14(12):
pubmed: 29232883
Unfallchirurg. 1999 Dec;102(12):924-35
pubmed: 10643391
Curr Opin Crit Care. 2008 Dec;14(6):685-9
pubmed: 19005310
Scand J Trauma Resusc Emerg Med. 2017 Feb 2;25(1):10
pubmed: 28148274
Unfallchirurg. 1998 Oct;101(10):779-90
pubmed: 9847706
Spine (Phila Pa 1976). 1999 Aug 15;24(16):1646-54
pubmed: 10472098
Can Fam Physician. 1993 Jun;39:1440-2, 1445-6
pubmed: 8324412
Unfallchirurg. 2009 Jan;112(1):33-42, 44-5
pubmed: 19099280
J Trauma. 2008 Feb;64(2):449-55
pubmed: 18301214
J Trauma Acute Care Surg. 2012 Jan;72(1):112-8
pubmed: 22310124
J Trauma. 2005 Dec;59(6):1400-7; discussion 1407-9
pubmed: 16394913
Injury. 2009 Nov;40 Suppl 4:S27-35
pubmed: 19895950
Ann Surg. 2001 Jun;233(6):851-8
pubmed: 11371743
J Trauma. 2005 Jan;58(1):15-21
pubmed: 15674144
Spine (Phila Pa 1976). 2010 Oct 1;35(21 Suppl):S187-92
pubmed: 20881461
Unfallchirurg. 2009 Feb;112(2):149-67
pubmed: 19172242