Wirbelsäulenfrakturen bei Mehrfachverletzten

Schinkel, Christian; Tm, Frangen; Kmetic, A.; Hj, Andress; Muhr, G.; Dgu, AG Polytrauma der

doi:10.1007/s00113-007-1351-2

Cited by 37 publications

(26 citation statements)

References 27 publications

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“…Conversely, 25-50% of patients with acute spinal injuries have an associated head injury [21]. Associated injuries can significantly affect prognosis in spinal injuries [20]. Spinal injury in the context of multiple trauma carries a poorer prognosis than isolated axial injury [20].…”

Section: Discussionmentioning

confidence: 99%

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Demographics of acute admissions to a National Spinal Injuries Unit

Lenehan¹,

Boran²,

Street³

et al. 2009

Eur Spine J

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Records of all patients admitted to our unit from 1999 to 2003 were compiled from a prospective computerized spinal database. In this 5-year period, 942 patients were acutely hospitalized at the National Spinal Injuries Unit. There were 686 (73%) males and 256 (27%) females, with an average age of 32 years (range 16-84 years). The leading cause of admission with a spinal injury was road traffic accidents (42%), followed by falls (35%), sport (11%), neoplasia (7.5%) and miscellaneous (4.5%). The cervical spine was most commonly affected (51%), followed by lumbar (28%) and thoracic (21%). On admission 38% of patients were ASIA D or worse, of which one-third were AISA A. Understanding of the demographics of spinal column injuries in unique populations can help us to develop preventative and treatment strategies at both national and international levels.

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Section: Discussionmentioning

confidence: 99%

“…Associated injuries can significantly affect prognosis in spinal injuries [20]. Spinal injury in the context of multiple trauma carries a poorer prognosis than isolated axial injury [20]. Neurological recovery has been shown to be reduced and mortality increased in patients with spinal injuries and other systemic injuries [23].…”

Section: Discussionmentioning

confidence: 99%

Demographics of acute admissions to a National Spinal Injuries Unit

Lenehan¹,

Boran²,

Street³

et al. 2009

Eur Spine J

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“…8,9,15,[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] (Table 1) Coluna/Columna. 2015;14(2):152-6 …”

Section: Resultsmentioning

confidence: 99%

“…Schinkel et al 33 Stabilization of the thoracic spine before 3 days seems to be favorable; there is an improvement in the TRISS, less hospitalization and ICU time, shorter duration of ventilation, and lower incidence of pulmonary failure. Patients with ISS>38 benefit more.…”

Section: J Trauma 2006mentioning

confidence: 99%

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Damage control in thoracic and lumbar unstable fractures in polytrauma. Systematic review

Chávez¹,

Atanasio²,

García³

et al. 2015

Coluna/Columna

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The objective of this systematic review was to integrate the information from existing studies to determine the level of evidence and grade of recommendation of the implementation of damage control in unstable thoracic and lumbar fractures in polytraumatized patients. Eighteen papers were collected from different databases by keywords and Mesh terms; the level of evidence and grade of recommendation, the characteristics of the participants, the time of fracture fixation, the type of approach and technique used, the length of stay in the intensive care unit, the days of dependence on mechanical ventilator, and the incidence of complications in patients were assessed. The largest proportion of the studies were classified as level 4 evidence and grade C of recommendation which is favorable to the implementation of damage control in unstable thoracic and lumbar fractures in polytraumatized patients as a positive recommendation, although not conclusive. Most papers advocate fracture stabilization within 72 hours of the injury which is associated with a lower incidence of complications, hospital stay, stay in the intensive care unit and lower mortality. RESUMO O objetivo desta revisão sistemática foi integrar as informações dos estudos existentes para determinar o nível de evidência e grau de recomendação da aplicação do controle de danos em fraturas torácica e lombar instáveis em pacientes com politraumatismo. Foram incluídos 18 artigos encontrados em diferentes bancos de dados, usando-se palavras-chave e termos do MeSH; avaliaram-se: nível de evidência e grau de recomendação, características dos participantes, momento em que se realizou a fixação da fratura, tipo de acesso e a técnica utilizada, dias de permanência na unidade de terapia intensiva, os dias de dependência de ventilação mecânica e a incidência de complicações dos pacientes. A maior proporção de artigos foi classificada como nível 4 de evidência, com predomínio do grau C de recomendação, o que torna favorável à implementação do controle de danos em fraturas torácicas e lombares instáveis em pacientes com politraumatismo, não sendo, contudo, concludente. A maioria dos artigos preconiza a estabilização da fratura nas primeiras 72 horas da lesão, o que está associado a menor incidência de complicações, permanência hospitalar, permanência na unidade de terapia intensiva e a menor mortalidade. Descritores: Traumatismo múltiplo; Fraturas da coluna vertebral/cirurgia; Fixação de fratura; Vértebras lombares; Vértebras torácicas. RESUMEN El objetivo de esta revisión sistemática fue integrar la información de los estudios existentes para determinar el nivel de evidencia y grado de recomendación de la aplicación del control de daños en fracturas torácicas y lumbares inestables en pacientes politraumatizados. Se incluyeron 18 artículos localizados en diferentes bases de datos a través de palabras clave y términos del

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Polytrauma

Woltmann¹

2013

Chirurgie Der Verletzten Wirbelsäule

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Wirbelsäulenfrakturen bei Mehrfachverletzten

Cited by 37 publications

References 27 publications

Demographics of acute admissions to a National Spinal Injuries Unit

Demographics of acute admissions to a National Spinal Injuries Unit

Damage control in thoracic and lumbar unstable fractures in polytrauma. Systematic review

Polytrauma

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