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At least 883 records · Page 49Linked to original sources
PubMed2002

[Pediatric spinal injuries].

Spine injuries during growth are rare, but in comparison to adults they are more often associated with neurologic impairment. They also may occur without visible injuries in X-rays. The problems of conventional radiologic diagnostics include before all the differential diagnosis between synchondrosis, apophysis and fracture lines. MRI is indicated in case of neurologic deficits without radiologic abnormalities. In principle the fracture types correspond to those seen in adults. In addition growth specific injuries of the end-plates (growth plates) or ring apophysis may occur. Stable compression fractures are treated conservatively. The spontaneous remodelling capacity for posttraumatic deformities decreases with age: in children below the age of ten years the remodelling capacity for posttraumatic kyphosis is excellent whereas deformities in the frontal plane show no or only incomplete remodelling. Unstable fractures and injuries with associated compression of neural structures should be treated conservatively.

Accidental Falls↗
PubMed2006

Sternal fractures occur most often in old cars to seat-belted drivers without any airbag often with concomitant spinal injuries: clinical findings and technical collision variables among 42,055 crash victims.

BACKGROUND: The incidence and treatment of sternal fractures caused by traffic accidents is of increasing importance to ensure best possible outcomes. METHODS: Analysis of technical indicators of the collision, preclinical, and clinical data of patients with sternal fractures from 1985 to 2004 among 42,055 injured patients was assessed by an Accident Research Unit. Two time groups were categorized: 1985 to 1994 (group A) versus 1995 to 2004 (group B). RESULTS: Of 42,055 patients, 267 (0.64%) suffered a sternal fracture. Regarding the vehicle type, the majority occurred after car accidents in 0.81% (251 of 31,183 patients), followed by 0.19% (5 of 2,633 patients) driving motorbike, and 0.11% (4 of 3,258 patients) driving a truck. Ninety-one percent wore a safety belt. Only 13% of all passengers suffering a sternal fracture had an airbag on board (33 of 255 car/trucks), with an airbag malfunction in 18%. The steering column was deformed in 39%, the steering wheel in 36%. Cars in the recent years were significantly older (group B, 7.67 +/- 5 years, versus group A, 5.88 +/- 5 years; p = 0.003). Cervical spine injuries are frequent (23% versus 22%), followed by multiple rib fractures (14% versus 12%) and lung contusions (12% versus 11%). We found 9 of 146 (6%) and 3 of 121 patients (3%) with heart contusion among the 267 sternal fractures. Maximal abbreviated injury scale score was 2.56 +/- 1.3 versus 2.62 +/- 1.3 (group A versus B, p = 0.349). Eighteen percent of patients were polytraumatized, with 11.2% dying at the scene, 2.3% in the hospital. CONCLUSIONS: Sternal fractures occur most often in old cars to seat-belted drivers often without any airbag. Severe multiple rib fractures and lung contusion are concomitant injuries in more than 10% each, indicating the severity of the crash. Over a 20-year period, the injury severity encountered was not different, with 18% polytrauma patients suffering sternal fractures.

Accidents, Traffic↗
PubMed1998

Spinal injuries.

Explore the source record for details and available documents.

Acute Disease↗
PubMed1978

Computed tomographic evaluation of traumatic spinal injuries.

A full radiological evaluation of patients who sustained traumatic injuries to the spine may be difficult to obtain due to the danger associated with manipulation. Computed tomography offers a new modality for simple and accurate evaluation; valuable information may be gained without the use of invasive methods.

Humans↗
PubMed1985

General practitioner and long term care of patients with a spinal injury.

A questionnaire was sent to disabled people to ascertain what part their general practitioners played in their long term care. The average consultation rate was 4.40 per patient a year. Overall, it appeared that the patients were most concerned with the general practitioner's attitude towards them and the general practitioner's availability.

Adult↗
PubMed1978

[A case of staphylococcal spondylodiscitis after spinal injury. Post-traumatic spondylodiscitis?].

The authors report the case of a patient who had a D9-D10 staphylococcic spondylodiscitis three month after a fracture of the first lumbar vertebra, which they consider to be posttraumatic despite the fact that it is localised in a different area. They insist on the insufficiency of the literature existing on such cases and on the various pathogenic hypotheses to be applied by the practitionner.

Humans↗
PubMed1989

Posterior cervical interspinous compression wiring and fusion for mid to low cervical spinal injuries.

A technique of posterior cervical interspinous compression wiring and fusion, which offers significant immediate stability, is presented. Its efficacy in 50 consecutive cases illustrates its utility. The technique involves the passage of an interspinous cerclage wire. Rather than placement of onlay laminar and facet grafts, a split-thickness tricortical iliac-crest graft is compressed against the involved medial laminae and spinous processes bilaterally. These grafts are held in place by a compression wire, which encircles the grafts and thus sandwiches the spinous processes between them. This virtually ensures subsequent bone fusion and offers substantial acute stability. The compression wire offers an added advantage of encircling the cerclage wire, thus pulling it dorsally. This significantly diminishes translational mobility at the unstable segment. It also minimizes hyperextension at the unstable segment via medial compression of the grafts into the interspinous space. The fusion of a minimal number of spinal segments is emphasized. This substantially diminishes the chance of flexible kyphosis and degenerative changes, both above and below the fusion site. A three- or four-level fusion was performed in only 11 patients. The remaining 39 patients underwent two-level fusion. A solid bone fusion was achieved in all cases, with a follow-up period of at least 6 months. In one patient, the spinous process fractured, necessitating an anterior fusion procedure. The technique presented here appears to acutely offer a very stable construct and, in addition, is a simple and straightforward procedure for the treatment of the unstable cervical spine.

Adolescent↗
PubMedDate not supplied

[Mechanism of formation of spinal injuries].

It was stipulated that in medicolegal examination of deaths due to mechanical trauma accompanied by vertebral column separation it is necessary to investigate the surface of separation, which as a rule passes along the verge of the osseous and cartilagnous locking laminae. At the initial stage of avulsion a fragment of osseous lamina of the adjacent vertebral corpus remains fixed to cartilaginous lamina. Taking into account the localization of this fragment one may judge upon the direction of spine flexure.

Accidents, Traffic↗
PubMedDate not supplied

[Comparison of causes for spinal injuries in the city and in the countryside].

3235 patients admitted to the hospital within 1965-1988 early after trauma to the spine, were treated. Using the case histories of these patients, the most frequent causes of lesions to the spine are delineated. Young persons are most frequently subjects to the trauma (66% up to 40 years of age) in urban regions. The most frequent causes of such a trauma include: road accidents, jumps to the water, suicidal jumps, fall from the steps, ladder, roofs etc. People in middle and advanced age are most frequently subjects to the trauma in rural regions. The most frequent causes of such a trauma include: falls from the horse-carriages, ladder, trees, roofs, and motorcycle accidents. Functional results of the treatment were also analysed. The authors consider these results favourable as the majority of victims admitted to the hospital had symptoms of the paralysis. Walking ability was restored in 59% of the treated patients. No significant difference in the functional results of therapy was noted in both patients from urban and rural regions. Objective difference is, however, significant, depending on the degree of lesions to the spinal cord seen at the admission to the hospital.

Accidents↗