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| 1 | Spinal cord injury in the setting of traumatic thoracolumbar fracture is not reliably associated with increased risk of associated intra-abdominal injury following blunt trauma:An analysis of a National Trauma Registry database显示文摘Purpose:There is a common opinion that spinal fractures usually reflect the substantial impact of injuries and therefore may be used as a marker of significant associated injuries,specifically for intra-abdominal injury(IAI).The impact of concomitant spinal cord injury(SCI)with the risk of associated IAI has not been well clarified.The aim of this study was to evaluate the incidence and severity of IAIs in patients suffering from spinal fractures with or without SCI.Methods:A retrospective cohort study using the Israeli National Trauma Registry was conducted.Patients with thoracic,lumbar and thoracolumbar fractures resulting from blunt mechanisms of injury from January 1,1997 to December 31,2018 were examined,comparing the incidence,severity and mortality of IAIs in patients with or without SCI.The collected variables included age,gender,mechanism of injury,incidence and severity of the concomitant IAIs and pelvic fractures,abbreviated injury scale,injury severity score,and mortality.Statistical analysis was performed using GraphPad InStat?Version 3.10,with Chi-square test for independence and two sided Fisher’s exact probability test.Results:Review of the Israeli National Trauma Database revealed a total of 16,878 patients with spinal fractures.Combined thoracic and lumbar fractures were observed in 1272 patients(7.5%),isolated thoracic fractures in 4967 patients(29.4%)and isolated lumbar fractures in 10,639 patients(63.0%).The incidence of concomitant SCI was found in 4.95%(63/1272),7.65%(380/4967)and 2.50%(266/10639)of these patients,respectively.The overall mortality was 2.5%,proving higher among isolated thoracic fracture patient than among isolated lumbar fracture counterparts(11.3%vs.4.6%,p<0.001).Isolated thoracic fractures with SCI were significantly more likely to die than non-SCI counterparts(8.2%vs.3.1%,p<0.001).There were no differences in the incidence of IAIs between patients with or without SCI following thoracolumbar fractures overall or in isolated thoracic fractures;although isolated lumbar fractures patients with SCI were more likely to have renal(3.4%vs.1.6%,p=0.02)or bowel injuries(2.3%vs.1.0%,p=0.04)than the non-SCI counterparts.Conclusion:SCI in the setting of thoracolumbar fracture does not appear to be a marker for associated IAI.However,in a subset of isolated lumbar fractures,SCI patient is associated with increased risks for renal and bowel injury. | Veacheslav Zilbermints Yehuda Hershkovitz Kobi Peleg Joseph J.Dubose Adi Givon David Aranovich Mickey Dudkiewicz Israeli Trauma Group Boris Kessel | 2021 | Chinese Journal of Traumatology2021，24，3： | 9 |
| 2 | Analysis of incidence of traumatic brain injury in blunt trauma patients with Glasgow Coma Scale of 12 or less显示文摘 | Alexander Becket Kobi Peleg Oded Olsha Adi Givon Boris Kessel Israeli Trauma Group | 2018 | Chinese Journal of Traumatology2018，21，3： | 7 |
| 3 | Monteggia and equivalent lesions:a study of 41 cases显示文摘 | Givon U Pritsch M Levy O | | 0，，337： | 1 |
| 4 | Treatment of femoral fractures in neonates显示文摘 | Givon U Sherr-Lurie N Schindler A | 2007 | Isr Med Assoc J2007，9，1： | 1 |
| 5 | Software piracy:Estim- ation of lost sales and the impact on software diffusion显示文摘 | Givon M Mahajan V Muller E | | 0，，01： | 1 |
| 6 | Use of unresolved transition arrays for plasma diagnostics显示文摘 | Zigler A Givon M Yarkoni E | 1987 | Phys Rev1987，35，： | 1 |
| 7 | On the so called SOV word order in Mandarin Chinese: A quantified text study and its implications显示文摘 | Chaofen & Givon T | 1985 | Language1985，61，： | 1 |
| 8 | Variety seeking through brand switching显示文摘 | Givon M | 1984 | Marketing Science1984，3，1： | 1 |
| 9 | On the so-called SOV word order in Mandarin Chinese: A quantified text study and its implication 显示文摘 | Chaofen & Talmy Givon | 1985 | Language1985，61，： | 1 |
| 10 | The Grammar of referential coherence as mental processing instructions显示文摘 | GIVON T | 1992 | Linguistics1992，，30： | 1 |
| 11 | Assessing the Relationship between the User-Based Market Share and Unit Sales-Based Market Share for Pirated Software Brands in Competitive Markets显示文摘 | Moshe Givon Vijay Mahajan Eitan Muller | 1997 | Technological Forecasting and Social Change1997，55，： | 1 |
| 12 | Multidimensional linear itera- tire circuits-general properties 显示文摘 | Givone D D Roesser R P | 1972 | IEEE Transactions on Computers1972，21，10： | 1 |
| 13 | Treatment of femoral fractures in neonates显示文摘 | Givon U Sherr-Lurie N Schindler A | 2007 | Isr Med Assoc J2007，9，1： | 1 |
| 14 | Parameters affecting the intensity of light sources powered by tritium显示文摘 | Korin A Givon M Wolf D | 1975 | Nucl Instrum Methods1975，130，： | 1 |
| 15 | Titanium elastic nails a useful instrument for the tractment of simpile bone cyst显示文摘 | Givon U Sherlurie N Schindlcra A | 2004 | J Pediatr Orthop2004，24，3： | 1 |
| 16 | Historical Syntax and Synchronic Morphology: An Archaeologist's Field Trip显示文摘 | Givon T | 1971 | Chicago Linguistics Society1971，，7： | 1 |
| 17 | Software piracy : Estimation of lost sales and the impact on software diffusion 显示文摘 | Givon M Mahajan V Muller E | 1995 | Journal of Marketing1995，59，1： | 1 |
| 18 | Historical syntax and synchronic morphol-ogy:an archaeologist's field trip显示文摘 | | 1971 | Linguistic Socie-ty1971，，7： | 1 |
| 19 | Involvement of the humerus in two generations with spondyloepiphyseal dys plasia显示文摘 | Kumar SJ Scott CI Jr | 1999 | Clin Orthop1999，，366： | 1 |
| 20 | Variance reduction for particle filters of systems with time scale separation显示文摘 | Givon D Stinis P Weare J | 2009 | IEEE Trans on Signal Processing2009，57，2： | 1 |
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