tailieunhanh - Báo cáo y học: "Earthquake-related versus non-earthquake-related injuries in spinal injury patients: differentiation with multidetector computed tomography"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Earthquake-related versus non-earthquake-related injuries in spinal injury patients: differentiation with multidetector computed tomography. | Dong et al. Critical Care 2010 14 R236 http content 14 6 R236 KS CRITICAL CARE RESEARCH Open Access Earthquake-related versus non-earthquake-related injuries in spinal injury patients differentiation with multidetector computed tomography 1 - - z-l 1 z-l 1 1 1 3 Zhi-hui Dong Zhi-gang Yang Tian-wu Chen Zhi-gang Chu Qi-ling Wang Wen Deng Joseph C Denor Abstract Introduction In recent years several massive earthquakes have occurred across the globe. Multidetector computed tomography MDCT is reliable in detecting spinal injuries. The purpose of this study was to compare the features of spinal injuries resulting from the Sichuan earthquake with those of non-earthquake-related spinal trauma using MDCT. Methods Features of spinal injuries of 223 Sichuan earthquake-exposed patients and 223 non-earthquake-related spinal injury patients were retrospectively compared using MDCT. The date of non-earthquake-related spinal injury patients was collected from 1 May 2009 to 22 July 2009 to avoid the confounding effects of seasonal activity and clothing. We focused on anatomic sites injury types and neurologic deficits related to spinal injuries. Major injuries were classified according to the grid 3-3-3 scheme of the Magerl AO classification system. Results A total of 185 patients in the earthquake-exposed cohort experienced crush injuries. In the earthquake and control groups 65 and 92 patients respectively had neurologic deficits. The anatomic distribution of these two cohorts was significantly different P . Cervical spinal injuries were more common in the control group risk ratio RR P whereas lumbar spinal injuries were more common in the earthquake-related spinal injuries group 277 of 501 injured vertebrae . The major types of injuries were significantly different between these cohorts P . Magerl AO type A lesions composed most of the lesions seen in both of these cohorts. Type B lesions were more frequently seen in .

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