Clinical results of early stabilization of spine fractures in polytrauma patients
- Authors
- Park, Ki-Chul; Park, Ye-Soo; Seo, Wan-Sik; Moon, Jun-Ki; Kim, Bo-Hyun
- Issue Date
- Aug-2014
- Publisher
- W B SAUNDERS CO-ELSEVIER INC
- Keywords
- Polytrauma; Thoracolumbar spine fracture; Early stabilization; ISS (injury severity score)
- Citation
- JOURNAL OF CRITICAL CARE, v.29, no.4, pp.694.e7 - 694.e9
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF CRITICAL CARE
- Volume
- 29
- Number
- 4
- Start Page
- 694.e7
- End Page
- 694.e9
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/159454
- DOI
- 10.1016/j.jcrc.2014.03.003
- ISSN
- 0883-9441
- Abstract
- Purpose: The purpose of study was to evaluate the clinical results of early stabilization of spine fractures in polytrauma patients.
Materials and methods: Between August 2003, and May 2012, 166 polytrauma patients with thoracolumbar spine fractures were included. Patients were divided into 2 groups according to injury-to-operation time (time cut-off, 72 hours). Patients were also subdivided into 4 groups according to injury severity score (ISS), and the clinical course was evaluated.
Results: Group A showed shorter hospital length of stay, intensive care unit, and ventilator days than group B. For each of these categories, the differences between the 2 groups were statistically significant (P = .004, P = .044, and P = .043). Patients with moderate to severe injury (ISS, >= 26), those who were treated with early stabilization showed shorter hospital length of stay, intensive care unit, and ventilator days than the patients with mild to moderate injury (ISS, <26), and the differences were statistically significant (P = .004, P = .006, and P = .006).
Conclusion: Polytrauma patients whose spine fractures were stabilized within 72 hours had better clinical outcomes than those with late stabilization. In addition, more severely injured patients (ISS, >= 26) benefited more from early stabilization.
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