Clinical results of early stabilization of spine fractures in polytrauma patients.

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.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Park KC,Park YS,Seo WS,Moon JK,Kim BH

doi

10.1016/j.jcrc.2014.03.003

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

694.e7-9

issue

4

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(14)00080-X

journal_volume

29

pub_type

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