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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 | Changes in insulin- like growth factor 1, 17 - b - estradiol, and progesterone in postmenopausal women with benign and malignant ovarian tumours显示文摘 | Waksmanski B Dudkiewicz J Kowalski T | 2001 | Med Sci Monit2001，7，： | 1 |
| 3 | Idiopathic adhesive capsulitis:long-term results of conservative treatment显示文摘 | Dudkiewicz I Oran A Salai M | 2004 | Isr Med Assoc J2004，6，9： | 1 |
| 4 | Octreotide is not useful for clomiphene citrate resistance in patients with polycystic ovary syndrome but may reduce the likelihood of ovarian hyperstimulation syndrome显示文摘 | Morris RS Karande VC Dudkiewicz A | 1999 | Fertility and Sterili- ty1999，71，3： | 1 |
| 5 | Characterization of nanomaterials in food by electron microscopy 显示文摘 | Dudkiewicz A Tiede K BoxaU A | 2011 | TrAC Trends in Analytical Chemistry2011，30，1： | 1 |
| 6 | Gastroesophageal reflux in Pierre Robin sequence-early surgical treatment显示文摘 | Dudkiewicz Z Sekula E Nielepiec-Jalosinska A | 2000 | Cleft Palate Craniofac J2000，37，2： | 1 |
| 7 | Quality of life in women with urinary stress incontinence and evaluation of tension-free vaginal tape treatment 显示文摘 | Pozowski J Sobanski A Dudkiewicz B | 2006 | Gynecol Obstet Invest2006，64，1： | 1 |
| 8 | Total hip arthroplasty after avascular necrosis of the femoral head: does etiology affect the results?显示文摘 | Israel Dudkiewicz Alon Covo Moshe Salai Amnon Israeli Yehuda Amit Aharon Chechik | 2004 | Archives of Orthopaedic and Trauma Surgery2004，，2： | 1 |
| 9 | The association of antithyroid antibodies in euthyroid nonpregnant women with recurrent first trimester abortions in the next pregnancy 显示文摘 | Pratt DE Kaberlein G Dudkiewicz A | 1993 | Fertil Steril1993，60，6： | 1 |
| 10 | Generalizations of relations between strength and hardness of steel in structural elements under longitudinal load显示文摘 | DUDKIEWICZ J GOSOWSKI B | 2004 | Archives of Civil Engineering2004，，1： | 1 |
| 11 | Patients education of a selfreduction technique for anterior glenohumeral dislocation of shoulder显示文摘 | Dudkiewicz I Arzi H Salai M | | 0，，03： | 1 |
| 12 | Lengthening of the shortened rst- metatarsal afterWilson' s osteotomy for hallux valgus 显示文摘 | Singh D Dudkiewicz I | 2009 | J Bone Joint Surg Br2009，91，12： | 1 |
| 13 | Pooled sequential ejaculates: a way to increase the total number of motile sperm from oligozoospermic men显示文摘 | Tur-Kaspa Ⅰ Dudkiewicz A Confino E | 1990 | Fertil Steril1990，54，5： | 1 |
| 14 | Total hip arthroplasty after childhood septic hip in patients younger than 25 years of age显示文摘 | Dudkiewicz I Salai M Chechik A | 2000 | J Ped- iatr Orthop2000，20，5： | 1 |
| 15 | Percutaneous Achilles tendon repair combined with real-time sonography显示文摘 | Blankstein A Israeli A Dudkiewicz I | 2007 | Isr Med Assoc J2007，9，2： | 1 |
| 16 | Analysis of clinical usefulness of the cytologic smear results for pregnant woman using the Bathesda system显示文摘 | Dudkiewicz J Waksmanski B Cieslak-stec M | 2002 | Ginekol Pol2002，73，： | 1 |
| 17 | Idiopathic adhesive capsuli- tis : long - term results of conservative treatment 显示文摘 | Dudkiewicz I Oran A Salai M | 2004 | Isr Med Assoc J2004，6，： | 1 |
| 18 | Percutaneous Achilles tendon repair combined with real-time sonography显示文摘 | Blankstein A Israeli A Dudkiewicz I | 2007 | Isr Med Assoc J2007，9，2： | 1 |
| 19 | Interleukin-11 for treatment of hepatitis C-associated ITP显示文摘 | Fontana V Dudkiewicz P Jy W | | 0，，： | 1 |
| 20 | Congenital muscular torticouis in infants:uitrasound-assisted diagnosis and evaluation显示文摘 | Dudkiewicz I Oanel A Blankstein A | 2005 | J Pediatr Orthop2005，25，6： | 1 |
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