The Unstable Thoracic Cage Injury: The Concomitant Sternal Fracture Indicates a Severe Thoracic Spine Fracture
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 130
- 主要终点
- Survival
研究概览
简要总结
- Analysis of patient data and computed tomography scan of polytraumatized patients thoracic spine fractures
- A concomitant sternal fracture was identified an indicator for an unstable thoracic spine fracture
详细描述
Previous studies stated, that sternal fractures can be regarded as an indicator for thoracic spine fractures and described the combined injury pattern of thoracic spine fracture and sternal fracture as "upper thoracic cage injury". But literature research is lacking data that in patients with a thoracic cage injury a highly unstable thoracic spine fracture can be expected.
In a large cohort of 130 patients with a thoracic spine fracture and concomitant sternal fracture the investigators analyzed the injury pattern and evaluated associated injuries, trauma mechanism, and clinical outcome.
The investigators could prove that in patients with a thoracic cage injury the concomitant sternal fracture may be regarded as an indicator for an unstable thoracic spine fracture, which requires surgical stabilization. Furthermore the analysis revealed that even a highly rotationally unstable type C fracture has to be expected, if sternal and thoracic spine fractures are located in the same segment.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 49 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Sternal fracture and concomitant thoracic spine fracture
- •Injury Severity Scale ≥ 16
- •Age under 50 years
- •Presence of a whole body computed-tomography (CT-scan) performed at admission of the patient to the hospital
排除标准
- •Missing consent
- •Incomplete patient data
结局指标
主要结局
Survival
时间窗: 1 year after trauma
Patient survival after polytraumatization
次要结局
未报告次要终点
研究者
Dr. Mario Morgenstern
M.D.
BG Unfallklinik