Epidemiology of thoracolumbar spine injury in blunt trauma

James F Holmes Jr, P. Q. Miller, Edward A Panacek, S. Lin, N. S. Horne, W. R. Mower

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

Objective: To evaluate the prevalence, distribution, and demographics of thoracolumbar (TL) spine injuries following blunt trauma. Methods: Prospective, cross-sectional study of a consecutive sample of all blunt trauma patients presenting initially to the emergency department (ED) of a Level 1 trauma center and undergoing thoracic and/or lumbar spine radiography from August 1997 to November 1998. The age, sex, and mechanism of injury of each patient as well as location and type of spine injury were recorded for those patients with vertebral fractures, dislocations, or subluxations. Results: Two thousand four hundred four blunt trauma patients were enrolled. Vertebral injuries were identified in 152 individuals (6.3%, 95% CI = 5.4% to 7.4%). Two hundred sixty distinct anatomic levels of injury were identified in these 152 individuals. Of these 260 injuries, 42 (16.2%) occurred at L1, 38 (14.6%) at L2, 29 (11.1%) at L3, and 27 (10.4%) at T12, making these the most commonly injured vertebrae. Injuries were most common (34 patients) in those aged 30-39 years and were least common (12 patients) in those under 18 years. Compression fractures (52%) were the most common injury in the thoracic spine, while transverse process fractures (48%) were the most common injuries in the lumbar spine. Conclusions: The prevalence of TL injuries in ED blunt trauma patients undergoing TL radiographs is 6.3%. The most commonly injured area of the TL spine is the thoracolumbar junction.

Original languageEnglish (US)
Pages (from-to)866-872
Number of pages7
JournalAcademic Emergency Medicine
Volume8
Issue number9
StatePublished - 2001

Fingerprint

Nonpenetrating Wounds
Epidemiology
Spine
Wounds and Injuries
Hospital Emergency Service
Compression Fractures
Thoracic Injuries
Trauma Centers
Radiography
Thorax
Cross-Sectional Studies

Keywords

  • Epidemiology
  • Injury
  • Lumbar spine
  • Radiography
  • Thoracic spine

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Holmes Jr, J. F., Miller, P. Q., Panacek, E. A., Lin, S., Horne, N. S., & Mower, W. R. (2001). Epidemiology of thoracolumbar spine injury in blunt trauma. Academic Emergency Medicine, 8(9), 866-872.

Epidemiology of thoracolumbar spine injury in blunt trauma. / Holmes Jr, James F; Miller, P. Q.; Panacek, Edward A; Lin, S.; Horne, N. S.; Mower, W. R.

In: Academic Emergency Medicine, Vol. 8, No. 9, 2001, p. 866-872.

Research output: Contribution to journalArticle

Holmes Jr, JF, Miller, PQ, Panacek, EA, Lin, S, Horne, NS & Mower, WR 2001, 'Epidemiology of thoracolumbar spine injury in blunt trauma', Academic Emergency Medicine, vol. 8, no. 9, pp. 866-872.
Holmes Jr, James F ; Miller, P. Q. ; Panacek, Edward A ; Lin, S. ; Horne, N. S. ; Mower, W. R. / Epidemiology of thoracolumbar spine injury in blunt trauma. In: Academic Emergency Medicine. 2001 ; Vol. 8, No. 9. pp. 866-872.
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