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

Zilbermints, Veacheslav; Hershkovitz, Yehuda; Peleg, Kobi; DuBose, Joseph J.; Givon, Adi; Aranovich, David; Dudkiewicz, Mickey; Kessel, Boris

doi:10.1016/j.cjtee.2021.03.004

Cited by 2 publications

(4 citation statements)

References 22 publications

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“…Despite its potential benefits, this model of nursing care has struggled for a long time to meet the expectations of both clinicians and patients. Based on an analysis of my observations based on personal experience and related researches [ 17 , 18 ], I have summarized several shortcomings in conventional nursing:…”

Section: Discussionmentioning

confidence: 99%

A randomized controlled study on systematic nursing care based on health empowerment theory and its effect on the self-care and functional abilities of patients with spinal fractures

Li,

Gan,

Sun

et al. 2023

J Orthop Surg Res

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Objective In this study, we aimed to explore the effectiveness of systematic nursing care based on health empowerment theory on the self-care and functional abilities of patients with spinal fractures. Methods We selected a total of 50 patients with spinal fractures from our hospital and randomly divided them into the control group and the observation group, with 25 patients in each group. Patients in the control group received conventional nursing care, while those in the observation group received systematic nursing care grounded in the health empowerment theory. We recorded and compared the self-care ability, functional ability, knowledge about the condition, and pain scores of patients in the two groups before and after the nursing intervention. Results There was no significant difference in the baseline characteristics between the two groups (P > 0.05), and there was no significant difference in self-care ability, functional ability, knowledge about the condition, or the visual analog scale (VAS) score between the two groups before treatment (P > 0.05). After treatment, outcomes in the observation group in terms of self-care ability, functional ability, and knowledge about the condition were significantly better than those in the control group (P < 0.05), while the VAS score in the observation group was significantly lower than that in the control group (P < 0.05). Conclusion Compared with conventional nursing care, patients with spinal fractures who received systematic nursing inputs based on health empowerment theory reported significant improvements in pain, self-care, functional ability, and knowledge of the condition, and this is an approach that is worthy of promotion in clinical use.

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Section: Discussionmentioning

confidence: 99%

A randomized controlled study on systematic nursing care based on health empowerment theory and its effect on the self-care and functional abilities of patients with spinal fractures

Li,

Gan,

Sun

et al. 2023

J Orthop Surg Res

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show abstract

“…However, for thoracolumbar fractures with a load sharing score of less than 7, conservative treatment is not ideal, and surgical intervention is often required. 2 The primary goal of surgical treatment of thoracolumbar fractures is to reduce the injured vertebral body, correct the deformity and maintain the normal physiological curvature of the spine, restore the biomechanical stability of the spine, maximize the recovery of the injured spinal nerves, and minimize postoperative complications. 3 Conventional open internal fixation surgery can help patients reduce the spinal deformity caused by trauma, and recover the spinal function as soon as possible.…”

Section: Introductionmentioning

confidence: 99%

“…For such fractures, conservative treatment and surgical treatment are often used in clinical practice. However, for thoracolumbar fractures with a load sharing score of less than 7, conservative treatment is not ideal, and surgical intervention is often required 2 …”

Section: Introductionmentioning

confidence: 99%

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A Clinical Comparative Study on Percutaneous and Open Approaches for Screw Internal Fixation in Treating Thoracolumbar Fractures

Sun

Shi

et al. 2023

Orthopaedic Surgery

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ObjectiveConventional open internal fixation surgery for thoracolumbar fractures has many complications and long recovery time. There are few clinical studies on the minimally invasive percutaneous injured vertebrae screw internal fixation. The purpose of this paper is to evaluate the application value of minimally invasive percutaneous injured vertebrae screw internal fixation in the treatment of thoracolumbar fractures (TF).MethodsA total of 98 patients with TF admitted to our hospital from January 2019 to December 2021 were retrospectively enrolled. According to the surgical method, the patients were divided into the study group (n = 49, treated with minimally invasive percutaneous injured vertebrae screw internal fixation) and the control group (n = 49, treated with traditional open internal fixation surgery). The two groups were compared in the perioperative period, the degree of pain at different periods, the percentage of the height of the anterior edge of the injured vertebra, the Cobb angle of the injured vertebra body and the wedge angle of the injured vertebra body at the first week and the last follow‐up, and the postoperative complications and the occurrence of the cone shell after the operation were recorded. Then, statistical analysis such as Student's t test or Chi‐Square test was performed.ResultsThe operation time (p = 0.002), intraoperative blood loss (p < 0.001), postoperative drainage volume (p = 0.011), and length of hospital stay (p = 0.003) in the study group were significantly lower than that in the control group. The VAS in the study group (3.38 ± 1.02) was significantly lower than that in the control group (4.56 ± 1.04) on the 7th day after the operation, with a significant difference (p < 0.001). The correction values of the percentage of leading edge height (LEH), Cobb angle, wedge angle in the study group were significantly lower than that in the control group at 1 week after surgery (all ps < 0.001). The incidence of postoperative complications in the study group (one case, 2.04%) was significantly lower than that in the control group (seven cases, 14.29%) (p = 0.031). At 1 month, 6 months, 10 months, and the last follow‐up, the incidence of “empty shell” on CT scan in the study group were lower than that in the control group with a significant difference (all ps < 0.05).ConclusionApplying minimally invasive percutaneous injured vertebrae screw internal fixation is more beneficial to shorten the operation time and hospital stay, with fewer postoperative complications.

show abstract

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

Cited by 2 publications

References 22 publications

A randomized controlled study on systematic nursing care based on health empowerment theory and its effect on the self-care and functional abilities of patients with spinal fractures

A randomized controlled study on systematic nursing care based on health empowerment theory and its effect on the self-care and functional abilities of patients with spinal fractures

A Clinical Comparative Study on Percutaneous and Open Approaches for Screw Internal Fixation in Treating Thoracolumbar Fractures

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