Hong Kong Journal of Orthopaedic Surgery

Volume 5 Number 1, April 2001
Abstract

Epidemiology of acute thoracolumbar fractures of young adults in Hong Kong

Chung OM
Quality Assurance Subcommittee of the Co-ordinating Committee in Orthopaedics and Traumatology, Hospital Authority, Hong Kong.

This paper aimed to report on the epidemiological data of a prospective outcome study on acute thoracolumbar fracture of young adults in Hong Kong. The admission criteria for the study were emergency admissions with acute thoracolumbar spinal injury with or without neurological deficit; patient of age 15 to 45 years; patients with pathological fractures excluded. The study was conducted from 1 July 1995 to 30th June 1996 in 10 public hospitals with Accident and Emergency Departments and admission facilities. There were 104 patients: 81 men and 21 women (two had missing data). The mean age of patients was 32.5 years. The most frequent cause of injury was industrial accidents (38.5%). The three vertebrae most commonly fractured, in descending order, were L1, L2 and T12. Based on Denis' classification, there were 19 (15.1%) minor injuries, 51 (40.5%) compression fractures, 51 (40.5%) burst fractures, one (0.8%) seat-belt injury and four (3.2%) cases of fracture/dislocation. Twenty-two (21.2%) patients had neurological deficits, five were complete and 17 were incomplete. (Hong Kong j. orthop. surg. 2001;5(1):40-46)

Key Words: Adult; Lumbar vertebrae/injuries; Spinal fractures; Thoracic vertebrae/injuries

香港胸腰椎骨折流行病學資料

鍾安明

本文報告香港成人胸腰椎骨折的流行病學資料。從1995年7月1日到1996年6月30日,香港10間設有急症室服務的公立醫院共搜集了104例,其中包括81名男性及21名女性(2例資料不詳),病者平均年齡為32.5。最常見的原因是工業意外(38.5%),最常見的受傷位置為L1、L2及T12。根據丹尼司(Denis)分類:次要骨折19例(15.1%),壓縮性骨折51例(40.5%),粉碎性骨折51例(40.5%),安全帶受傷1例(0.8%),骨折脫臼四例(3.2%)。22例出現神經受損(21.2%),其中包括5例完全截癱及17例不完全截癱。


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