Thoracic Spine Fractures with Blunt Aortic Injury: Incidence, Risk Factors, and Characteristics

Background: The coexistence of thoracic fractures and blunt aortic injury (BAI) is potentially catastrophic and easy to be missed in acute trauma settings. Data regarding patients with thoracic fractures complicated with BAI are limited. Methods: The authors conducted a prospective, observational, s...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Hai Deng, Ting-Xuan Tang, Liang-Sheng Tang, Deng Chen, Jia-Liu Luo, Li-Ming Dong, Si-Hai Gao, Zhao-Hui Tang
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	blunt trauma spine injury thoracic burst fractures blunt aortic injury Medicine R
Acceso en línea:	https://doaj.org/article/9b5e844e517a40608498ee0a456760ae
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:9b5e844e517a40608498ee0a456760ae
record_format	dspace
spelling	oai:doaj.org-article:9b5e844e517a40608498ee0a456760ae2021-11-25T18:00:37ZThoracic Spine Fractures with Blunt Aortic Injury: Incidence, Risk Factors, and Characteristics10.3390/jcm102252202077-0383https://doaj.org/article/9b5e844e517a40608498ee0a456760ae2021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5220https://doaj.org/toc/2077-0383Background: The coexistence of thoracic fractures and blunt aortic injury (BAI) is potentially catastrophic and easy to be missed in acute trauma settings. Data regarding patients with thoracic fractures complicated with BAI are limited. Methods: The authors conducted a prospective, observational, single-center study including patients with thoracic burst fractures. A multivariate logistic regression model was developed to determine the risk factors of aortic injury. Results: In total, 124 patients with burst fractures of the thoracic spine were included. The incidence of BAI was 11.3% (14/124) in patients with thoracic burst fractures. Among these patients, 11 patients with BAI were missed diagnoses. The main risk factors of BAI were as follows: Injury severity score (OR 1.184; 95% CI, 1.072–1.308; <i>p</i> = 0.001), mechanism of injury, such as crush (OR 10.474; 95% CI, 1.905–57.579; <i>p</i> = 0.007), flail chest (OR = 4.917; 95% CI, 1.122–21.545; <i>p</i> = 0.035), and neurological deficit (OR = 8.299; 95% CI, 0.999–68.933; <i>p</i> = 0.05). Conclusions: BAI (incidence 11.3%) is common in patients with burst fractures of the thoracic spine and is an easily missed diagnosis. We must maintain a high suspicion of injury for BAI when patients with thoracic burst fractures present with these high-risk factors.Hai DengTing-Xuan TangLiang-Sheng TangDeng ChenJia-Liu LuoLi-Ming DongSi-Hai GaoZhao-Hui TangMDPI AGarticleblunt traumaspine injurythoracic burst fracturesblunt aortic injuryMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5220, p 5220 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	blunt trauma spine injury thoracic burst fractures blunt aortic injury Medicine R
spellingShingle	blunt trauma spine injury thoracic burst fractures blunt aortic injury Medicine R Hai Deng Ting-Xuan Tang Liang-Sheng Tang Deng Chen Jia-Liu Luo Li-Ming Dong Si-Hai Gao Zhao-Hui Tang Thoracic Spine Fractures with Blunt Aortic Injury: Incidence, Risk Factors, and Characteristics
description	Background: The coexistence of thoracic fractures and blunt aortic injury (BAI) is potentially catastrophic and easy to be missed in acute trauma settings. Data regarding patients with thoracic fractures complicated with BAI are limited. Methods: The authors conducted a prospective, observational, single-center study including patients with thoracic burst fractures. A multivariate logistic regression model was developed to determine the risk factors of aortic injury. Results: In total, 124 patients with burst fractures of the thoracic spine were included. The incidence of BAI was 11.3% (14/124) in patients with thoracic burst fractures. Among these patients, 11 patients with BAI were missed diagnoses. The main risk factors of BAI were as follows: Injury severity score (OR 1.184; 95% CI, 1.072–1.308; <i>p</i> = 0.001), mechanism of injury, such as crush (OR 10.474; 95% CI, 1.905–57.579; <i>p</i> = 0.007), flail chest (OR = 4.917; 95% CI, 1.122–21.545; <i>p</i> = 0.035), and neurological deficit (OR = 8.299; 95% CI, 0.999–68.933; <i>p</i> = 0.05). Conclusions: BAI (incidence 11.3%) is common in patients with burst fractures of the thoracic spine and is an easily missed diagnosis. We must maintain a high suspicion of injury for BAI when patients with thoracic burst fractures present with these high-risk factors.
format	article
author	Hai Deng Ting-Xuan Tang Liang-Sheng Tang Deng Chen Jia-Liu Luo Li-Ming Dong Si-Hai Gao Zhao-Hui Tang
author_facet	Hai Deng Ting-Xuan Tang Liang-Sheng Tang Deng Chen Jia-Liu Luo Li-Ming Dong Si-Hai Gao Zhao-Hui Tang
author_sort	Hai Deng
title	Thoracic Spine Fractures with Blunt Aortic Injury: Incidence, Risk Factors, and Characteristics
title_short	Thoracic Spine Fractures with Blunt Aortic Injury: Incidence, Risk Factors, and Characteristics
title_full	Thoracic Spine Fractures with Blunt Aortic Injury: Incidence, Risk Factors, and Characteristics
title_fullStr	Thoracic Spine Fractures with Blunt Aortic Injury: Incidence, Risk Factors, and Characteristics
title_full_unstemmed	Thoracic Spine Fractures with Blunt Aortic Injury: Incidence, Risk Factors, and Characteristics
title_sort	thoracic spine fractures with blunt aortic injury: incidence, risk factors, and characteristics
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/9b5e844e517a40608498ee0a456760ae
work_keys_str_mv	AT haideng thoracicspinefractureswithbluntaorticinjuryincidenceriskfactorsandcharacteristics AT tingxuantang thoracicspinefractureswithbluntaorticinjuryincidenceriskfactorsandcharacteristics AT liangshengtang thoracicspinefractureswithbluntaorticinjuryincidenceriskfactorsandcharacteristics AT dengchen thoracicspinefractureswithbluntaorticinjuryincidenceriskfactorsandcharacteristics AT jialiuluo thoracicspinefractureswithbluntaorticinjuryincidenceriskfactorsandcharacteristics AT limingdong thoracicspinefractureswithbluntaorticinjuryincidenceriskfactorsandcharacteristics AT sihaigao thoracicspinefractureswithbluntaorticinjuryincidenceriskfactorsandcharacteristics AT zhaohuitang thoracicspinefractureswithbluntaorticinjuryincidenceriskfactorsandcharacteristics
_version_	1718411762096668672

Thoracic Spine Fractures with Blunt Aortic Injury: Incidence, Risk Factors, and Characteristics

Ejemplares similares