Purpose: Pelvic fractures are severe injuries and are often associated with multiple system injuries, exacerbating the overall outcome. In India, the incidence of pelvic fractures is on a rise due to suboptimal roads ...Purpose: Pelvic fractures are severe injuries and are often associated with multiple system injuries, exacerbating the overall outcome. In India, the incidence of pelvic fractures is on a rise due to suboptimal roads and traffics but related literature regarding the overall epidemiology of these injuries is scarce and scanty. Our aim was to study the epidemiology of patients admitted with pelvic fractures at a level 1 trauma centre in India. Methods: A 16-month (between September 2015 and December 2016) prospective observational study was carried out on trauma patients with pelvic fractures at a level 1 trauma centre of a tertiary care hospital. Demography of patients, mechanism of injuries and complications were recorded prospectively. Results: We observed 75 patients who presented with pelvic fractures, where 56 were males and 19 were females. Mean age of the study populationwas 37.57 years. Road traffic accidents were the most common mode of injuries. Lateral compression injuries were the most common pattern. Associated injuries frequently encountered were lower extremities and acetabulum fractures, blunt abdominal trauma, urogenital injuries and head injuries. Out of the 75 patients, 52 were treated surgically and 23 were managed by conservative methods. Associated injuries of the extremities, head, abdomen and urogenital system indicated a longer hospital stay. Conclusion: Pelvic fractures, although belong to a relatively rare trauma subset, cause a high morbidity and mortality with considerable burden on the economy. Proper road safety training and driving etiquettes along with its strict implementation in true sense and spirit are the need of the hour.展开更多
目的：探讨骨盆入射角（PI）与退变性脊柱侧凸患者脊柱-骨盆矢状位平衡调节的关系。方法采用回顾性病例对照研究方法,共纳入2008年1月—2014年12月河北医科大学第三医院脊柱外科136例退变性脊柱侧凸患者作为观察组,120例同年龄段、同性...目的：探讨骨盆入射角（PI）与退变性脊柱侧凸患者脊柱-骨盆矢状位平衡调节的关系。方法采用回顾性病例对照研究方法,共纳入2008年1月—2014年12月河北医科大学第三医院脊柱外科136例退变性脊柱侧凸患者作为观察组,120例同年龄段、同性别组成的健康体检者作为对照组。依据 PI 的不同,将观察组和对照组分为：低 PI 值组（PI 〈45。）、中 PI 值组（PI 45。~60。）、高PI 值组（PI 〉60。）。于脊柱全长侧位 X 线片测量 C7铅垂线与 S1后上角的水平距离（ SVA）、胸椎后凸角（TK）、胸腰段角度（TLJ）、腰椎前凸角（LL）、PI、骶骨倾斜角（SS）、骨盆倾斜角（PT）。分别比较3组PI 值受试者中观察组与对照组脊柱-骨盆矢状位参数的差异,分析观察组与对照组中脊柱-骨盆矢状位参数之间的相关性。结果观察组中低、中、高 PI 值的受试者,分别为38例（27.9%）、50例（36.8%）、48例（35.3%）,对照组中分别为52例（43.3%）、41例（34.2%）、27例（22.5%）。在观察组中,高 PI 值患者相比于低 PI 值患者表现出较大的 LL、PT、SS 和较小的 SVA（P 值均〈0.01）；与中 PI 值相比,低 PI 值 SS 显著降低（P 〈0.01）,而 PT 则无明显变化（P 〉0.05）；与中 PI 值相比,高PI 值 PT 显著增大（P 〈0.01）,而 SS 则无明显变化（P 〉0.05）。在观察组和对照组中,PI 值与骨盆参数（PT、SS）及脊柱矢状位参数（LL、TLJ）具有相关性,SS 和 LL 之间以及 SS 和 TLJ 之间均具有相关性（P 值均〈0.05）；在观察组中,PT 和 SVA 之间具有相关性（P 〈0.05）。在低、中、高 PI 值中,观察组患者相比于对照组受试者,均表现出 SS 减小和 PT 增大,TK、LL 以及 TLJ 减小（P 值均〈0.01）。结论在退变性脊柱侧凸患者中,骨盆对于 LL 减小的代偿机制因 PI 的不同而存在着差异,PI 较大者的代偿以骨盆后倾为主,而 PI 较小者的代偿以展开更多
文摘Purpose: Pelvic fractures are severe injuries and are often associated with multiple system injuries, exacerbating the overall outcome. In India, the incidence of pelvic fractures is on a rise due to suboptimal roads and traffics but related literature regarding the overall epidemiology of these injuries is scarce and scanty. Our aim was to study the epidemiology of patients admitted with pelvic fractures at a level 1 trauma centre in India. Methods: A 16-month (between September 2015 and December 2016) prospective observational study was carried out on trauma patients with pelvic fractures at a level 1 trauma centre of a tertiary care hospital. Demography of patients, mechanism of injuries and complications were recorded prospectively. Results: We observed 75 patients who presented with pelvic fractures, where 56 were males and 19 were females. Mean age of the study populationwas 37.57 years. Road traffic accidents were the most common mode of injuries. Lateral compression injuries were the most common pattern. Associated injuries frequently encountered were lower extremities and acetabulum fractures, blunt abdominal trauma, urogenital injuries and head injuries. Out of the 75 patients, 52 were treated surgically and 23 were managed by conservative methods. Associated injuries of the extremities, head, abdomen and urogenital system indicated a longer hospital stay. Conclusion: Pelvic fractures, although belong to a relatively rare trauma subset, cause a high morbidity and mortality with considerable burden on the economy. Proper road safety training and driving etiquettes along with its strict implementation in true sense and spirit are the need of the hour.
文摘目的：探讨骨盆入射角（PI）与退变性脊柱侧凸患者脊柱-骨盆矢状位平衡调节的关系。方法采用回顾性病例对照研究方法,共纳入2008年1月—2014年12月河北医科大学第三医院脊柱外科136例退变性脊柱侧凸患者作为观察组,120例同年龄段、同性别组成的健康体检者作为对照组。依据 PI 的不同,将观察组和对照组分为：低 PI 值组（PI 〈45。）、中 PI 值组（PI 45。~60。）、高PI 值组（PI 〉60。）。于脊柱全长侧位 X 线片测量 C7铅垂线与 S1后上角的水平距离（ SVA）、胸椎后凸角（TK）、胸腰段角度（TLJ）、腰椎前凸角（LL）、PI、骶骨倾斜角（SS）、骨盆倾斜角（PT）。分别比较3组PI 值受试者中观察组与对照组脊柱-骨盆矢状位参数的差异,分析观察组与对照组中脊柱-骨盆矢状位参数之间的相关性。结果观察组中低、中、高 PI 值的受试者,分别为38例（27.9%）、50例（36.8%）、48例（35.3%）,对照组中分别为52例（43.3%）、41例（34.2%）、27例（22.5%）。在观察组中,高 PI 值患者相比于低 PI 值患者表现出较大的 LL、PT、SS 和较小的 SVA（P 值均〈0.01）；与中 PI 值相比,低 PI 值 SS 显著降低（P 〈0.01）,而 PT 则无明显变化（P 〉0.05）；与中 PI 值相比,高PI 值 PT 显著增大（P 〈0.01）,而 SS 则无明显变化（P 〉0.05）。在观察组和对照组中,PI 值与骨盆参数（PT、SS）及脊柱矢状位参数（LL、TLJ）具有相关性,SS 和 LL 之间以及 SS 和 TLJ 之间均具有相关性（P 值均〈0.05）；在观察组中,PT 和 SVA 之间具有相关性（P 〈0.05）。在低、中、高 PI 值中,观察组患者相比于对照组受试者,均表现出 SS 减小和 PT 增大,TK、LL 以及 TLJ 减小（P 值均〈0.01）。结论在退变性脊柱侧凸患者中,骨盆对于 LL 减小的代偿机制因 PI 的不同而存在着差异,PI 较大者的代偿以骨盆后倾为主,而 PI 较小者的代偿以
