ArticleScandinavian journal of trauma, resuscitation and emergency medicine2020
Possible advantages of early stabilization of spinal fractures in multiply injured patients with leading thoracic trauma - analysis based on the TraumaRegister DGU®.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Initial surgical management of spinal injuries in patients with multiple and/or severe injuries- the 2022 update of the German clinical practice guideline.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Guideline
- Epidemiology of spinal fractures in polytrauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Surgical Stabilization of the Spine: A Clinical Review of Spinal Fractures, Spondylolisthesis, and Instrumentation Methods.Journal of clinical medicine · 2025Review
- Thoracolumbar spinal cord injury: management, techniques, timing.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
- Acute spinal cord injury in Africa: exploring the long-term outcomes and future directions of acute spinal cord injury - short communication.Annals of medicine and surgery (2012) · 2023Article
- Rib fixation for flail chest physiology and the facilitation of safe prone spinal surgery: illustrative case.Journal of neurosurgery. Case lessons · 2022Article
- Unstable Thoracolumbar Injuries: Factors Affecting the Decision for Short-Segment vs Long-Segment Posterior Fixation.International journal of spine surgery · 2022Article
- Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma.Scientific reports · 2021Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMajor trauma often comprises fractures of the thoracolumbar spine and these are often accompanied by relevant thoracic trauma. Major complications can be ascribed to substantial simultaneous trauma to the chest and concomitant immobilization due to spinal instability, pain or neurological dysfunction, impairing the respiratory system individually and together. Thus, we proposed that an early stabilization of thoracolumbar spine fractures will result in significant benefits regarding respiratory organ function, multiple organ failure and length of ICU / hospital stay.
methodsPatients documented in the TraumaRegister DGU®, aged ≥16 years, ISS ≥ 16, AIS
results1740 patients remained for analysis, with 1338 (76.9%) undergoing spinal surgery within their hospital stay. 976 (72.9%) had spine surgery within the first 72 h, 362 (27.1%) later on. Patients with injuries to the thoracic spine (AIS
conclusionsMultiply injured patients with at least serious thoracic trauma (AIS
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Registered trials
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