Objective To analyze the clinical features of traumatic thoracolumbar fractures,and to improve the level of prevention and treatment of traumatic thoracolumbar fractures.Methods A review of 527 patients with traumatic thoracolumbar fractures admitted to our hospital from January 2006 to December 2015 was performed to analyze their clinical features,who were divided into different groups according to the age,fracture level and etiology.Results Of the 527 patients,238 patients aged form 40 to 59 year-old,which accounting for about 45.2％.Combined thoracolumbar and other segments fracture were presented in 76 patients,accounting for about 14.4％,among which combined thoracolumbar and lumbar spine fracture in 42 patients (8.0％),thoracolumbar and thoracic spine fracture in 22 patients (4.2％),thoracolumbar and cervical spine fracture in 7 patients and thoracolumbar(1.3％),cervical spine,thoracic spine and lumbar spine fracture in 5 patients(0.9％).The sex ratio was 136∶49 (2.8),incidence of neurological deficit was 50.3％,incidence of combined injuries was 38.9％ in the 20 to 39 year-old patients.High fall,low fall and road traffic accident were the most common etiologies,accounting for 43.1％,23.3％ and 14.6％ respectively,other etiologies accounting for 19.0％.In the patients caused by struck by object group,the sex ratio was 52∶3 (17.3),incidence of neurological deficit was 60.0％,incidence of combined injuries was 47.3％ and mean ISS score was (21.4 ± 12.7) point,the values were significantly larger than the other patients (P ＜ 0.05).According to ASIA neurologic grading system,72 patients in grade A,17 patients in grade B,37 patients in grade C,95 patients in grade D,68 patients recovered 1 or more grades during hospitalization,which accounting 12.9％ of all the patients.Conclusion The epidemiological survey of traumatic thoracolumbar fractures reveals that the age from 40 to 59 year-old and high fall was the most common age and etiology for injuries of spinal fracture.The 20 to 39 year-old patients group and struck by object group presented with the highest sex ratio,incidence of neurological deficit and combined injuries,the prevention and treatment should be designed according to the injury features of different individuals.%目的 分析创伤性胸腰椎骨折的临床特点,以提高创伤性胸腰椎骨折的预防及救治水平.方法 回顾性分析2006年1月至2015年12月沈阳军区总医院收治的527例创伤性胸腰椎骨折患者的临床资料,按年龄段、骨折节段以及致伤原因分组,分析其临床特点.结果 527例患者中年龄分布集中在40 ～ 59岁者有238例,占45.2％.胸腰段合并其他部位骨折患者共76例,占14.4％,其中胸腰段合并腰椎骨折者42例(8.0％),胸腰段合并胸椎骨折者22例(4.2％),胸腰段合并颈椎骨折者7例(1.3％),胸腰段合并颈椎、胸椎、腰椎骨折者5例(0.9％).20 ～ 39岁年龄段患者的男女性别比为136∶ 49(2.8)、神经损伤百分比为50.3％,合并症发生率为38.9％.致伤原因分布中高坠伤、摔伤、车祸伤所占比例分别为43.1％、23.3％和14.6％,其余累计占19.0％.重物砸伤所致患者男女性别比为52∶3 (17.3)、神经损伤百分比为60.0％、合并症发生率为47.3％、ISS评分为(21.4±12.7)分,显著高于其他致伤原因组(P＜0.05).本组患者ASIA分级,术前A级72例,B级17例,C级37例,D级95例,术后68例患者住院期间有1～2级的神经恢复,占12.9％.结论 从创伤性脊柱骨折的流行病学特点可以看出,40 ～ 59岁年龄段是主要发病年龄,高坠伤是主要致伤原因;20 ～39岁年龄段,重物砸伤所致患者性别比、神经损伤百分比、合并症发生率最高,应根据其特点进行防治.
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