Spinal cord · 2025
Surgical and conservative treatment of lower limb fractures in patients with chronic spinal cord injury.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Schneckmann Frederik Wilhelm, Klug Alexander, Jakobi Tim, Werner Annika, Bauer Anne, Münzberg Matthias, Kurz Stephan
Аннотация
STUDY DESIGN: A 10-year single-center retrospective chart review.
OBJECTIVE: To evaluate the differences between conservative and surgical treatment of long bone fractures in individuals with chronic SCI, focusing on wheelchair mobilization, overall hospital days, and complication rates.
SETTING: Spinal cord injury Department, BG Trauma Center Frankfurt am Main, Germany.
METHODS: The study, conducted between 2014 and 2023, compared conservative and surgical treatment for long bone fractures in individuals with chronic SCI using descriptive statistics.
RESULTS: Fifty-eight fractures were included (31 surgical, 27 conservative). Baseline characteristics did not differ between groups (p > 0.05). Median time to first wheelchair mobilization was 14 days in both groups (median difference 0 days; 95% CI, -4 to 5; p = 0.38). LOS was comparable (median 45 vs. 46 days; difference -1 day; 95% CI, -7 to 6; p = 0.98). Complications occurred in 1 of 31 surgically treated cases (3.2%) versus 9 of 27 conservatively treated (33.3%), corresponding to a risk difference of -30.1% (95% CI, -48.3 to -11.9; p = 0.002).
CONCLUSION: Non-surgical treatment had a higher complication rate than surgical treatment. Both approaches were equivalent in time to first wheelchair mobilization, and neither showed a significantly shorter hospital stay.
OBJECTIVE: To evaluate the differences between conservative and surgical treatment of long bone fractures in individuals with chronic SCI, focusing on wheelchair mobilization, overall hospital days, and complication rates.
SETTING: Spinal cord injury Department, BG Trauma Center Frankfurt am Main, Germany.
METHODS: The study, conducted between 2014 and 2023, compared conservative and surgical treatment for long bone fractures in individuals with chronic SCI using descriptive statistics.
RESULTS: Fifty-eight fractures were included (31 surgical, 27 conservative). Baseline characteristics did not differ between groups (p > 0.05). Median time to first wheelchair mobilization was 14 days in both groups (median difference 0 days; 95% CI, -4 to 5; p = 0.38). LOS was comparable (median 45 vs. 46 days; difference -1 day; 95% CI, -7 to 6; p = 0.98). Complications occurred in 1 of 31 surgically treated cases (3.2%) versus 9 of 27 conservatively treated (33.3%), corresponding to a risk difference of -30.1% (95% CI, -48.3 to -11.9; p = 0.002).
CONCLUSION: Non-surgical treatment had a higher complication rate than surgical treatment. Both approaches were equivalent in time to first wheelchair mobilization, and neither showed a significantly shorter hospital stay.