A retrospective study of spine injuries in electric bicycles related collisions |
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| Institution: | 1. Shenzhen University General Hospital, Shenzhen 518060, China;2. Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, School of Biomedical Engineering, Shenzhen University Health Science Center, Shenzhen 518060, China.;3. The Department of Orthopedics, The Second Affiliated Hospital of Air Force Medical University, Xi''an 710000, China.;1. Penn State College of Medicine, Hershey, PA, 17033 USA;2. Department of Orthopaedics and Rehabilitation, Penn State Hershey Medical Center, Hershey, PA, 17033 USA;3. Public Health Sciences, Penn State College of Medicine, Hershey, PA, 17033 USA;4. Department of Anesthesiology, University of Utah, Salt Lake City, UT, 84132 USA;1. William Beaumont Army Medical Center, Department of Orthopaedic Surgery, El Paso, Texas, USA;2. Texas Tech University Health Science Center, Department of Orthopaedic Surgery, El Paso, Texas, USA;3. Uniformed Services University, Clinical and Experimental Orthopedics, Bethesda, Maryland, USA;4. Carthage Area Hospital, Department of Orthopaedic Surgery, Carthage, NY, USA;1. Department of Spine surgery, The Ningbo No.6 Hospital, Ningbo, 315040, Zhejiang Province, China;2. Medical School of Ningbo University, Ningbo, 315040, Zhejiang Province, China;1. Division of Trauma Surgery, Tongji Trauma Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology;2. Department of Immunology, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China;3. Class 1901, School of medicine, Wuhan University of Science and Technology, Wuhan 430065, China;1. Department of Orthopaedic Surgery, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA;2. Department of Neurosurgery, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA |
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| Abstract: | BackgroundElectric bicycles related collisions could lead to severe consequences in spine injuries, while no study had comprehensively investigated the epidemiology and demography of spine injuries in electric bicycles related collisions.Questions/purposesThe aim of this study is to (1) describe the epidemiological characteristics of spine injuries in electric bicycles related collisions, (2) develop clinical guideline of spine injuries in electric bicycles related collisions and (3) support the new road safety policy for electric bicycle riders.MethodsA retrospective review of spine injuries in electric bicycle related collisions was performed from 86 patients in an urban trauma center between 2018 and 2020. The variables including gender, age, radiographic findings, associated injuries, neurologic injuries, treatment, average length of stay were fully collected. Chi-square test and paired sample mean t-test were used to test for statistically significant differences. All statistical analyses were performed using Statistical Product and Service Solutions 20.0.0 software. A P<0.001 was considered as significant.ResultsA total of 86 cases were involved in electric bicycles related collisions lead to spine injuries. The spine injuries victims were predominantly male (79.07%) and middle-aged (41-60years, 44.19%). The most common spine injuries were L1 fractures (10.48%). The most common fracture type was AO Fracture Classification type A (71.40%). Age and multivertebral fractures had significant difference between patients who suffered from an ASOI and from those who did not (P-value: 0.005, 0.005). There was significant difference between patients who suffered from neurologic injuries and from those who did not in AO Classification, multivertebral fractures and ASOI (P-value: 0.0001, 0.001, 0.032). Age, AO Classification, multivertebral fractures, ASOI and neurologic injuries had significant difference to influence patients’ ISS and ALOS.ConclusionsSpine injuries in electric bicycles related collisions may make patients suffer from severe consequences including their potential permanent disability, economic cost, or even life safety. Patients with spine injuries in electric bicycles related collisions should be paid close attention to avoid missed diagnosis and misdiagnosis. Helmet, protective clothing or other safety gear should be required to use to provide greater protection for electric bicycle riders. |
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