| アブストラクト | STUDY DESIGN: This was a retrospective study using the Diagnosis Procedure Combination (DPC) database. PURPOSE: Using a large national database, we aimed to investigate the epidemiology, treatment patterns, and outcomes of cervical fracture dislocation (CFD) among adolescents. OVERVIEW OF LITERATURE: There have been numerous clinical studies on CFD in adults. However, the current lack of studies on adolescent CFD is a clinically relevant research gap that urgently needs to be addressed. METHODS: Among 4,653 inpatients who were identified to have a definitive diagnosis of CFD from 2010 to 2021 from the DPC database, we extracted the medical data of 84 adolescent inpatients (aged 11-18 years). RESULTS: CFD in adolescent inpatients was rare, accounting for only 1.8% of all patients with CFD in the DPC database. Complications occurred in 31 patients (36.9%), and mortality rate was 9.5%. Of eight patients who died, four were complicated by traumatic brain injury. Polytrauma was found in 32 patients (38.1%), and its incidence was significantly higher in those with mental disorders (p <0.001). The proportion of patients who were discharged home was significantly lower in those with mental disorders than in those without mental disorders (p =0.01). CONCLUSIONS: This epidemiological study provided new insights into adolescent CFD using real-world data. Future research should focus on the evaluation of long-term functional prognosis and development of preventive strategies and improved treatments for CFD in adolescent patients. |
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| ジャーナル名 | Asian spine journal |
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| Pubmed追加日 | 2026/3/16 |
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| 投稿者 | Doi, Kazuma; Otani, Naoki; Inoue, Norihiko; Mizuno, Junichi; Fushimi, Kiyohide; Yoshino, Atsuo |
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| 組織名 | Department of Neurological Surgery, Nihon University School of Medicine, Tokyo,;Japan.;Center for Minimally Invasive Spinal Surgery, Shin-Yurigaoka General Hospital,;Kawasaki, Japan.;Department of Health Policy and Informatics, Graduate School of Medical and;Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.;Department of Clinical Data Management and Research, Clinical Research Center,;National Hospital Organization Headquarters, Tokyo, Japan.;Institute of Clinical Epidemiology, Showa University, Tokyo, Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/41834628/ |
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