Related Experiment Video
Updated: Jun 8, 2026
04:19
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Pregnancy outcomes after orthopedic trauma
Lisa K Cannada1, Ping Pan, Brian M Casey
1Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA. lcannada@slu.edu
The Journal of Trauma
|September 15, 2010
Summary
Orthopedic trauma significantly increases risks for pregnant patients, leading to higher rates of preterm birth, placental abruption, and perinatal mortality. These findings highlight the need for specialized care for injured pregnant individuals.
Area of Science:
- Obstetrics and Gynecology
- Trauma Surgery
- Perinatal Medicine
Background:
- Orthopedic trauma in pregnant patients is a critical concern.
- Understanding its impact on pregnancy outcomes is essential for patient care.
Purpose of the Study:
- To determine the effects of orthopedic trauma on pregnancy outcomes.
- To evaluate risks associated with orthopedic injuries in pregnant trauma patients.
Main Methods:
- Observational study linking obstetric and trauma service databases (1995-2007).
- Evaluation of pregnancy outcomes based on the presence of orthopedic injuries.
- Statistical analyses included chi-square, t-tests, and Wilcoxon rank-sum test.
Main Results:
- 65 pregnant women (6%) had orthopedic injuries; 990 did not.
- Orthopedic trauma associated with earlier gestational age at presentation (28 vs. 31 weeks).
- Significantly increased risks observed: preterm birth (31% vs. 3%), placental abruption (8% vs. 1%), and perinatal mortality (8% vs. 1%).
Conclusions:
- Pregnant women with orthopedic injuries are high-risk obstetrical patients.
- Referral to specialized medical centers is recommended for managing injuries and potential preterm births.
