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Spine Trauma From Personal Watercraft Usage.

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Personal watercraft (PWC) use can lead to spine fractures, often associated with higher injury severity and other internal injuries. Prompt evaluation for associated abdominal/genitourinary and cerebral trauma is crucial for these patients.

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Sports Medicine

Background:

  • Personal watercraft (PWC) usage is associated with a paucity of research concerning associated injuries, particularly spine fractures.
  • Understanding risk factors and injury patterns is vital for effective treatment and prevention of severe outcomes.

Purpose of the Study:

  • To identify patient characteristics and associated injuries in individuals who sustain spine fractures while using personal watercraft (PWC).

Main Methods:

  • A retrospective analysis of 142 patients with PWC-related injuries treated at a Level I trauma center from 2004 to 2017.
  • Statistical analysis was employed to examine patient demographics, injury mechanisms, Injury Severity Score (ISS), and associated injuries in those with spine fractures.

Main Results:

  • Of 142 patients, 26 (18.3%) sustained spine fractures (totaling 71 fractures).
  • Spine fractures were linked to higher ISS, increased ICU and hospital length of stay, and concurrent cerebral and abdominal/genitourinary (GU) injuries.
  • Axial load mechanisms correlated with vertebral body and burst fractures; mortality was associated with female sex, high ISS, direct collision, and spring season.

Conclusions:

  • Personal watercraft (PWC) use can result in spine fractures, with a notable percentage requiring surgical intervention.
  • Further research into PWC design modifications may mitigate axial load risks. Patients with PWC-related spine fractures necessitate thorough evaluation for associated abdominal/GU and cerebral injuries.