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Published on: July 24, 2012
Spine injuries associated with falls from hunting tree stands
B M Crites1, C T Moorman, W T Hardaker
1Division of Orthopaedic Surgery, Duke University Medical Center, Durham, NC 27710, USA.
Summary
Falls from hunting tree stands frequently cause severe spinal injuries and disability. Hunter safety education is crucial for preventing these preventable accidents.
Area of Science:
- Orthopedics
- Trauma Surgery
- Spine Surgery
Background:
- Falls from hunting tree stands are a significant cause of traumatic spinal injuries.
- These injuries often lead to neurological deficits, prolonged hospitalization, and long-term disability.
Purpose of the Study:
- To review the types of spinal injuries resulting from falls from hunting tree stands.
- To analyze the characteristics and outcomes of these injuries.
Main Methods:
- Retrospective review of 27 patients treated for tree-stand related spine injuries between 1981 and 1997.
- Data collected included injury type, fall height, alcohol involvement, associated injuries, and treatment modalities.
Main Results:
- The mean fall height was 19.6 feet.
- Common injuries included burst fractures (17) and wedge compression fractures (8).
- Significant neurological injury occurred in 44% of patients, and 59% had associated injuries.
Conclusions:
- Falls from tree stands can result in severe spinal fractures with significant neurological compromise and disability.
- Aggressive hunter safety education may prevent many of these injuries.
- Treatment often involves surgical intervention (open reduction, internal fixation, fusion) or bracing (orthoses, corsets).
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