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来源：百度文库 编辑：查人人中国名人网 时间：2024/05/06 08:11:48
Spine fractures in active duty soldiers and their return to duty rate.
To evaluate the outcome of thoracolumbar spine fractures in active duty soldiers, we conducted a retrospective review of 23 soldiers followed at a single institution. Twenty-two charts were available for review. The average age was 31.9 years (range, 19-49 years), and the average follow-up was 3.6 years (range, 2-11 years). There were 20 males and 2 females. All injuries except one occurred between 1990 and 1994, and all were treated by a single surgeon. We attempted to correlate five independent variables with regard to whether the patient returned to his or her previous duty or was required to undergo a medical evaluation board to determine fitness for duty. The variables included military rank, physical job demands, fracture type, initial neurological status, and initial treatment (operative versus nonoperative). Fourteen of the 22 soldiers (64%) underwent medical evaluation boards, whereas 8 (36%) returned to their previous duties. We found a strong correlation between increasing military rank and return to preinjury duties. As expected, physical job demands correlated strongly with eventual disposition, in that soldiers in jobs with low physical demands were more likely to be retained on active duty in their present position. Neurologic status (except motor deficit), type of fracture (except fracture-dislocation), and initial treatment did not correlate well with eventual disposition.
To evaluate the outcome of thoracolumbar spine fractures in active duty soldiers, we conducted a retrospective review of 23 soldiers followed at a single institution. Twenty-two charts were available for review. The average age was 31.9 years (range, 19-49 years), and the average follow-up was 3.6 years (range, 2-11 years). There were 20 males and 2 females. All injuries except one occurred between 1990 and 1994, and all were treated by a single surgeon. We attempted to correlate five independent variables with regard to whether the patient returned to his or her previous duty or was required to undergo a medical evaluation board to determine fitness for duty. The variables included military rank, physical job demands, fracture type, initial neurological status, and initial treatment (operative versus nonoperative). Fourteen of the 22 soldiers (64%) underwent medical evaluation boards, whereas 8 (36%) returned to their previous duties. We found a strong correlation between increasing military rank and return to preinjury duties. As expected, physical job demands correlated strongly with eventual disposition, in that soldiers in jobs with low physical demands were more likely to be retained on active duty in their present position. Neurologic status (except motor deficit), type of fracture (except fracture-dislocation), and initial treatment did not correlate well with eventual disposition.
对责任率的在活跃的责任军人和他们的回返中的背骨破碎。
为了要评估活跃的责任军人的 thoracolumbar 背骨破碎的结果,我们引导了在一个单一机构被跟随的 23个军人的回顾检讨。 二十二图解可用来检讨。 平均的年龄是 31.9 年 (范围,19-49 年) ，而且平均的追踪是 3.6 年。 (范围,2-11 年) 有 20个男人和 2位女性。 所有的受伤除一在 1990 和 1994 之间发生, 和全部被一位单身的外科医生对待了。我们尝试用对是否病人到他的回关心使有相互关系五个独立变数或她的早先责任或要遭受医学的评估搭乘为责任决定健身。 变数包括了军队等级 , 实际的工作要求 , 破碎类型 , 起始神经学上的状态 , 和起始治疗。 ( 动作的对非动作的) 22个军人 (64%) 中的十四个遭遇医学的评估董事会, 然而 8(36%) 回到他们的早先责任。 我们发现了一个强壮的相互关系在逐渐增加的之间军队等级和到 preinjury 责任的回返。依照期望，强烈地由于最后的性情有相互关系的实际工作要求,在和低的实际要求的工作那一个军人中更可能在他们的现在位置的活跃责任上被保有。 Neurologic 状态 (除马达的赤字) ，破碎 (除了破碎-脱臼以外) 的类型和起始治疗以最后的性情不使有相互关系得很好。