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  1. Equine-related neurosurgical trauma : A prospective series of 30 patients.

    Article - En anglais

    Thirty million Americans ride horses ; 50,000 of these riders are treated in emergency rooms annually.

    Equestrian activities are uniquely dangerous because the participant is unrestrained, often helmetless, and riding large, unpredictable animals capable of 40-mph speeds and kicking with up to 1 ton of force.

    Neurologic injuries in equestrians constitute the majority of severe injuries and fatalities.

    We prospectively studied all patients admitted to the University of Kentucky Medical Center with equine-related neurosurgical trauma from July 1992 to January 1996.

    Eighteen of 30 patients were male

    Age ranged from 3 to 64 years.

    Five patients died (17%), and two suffered permanent paralysis.

    There were 24 head injuries (80%) and 9 spinal injuries (30%). The majority of injuries (60%) were caused by ejection or fall from the horse.

    Twelve patients (40%) were kicked by a horse, and four patients sustained crush injuries.

    Six patients underwent craniotomy, three had operative spinal stabilization, and five required ventriculostomy.

    Eleven patients (37%) were professional riders

    Twenty-four patients (80%) were not wearing helmets, including all fatalities and craniotomy patients.

    Our data show that equine-related neurosurgical injuries can be severe and fatal because of the significant size, force, and unpredictability of these animals as well as the lack of proper headgear. (...)

    Mots-clés Pascal : Traumatisme, Crânioencéphalique, Equitation, Chirurgie, Indice gravité, Homme, Epidémiologie, Prévalence, Etude longitudinale, Traitement, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Système ostéoarticulaire pathologie, Crâne pathologie, Neurochirurgie

    Mots-clés Pascal anglais : Trauma, Craniocerebral, Equitation, Surgery, Severity score, Human, Epidemiology, Prevalence, Follow up study, Treatment, Nervous system diseases, Central nervous system disease, Cerebral disorder, Diseases of the osteoarticular system, Skull disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0427998

    Code Inist : 002B16B. Création : 19/12/1997.