Analysis of the clinical characteristics of adult patients with hangman's fractures: A retrospective study based on multicenter clinical data
BackgroundThere are few reports on the clinical characteristics of adult patients with hangman's fractures.MethodsThe clinical data of adult patients were collected from the hangman's fracture database of 7 medical centers. Data on patients who met the inclusion and exclusion criteria were...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-04-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.949987/full |
| _version_ | 1797852972664750080 |
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| author | Guangzhou Li Qing Wang |
| author_facet | Guangzhou Li Qing Wang |
| author_sort | Guangzhou Li |
| collection | DOAJ |
| description | BackgroundThere are few reports on the clinical characteristics of adult patients with hangman's fractures.MethodsThe clinical data of adult patients were collected from the hangman's fracture database of 7 medical centers. Data on patients who met the inclusion and exclusion criteria were retrospectively analyzed. Data, including gender, age, mechanism of injury, fracture classification, and treatment, were statistically analyzed.ResultsA total of 216 eligible patients (160 males and 56 females, with a mean age of 49.7 years) were selected. There was no statistically significant difference in gender distribution of different age groups. The male-to-female ratio was similar in the young group (18–44 years) and the middle-aged group (45–64 years) (both about 3:1) but decreased in the elderly group (65 years and above) (about 2:1). Overall, high-energy injury was the main mechanism of injury. There was a statistically significant difference in the percentage of patients with high-energy injury in various age groups (the highest in the young group, and the lowest in the elderly group). Overall, unstable fracture was the main fracture type, with a higher proportion in the young and elderly groups than that in the middle-aged group, but there was no statistically significant difference. From the perspective of treatment options, the percentage of patients receiving surgery was higher in the young and elderly groups than that in the middle-aged group.ConclusionHangman's fracture is predominant in males of all age groups, with high-energy injury as the main mechanism of injury. Unstable fracture is common fracture type. The percentage of patients receiving surgery in the young and elderly groups is higher than that in the middle-aged group, which may be correlated with the high incidence of unstable fracture and the life characteristics of the patients in the young and elderly age groups. |
| first_indexed | 2024-04-09T19:41:53Z |
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| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-09T19:41:53Z |
| publishDate | 2023-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-3b34aaced2634afab47ff75a82b75ffb2023-04-04T04:57:57ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-04-011010.3389/fsurg.2023.949987949987Analysis of the clinical characteristics of adult patients with hangman's fractures: A retrospective study based on multicenter clinical dataGuangzhou LiQing WangBackgroundThere are few reports on the clinical characteristics of adult patients with hangman's fractures.MethodsThe clinical data of adult patients were collected from the hangman's fracture database of 7 medical centers. Data on patients who met the inclusion and exclusion criteria were retrospectively analyzed. Data, including gender, age, mechanism of injury, fracture classification, and treatment, were statistically analyzed.ResultsA total of 216 eligible patients (160 males and 56 females, with a mean age of 49.7 years) were selected. There was no statistically significant difference in gender distribution of different age groups. The male-to-female ratio was similar in the young group (18–44 years) and the middle-aged group (45–64 years) (both about 3:1) but decreased in the elderly group (65 years and above) (about 2:1). Overall, high-energy injury was the main mechanism of injury. There was a statistically significant difference in the percentage of patients with high-energy injury in various age groups (the highest in the young group, and the lowest in the elderly group). Overall, unstable fracture was the main fracture type, with a higher proportion in the young and elderly groups than that in the middle-aged group, but there was no statistically significant difference. From the perspective of treatment options, the percentage of patients receiving surgery was higher in the young and elderly groups than that in the middle-aged group.ConclusionHangman's fracture is predominant in males of all age groups, with high-energy injury as the main mechanism of injury. Unstable fracture is common fracture type. The percentage of patients receiving surgery in the young and elderly groups is higher than that in the middle-aged group, which may be correlated with the high incidence of unstable fracture and the life characteristics of the patients in the young and elderly age groups.https://www.frontiersin.org/articles/10.3389/fsurg.2023.949987/fullhangman's fractureclinical characteristicsretrospective studyage grouptreatment |
| spellingShingle | Guangzhou Li Qing Wang Analysis of the clinical characteristics of adult patients with hangman's fractures: A retrospective study based on multicenter clinical data Frontiers in Surgery hangman's fracture clinical characteristics retrospective study age group treatment |
| title | Analysis of the clinical characteristics of adult patients with hangman's fractures: A retrospective study based on multicenter clinical data |
| title_full | Analysis of the clinical characteristics of adult patients with hangman's fractures: A retrospective study based on multicenter clinical data |
| title_fullStr | Analysis of the clinical characteristics of adult patients with hangman's fractures: A retrospective study based on multicenter clinical data |
| title_full_unstemmed | Analysis of the clinical characteristics of adult patients with hangman's fractures: A retrospective study based on multicenter clinical data |
| title_short | Analysis of the clinical characteristics of adult patients with hangman's fractures: A retrospective study based on multicenter clinical data |
| title_sort | analysis of the clinical characteristics of adult patients with hangman s fractures a retrospective study based on multicenter clinical data |
| topic | hangman's fracture clinical characteristics retrospective study age group treatment |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.949987/full |
| work_keys_str_mv | AT guangzhouli analysisoftheclinicalcharacteristicsofadultpatientswithhangmansfracturesaretrospectivestudybasedonmulticenterclinicaldata AT qingwang analysisoftheclinicalcharacteristicsofadultpatientswithhangmansfracturesaretrospectivestudybasedonmulticenterclinicaldata |