{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T06:48:32Z","timestamp":1776926912688,"version":"3.51.2"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,5,9]],"date-time":"2013-05-09T00:00:00Z","timestamp":1368057600000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the characteristics of patients with traumatic vertebral fractures and concomitant fractures of the first rib and their management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2001 to <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember 2010, 17\/3142 patients (0.5%) with traumatic vertebral fractures who presented to our hospitals had concomitant fractures of the first rib.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included 14 men (82.4%) and 3 women (17.6%) patients of age 32\u201357 years (mean, 46.6 years). The mechanisms of trauma were falls from heights in seven, motor vehicle accidents in five and direct collisions with blunt objects in five. Thirteen patients (76.5%) presented initially with pulmonary complications after sustaining trauma. Three patients sustained one rib fracture, two three rib fractures, three four rib fractures and 10 &gt;\u2009five rib fractures. The injuries were right\u2010sided in three cases, left\u2010sided in three and bilateral in eleven. Four patients (23.5%) presented with craniocerebral injuries. According to the <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>merican <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>pinal <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>njury <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ssociation (<jats:styled-content style=\"fixed-case\">ASIA<\/jats:styled-content>) classification, 10 patients (58.8% of the total study group) had motor and sensory deficits (<jats:styled-content style=\"fixed-case\">ASIA A\u2013D<\/jats:styled-content>). There were no vascular injuries or deaths.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Traumatic vertebral fractures with concomitant fractures of the first rib are associated with multisystem injuries, but not always with morbidity and mortality. A multidisciplinary approach, early diagnosis, appropriate treatment and observation in the intensive care unit may prevent morbidity and\/or mortality.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12039","type":"journal-article","created":{"date-parts":[[2013,5,9]],"date-time":"2013-05-09T10:30:21Z","timestamp":1368095421000},"page":"100-104","source":"Crossref","is-referenced-by-count":4,"title":["Traumatic Vertebral Fractures with Concomitant Fractures of the First Rib"],"prefix":"10.1111","volume":"5","author":[{"given":"Hong\u2010wei","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Xinqiao Hospital  China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiang","family":"Xiang","sequence":"additional","affiliation":[{"name":"Department of Traumatology Southwest Hospital the Third Military Medical University  Chongqing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang\u2010qing","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Xinqiao Hospital  China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Xinqiao Hospital  China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,5,9]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-010-0879-6"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.09.080"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0967-2109(97)00060-4"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.03.011"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arbres.2009.09.003"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2026.1998.tb00675.x"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3100432"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)61051-X"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.18.6.498"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-006-0097-9"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)60822-3"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199709000-00002"},{"key":"e_1_2_5_14_1","first-page":"42","article-title":"First rib fractures: incidence of vascular injury and indications for angiography","volume":"89","author":"Phillips EH","year":"1981","journal-title":"Surgery"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2008.03.072"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181668ad7"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fos.12039","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.12039","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T02:06:35Z","timestamp":1700618795000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.12039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,5]]}},"alternative-id":["10.1111\/os.12039"],"URL":"https:\/\/doi.org\/10.1111\/os.12039","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5]]}}}