{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T01:34:50Z","timestamp":1780623290352,"version":"3.54.1"},"reference-count":32,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,11,14]],"date-time":"2018-11-14T00:00:00Z","timestamp":1542153600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to describe and characterise spinal fractures sustained by watercraft occupants due to splashdown of light watercraft when riding over uneven water surfaces.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of all patients presenting with these injuries to St Luke\u2019s and Mater Dei state hospitals in Malta over a 10-year period was undertaken to determine patient demographics, the nature of spinal injuries sustained and the incidence of any associated extra-spinal injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-one patients (mean age 41.2 years) suffered 25 fractures. Injuries were seasonal, occurring exclusively between the months of May and October. One patient was local whilst 20 were from other countries. All fractures were Magerl type A fractures and occurred around the thoracolumbar junction. The L1 vertebra was most commonly affected (12 patients). Four patients sustained two vertebral fractures. There were no extra-spinal injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Watercraft splashdown can transmit significant forces to occupants, resulting in Magerl type A vertebral fractures around the thoracolumbar junction. These injuries occur under compression. They are highly consistent in their morphology and localisation and should be excluded in individuals complaining of back pain after watercraft use. Almost all patients were from outside Malta and injuries were seasonal, providing opportunities for targeted injury prevention campaigns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0036933018760226","type":"journal-article","created":{"date-parts":[[2018,11,14]],"date-time":"2018-11-14T07:28:10Z","timestamp":1542180490000},"page":"42-48","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["The speedboat vertebral fracture: a hazard of holiday watersports"],"prefix":"10.1177","volume":"64","author":[{"given":"JF","family":"Maempel","sequence":"first","affiliation":[{"name":"Specialist Trainee, Department of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"FZ","family":"Maempel","sequence":"additional","affiliation":[{"name":"Consultant Orthopaedic Surgeon, Department of Trauma and Orthopaedics, Mater Dei Hospital, Malta"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,11,14]]},"reference":[{"key":"bibr1-0036933018760226","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1997.03550080073042"},{"key":"bibr2-0036933018760226","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200309000-00005"},{"key":"bibr3-0036933018760226","doi-asserted-by":"publisher","DOI":"10.1177\/000992280404300401"},{"key":"bibr4-0036933018760226","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(03)00507-4"},{"key":"bibr5-0036933018760226","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199801000-00029"},{"key":"bibr6-0036933018760226","first-page":"284","volume":"58","author":"Tyler BC","year":"1997","journal-title":"N C Med J"},{"key":"bibr7-0036933018760226","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1989.03420130045021"},{"key":"bibr8-0036933018760226","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199408000-00005"},{"key":"bibr9-0036933018760226","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2013.03.055"},{"key":"bibr10-0036933018760226","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199808000-00001"},{"key":"bibr11-0036933018760226","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5916.427"},{"key":"bibr12-0036933018760226","unstructured":"Flitter R.\n                      Small passenger craft, high speed experience rides guidance\n                      , Royal Yachting Association; 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Southampton, UK, 2008, pp.1\u201339."},{"key":"bibr19-0036933018760226","unstructured":"Maritime Safety Authority of New Zealand.\n                      Waima Back Injury Report (Fulljames Rapid, Waikato River on 21 November 2004)\n                      , Maritime New Zealand; Wellington, New Zealand, 2005, pp.1\u20139."},{"key":"bibr20-0036933018760226","doi-asserted-by":"publisher","DOI":"10.1007\/BF02221591"},{"key":"bibr21-0036933018760226","unstructured":"Malta Tourism Authority.\n                      Tourism in Malta 2015\n                      , Malta Tourism Authority; Kalkara, Malta, 2016."},{"key":"bibr22-0036933018760226","unstructured":"Malta Tourism Authority.\n                      Tourism in Malta 2016\n                      , Malta Tourism Authority; Kalkara, Malta, 2017."},{"key":"bibr23-0036933018760226","unstructured":"Visit England.\n                      Domestic seaside tourism 2014\n                      , England; London, UK, 2017."},{"key":"bibr24-0036933018760226","unstructured":"Del Principe RF.\n                      California boating accident report\n                      , Department of Parks and Recreation, Division of Boating and Waterways; California, USA, 1997."},{"key":"bibr25-0036933018760226","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.06.040"},{"key":"bibr26-0036933018760226","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1866-7"},{"key":"bibr27-0036933018760226","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199116020-00005"},{"key":"bibr28-0036933018760226","doi-asserted-by":"publisher","DOI":"10.3171\/2012.8.SPINE111003"},{"key":"bibr29-0036933018760226","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199101000-00010"},{"key":"bibr30-0036933018760226","unstructured":"American Bureau of Shipping.\n                      Guide for slamming loads and strength assessment for vessels\n                      , American Bureau of Shipping; Texas, USA, 2013, Vol. 2, pp.1\u201345."},{"key":"bibr31-0036933018760226","unstructured":"Dobbins T, Rowley I and Campbell D.\n                      High speed craft human factors engineering design guide\n                      , American Australian British Canadian Dutch Working Group on Human Performance at Sea, United Kingdom Ministry of Defence; London, UK, 2008, ABCD-TR-08-01 v1.0:1-120."},{"key":"bibr32-0036933018760226","unstructured":"Dobbins T and Myers S.\n                      High speed craft: motion ergonomics and injury. 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