{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T01:46:34Z","timestamp":1777081594527,"version":"3.51.4"},"reference-count":17,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"2","license":[{"start":{"date-parts":[[2015,2,1]],"date-time":"2015-02-01T00:00:00Z","timestamp":1422748800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:p> This study examined spinal fractures in patients admitted to a Major Trauma Centre via two independent pathways, a major trauma (MT) pathway and a standard unscheduled non-major trauma (NMT) pathway. A total of 134 patients were admitted with a spinal fracture over a period of two years; 50% of patients were MT and the remainder NMT. MT patients were predominantly male, had a mean age of 48.8 years (13 to 95), commonly underwent surgery (62.7%), characteristically had fractures in the cervico-thoracic and thoracic regions and 50% had fractures of more than one vertebrae, which were radiologically unstable in 70%. By contrast, NMT patients showed an equal gender distribution, were older (mean 58.1 years; 12\u00a0to 94), required fewer operations (56.7%), characteristically had fractures in the lumbar region and had fewer multiple and unstable fractures. This level of complexity was reflected in the length of stay in hospital; MT patients receiving surgery were in hospital for a mean of three to four days longer than NMT patients. These results show that MT patients differ from their NMT counterparts and have an increasing complexity of spinal injury. <\/jats:p><jats:p> Cite this article: Bone Joint J 2015;97-B:235\u20139. <\/jats:p>","DOI":"10.1302\/0301-620x.97b2.34392","type":"journal-article","created":{"date-parts":[[2015,1,27]],"date-time":"2015-01-27T15:12:29Z","timestamp":1422371549000},"page":"235-239","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Major trauma patients with spinal fractures have more complex injuries than non-major trauma patients"],"prefix":"10.1302","volume":"97-B","author":[{"given":"M.","family":"Prime","sequence":"first","affiliation":[{"name":"Imperial College Healthcare NHS Trust, St\rMary\u2019s Hospital, Praed Street, London\rW2 1NY, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Al-Obaidi","sequence":"additional","affiliation":[{"name":"Imperial College Healthcare NHS Trust, St\rMary\u2019s Hospital, Praed Street, London\rW2 1NY, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Z.","family":"Safarfashandi","sequence":"additional","affiliation":[{"name":"Imperial College Healthcare NHS Trust, St\rMary\u2019s Hospital, Praed Street, London\rW2 1NY, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"Lok","sequence":"additional","affiliation":[{"name":"Imperial College Healthcare NHS Trust, St\rMary\u2019s Hospital, Praed Street, London\rW2 1NY, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Mobasheri","sequence":"additional","affiliation":[{"name":"Imperial College Healthcare NHS Trust, St\rMary\u2019s Hospital, Praed Street, London\rW2 1NY, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Akmal","sequence":"additional","affiliation":[{"name":"Imperial College Healthcare NHS Trust, St\rMary\u2019s Hospital, Praed Street, London\rW2 1NY, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1866-7"},{"key":"r2","unstructured":"No authors listed. NCEPOD: Trauma: Who Cares? A report of the National Confidential Enquiry into Patient Outcome and Death, 2007. http:\/\/www.ncepod.org.uk\/2007report2\/Downloads\/SIP_report.pdf (date last accessed 24 October 2014)."},{"key":"r3","unstructured":"No authors listed. National Audit Office: Major trauma care in England, 2010. http:\/\/www.nao.org.uk\/wp-content\/uploads\/2010\/02\/0910213.pdf (date last accessed 12 November 2014)."},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1007\/BF02221591"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200409000-00032"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173050-00006"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.3171\/2009.9.SPINE0943"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-007-1351-2"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.04.021"},{"key":"r10","first-page":"629","volume":"71","author":"Gupta A","year":"1989","journal-title":"J Bone Joint Surg [Br]"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199116020-00005"},{"key":"r12","author":"Boos N","year":"2014","journal-title":"Thoracolumbar Spine Injuries"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000196926.79065.6e"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000076622.19246.CF"},{"key":"r15","unstructured":"No authors listed. NHS England: D15\/S\/a NHS standard contract for major trauma service (all ages), 2013. http:\/\/www.england.nhs.uk\/wp-content\/uploads\/2014\/04\/d15-major-trauma-0414.pdf (date last accessed 12 November 2014)."},{"key":"r16","first-page":"142","volume":"189","author":"Denis F","year":"1984","journal-title":"Clin Orthop Relat Res"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199205000-00010"}],"container-title":["The Bone &amp; Joint Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.97B2.34392","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.97B2.34392","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.97B2.34392","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T04:43:11Z","timestamp":1634618591000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.97B2.34392"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,2]]}},"alternative-id":["10.1302\/0301-620X.97B2.34392"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.97b2.34392","relation":{},"ISSN":["2049-4394","2049-4408"],"issn-type":[{"value":"2049-4394","type":"print"},{"value":"2049-4408","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2]]},"assertion":[{"value":"2014-05-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-10-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-02-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}