{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T18:15:54Z","timestamp":1779387354589,"version":"3.53.1"},"reference-count":0,"publisher":"Laeknabladid\/The Icelandic Medical Journal","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["lbl"],"published-print":{"date-parts":[[2026,4,7]]},"abstract":"<jats:p>Introduction: To investigate the epidemiology of high-energy thoracic and lumbar\n            spine fractures at Landsp\u00edtali and evaluate their treatment and associated injuries\n            using international injury classification systems. Materials and Methods: Medical\n            records were reviewed with regard to age, sex, nationality, length of hospital stay,\n            mechanism of injury, associated injuries, treatment, neurological injury, seasonality,\n            and injury location. Imaging studies were used for diagnosis and for classification of\n            fractures according to the AO injury classification system. Results: A total of 424\n            individuals were diagnosed with 596 fractures during the study period. On average, there\n            were 21.2 injuries per year; the mean age was 40.3 years, and men accounted for just\n            over 62% of cases. Motor vehicle collisions were the cause in approximately 21% of\n            cases, rollovers in about 20%, and among rollover accidents, just over 31% involved\n            foreign individuals. The most common fracture levels were L1 (approximately 19% of all\n            fractures) and Th12 (just over 11%). Neurological injury was present in just over 20% of\n            cases involving fractures at Th12, L1, and Th7. Overall, 36% of patients underwent\n            surgical treatment, and an additional 17% received external support. Associated injuries\n            to other parts of the body were present in just over 63% of cases. Conclusion: On\n            average, approximately two thoracic and lumbar spine fractures caused by high-energy\n            trauma were treated per month at Landsp\u00edtali during the period 2003\u20132022. A typical case\n            was a fracture at Th12 or L1 in a 40-year-old man. Patients without neurological\n            deficits had a significantly shorter length of hospital stay. The number of injuries\n            decreased over time, although not statistically significantly; this trend could, for\n            example, be explained by improved vehicle safety equipment.<\/jats:p>","DOI":"10.17992\/lbl.2026.04.887","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T18:00:09Z","timestamp":1779386409000},"page":"168-174","source":"Crossref","is-referenced-by-count":0,"title":["High-energy thoracic and lumbar spine fractures at Landsp\u00edtali 2003-2022 (25\n            years)"],"prefix":"10.17992","volume":"112","author":[{"given":"Hjortur V","family":"Sigurdarson","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University of Iceland, Department of Orthopedic Surgery, Department of Radiology, Landspitali, Institute of Biomedical and Neural Engineering, Reykjavik University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hlynur B","family":"Hardarson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halldor","family":"Jonsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariella","family":"Tsirilaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thorvaldur","family":"Ingvarsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thorkell","family":"Snaebjornsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7439","published-online":{"date-parts":[[2026,4,7]]},"container-title":["Laeknabladid"],"original-title":["H\u00e1orku brj\u00f3st- og lendhryggbrot \u00e1 Landsp\u00edtala\n            2003-2022"],"deposited":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T18:00:10Z","timestamp":1779386410000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.laeknabladid.is\/tolublod\/2026\/04\/rannsokn.-arangur-hlutabrottnams-a-velinda-vid-velindakrabbameini-a-islandi"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,7]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2026,4,7]]},"published-print":{"date-parts":[[2026,4,7]]}},"URL":"https:\/\/doi.org\/10.17992\/lbl.2026.04.887","relation":{},"ISSN":["0023-7213","1670-4959"],"issn-type":[{"value":"0023-7213","type":"print"},{"value":"1670-4959","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,7]]}}}