• J Trauma · Dec 2004

    Review

    Thoracolumbar fractures associated with the use of personal watercraft.

    • Avshalom Carmel, Michael J Drescher, Yosef Leitner, and Rueven Gepstein.
    • Spine Surgery Unit, Sapir Medical Center, Kfar Saba, Israel.
    • J Trauma. 2004 Dec 1; 57 (6): 1308-10.

    BackgroundPersonal watercraft (PWC) are in widespread and growing use. Injuries involving PWC have been reported, but to date no report has focused on spine injuries as a result of this activity.MethodsWe report a retrospective case series of spinal injuries related to the use of PWC that we term "wave-jumper's fracture."ResultsFrom 1995 to 1999, eight patients suffered spinal fracture after operating PWC. The mechanism of injury was of a "hard landing" on the seat of the PWC after becoming airborne. The average age was 36 years (range, 20-51 years). Fractures were compression or burst type injuries at the thoracolumbar transition zone (T12-L2). Only one patient suffered a transient neurologic injury. No patient required surgery.ConclusionThere is a mechanism of injury in PWC use where axial loading may cause thoracolumbar fracture. The public and physicians should be aware of the risks involved in the use of personal watercraft.

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