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Acta neurochirurgica · Jan 1990
Comparative StudyHead injuries coexistent with pelvic or lower extremity fractures--early or delayed osteosynthesis.
- Z Kotwica, L Balcewicz, and Z Jagodziński.
- Department of Neurosurgery, Medical Academy of Lódź, Poland.
- Acta Neurochir (Wien). 1990 Jan 1; 102 (1-2): 19-21.
AbstractThe authors compared the results of a retrospective analysis of two groups of head-injured patients who had coexistent pelvic or lower extremity fractures. One group was treated with early osteosynthesis within the first 12 hours after trauma, simultaneously with neurosurgical treatment, while the second group was treated neurosurgically and osteosynthesis was postponed for 4 to 10 days. The second group revealed a higher mortality, which was due to fat embolism. We conclude that early osteosynthesis is the treatment of choice in patients with coexistent head injury and lower extremity fractures.
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