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Spinal Injuries to Soldiers Much More Common in Iraq, Afghanistan Wars

About 11 percent of U.S. combat wounds now involve spine, study finds

WebMD News from HealthDay

By Robert Preidt

HealthDay Reporter

FRIDAY, Sept. 20 (HealthDay News) -- One in nine U.S. troops who suffered combat wounds in Iraq or Afghanistan had a spinal injury, a much higher rate than in previous wars, according to a new study.

Researchers analyzed U.S. Department of Defense casualty records from 2005 to 2009 and found that spinal injuries were present in 11 percent of nearly 7,900 troops wounded in combat in the two countries.

Fractures were involved in more than 80 percent of spinal injuries. Three-quarters of spinal injuries were caused by explosions and about 15 percent by gunshots, found the study in the Sept. 15 issue of the journal Spine.

About 3 percent of soldiers with spinal injuries died after receiving medical care. The study did not include those who died before receiving medical care.

Overall, spinal damage occurred at a rate of 4.4 injuries per 10,000 U.S. military personnel deployed to Iraq or Afghanistan, with a rate of four per 10,000 for spinal fractures. In contrast, the rate of injuries to limbs was about 15 per 10,000 troops, according to a journal news release.

Soldiers in Afghanistan were more likely to sustain spinal injuries than those in Iraq, and members of the Army were more likely to sustain the injuries than those in other branches of the military. The Iraq War "surge" year of 2007 resulted in the highest rate of spinal injuries. Gunshot-related spinal wounds were more common in Iraq than in Afghanistan.

"The 11.1 percent rate of spinal injuries represents the highest published statistic for Iraq, Afghanistan or any other American conflict," said Dr. Andrew Schoenfeld, of the William Beaumont Army Medical Center in El Paso, Texas, and his colleagues.

They said the rate of spinal injuries is perhaps 10 times higher than in the Vietnam War. They noted that in previous wars, most soldiers with spinal trauma were injured so severely that they did not survive.

"Advances in military medicine are now enabling soldiers to reach medical facilities where their spinal wounds can be identified," the study authors said.

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