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accidents additional injuries asplenic associated blood blunt splenic trauma blunt trauma bone brain injury caused cerebral contusion cervical spine clinical closed head injury cognitive compression concussion damage death diagnostic disease encapsulated bacteria EVALUATION factors Figure forces functioning ICLEF incidence Indiana University School individual infection after splenectomy injury biomechanics injury severity scores intra-abdominal involves IUSML late infection late serious infection lesions Malangoni management of blunt Medical Subject Headings MeSH mild closed head mild head injury multiple neck muscle neurological neuropsychological assessment neuropsychological test nonoperative management oblique fracture occur orthosis pediatric Phillips pneumococcal vaccine population post-splenectomy posterior spinal column problem psychological result risk of late risk of OPSI sepsis septic episode skull fracture soft tissue injury spinal column fractures spinal cord injuries spleen injuries splenectomized patient splenectomy for trauma splenic injury splenic preservation splenic salvage splenorrhaphy Surgery surgical symptoms syndrome Trauma in Adults type of injury vector vertebral body wounds