Purpose: This study aims to analyze the epidemiological profile of operated patients victims of thoracolumbar fractures.
Methods: This was a retrospective cross-sectional descriptive study. The sample was composed of a total of 223 cases of thoracolumbar fractures between 2015 and 2019. Data (sex, age, site of origin, etiology of injury, Frankel scale of neurological deficit, and affected vertebral segment) were extracted from records of patients who were victims of trauma to the thoracic and lumbar spine and surgically treated in the institution.
Results: 223 patients were analyzed, of which 164 (73.5%) were male. The mean age was 35.9 ± 14.3 years. Most traumas were caused by motorcycle accidents (36.7%), followed by falls from heights (31.8%) and car accidents (17.0%). The main cause of trauma in men was motorcycle accidents (39.0%), while in women it fell from height (35.5%). The segment most affected was the thoracolumbar spine in 118 (52.9%) of the cases, followed by the thoracic segment in 78 (34.9%). 46.1% of patients admitted with Frankel E. Traffic accidents were the main causes of complete motor deficit at hospital admission (FRANKEL A).
Conclusions: Among surgically treated patients with trauma to the thoracic and/or lumbar spine, there was a predominance of motorcycle accidents followed by car accidents and men who were significantly prone to fractures. Furthermore, the thoracolumbar transition was the region most affected region; however, the injuries in the thoracic region were the ones that most exhibited the worst Frankel status.
Supracondylar humerus fracture is the most common type of elbow fracture in children younger than 15 years. This hospital based prospective study evaluated different pinning xations which is used in the treatment of Gartland Type II and Gartland Type III supracondylar humeral fractures in children with closed fractures ≤7 days old, extension type, for comparing clinical, radiological and functional outcome of lateral parallel and divergent pinning for displaced supracondylar fractures in children.The study was conducted from May 2021 to May 2022. The mean age was 8.2 years for Divergent pinning group and for Parallel pinning group, the mean age was 9.2 years. Functional outcome were measured using Flynn's criteria & radiological outcome measured using Baumanns angle & carrying angle. Divergent pinning group had 12 males and 7 females while Parallel pinning group had 15 males and 5 females. The time interval between injury and surgery was less than 12 hours in 84.21% of Divergent pinning group & 95% in Parallel pinning group. In our study the duration of surgery was less than 35 minutes in 68.5% in Divergent pinning group and 85% in Parallel pinning group. Patients were followed up clinicoradiologically at 3 weeks, 6 weeks, 3 months & 6 months post operatively & assessed for elbow function, carrying angle, rate of union etc., during each follow up. In our study divergent pinning gave better results than parallel pinning as the latter encountered slower rate of union and varus deformities (loss of carrying angle and baumanns angle).
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