Characteristics and clinical aspects of patients with spinal cord injury undergoing surgery

Abstract

ObjectiveTo identify the characteristics of patients with spinal cord injury (SCI) undergoing surgery.MethodsPreviously, 321 patients with SCI were selected. Clinical and socio-demographic variables were collected.ResultsA total of 211 patients were submitted to surgery. Fall and injuries in the upper cervical and lumbosacral regions were associated with conservative treatment. Patients with lesions in the lower cervical spine, worse neurological status, and unstable injuries were associated with surgery. Individuals undergoing surgery were associated with complications after treatment. The authors assessed whether age influenced the characteristics of patients submitted to surgery. Subjects with <60 years of age were associated with motorcycle accidents and the morphologies of injury were fracture-dislocation. Elderly individuals were associated to fall, SCI in the lower cervical spine and the morphology of injury was listhesis. Subsequently, the authors analyzed the gender characteristics in these patients. Women who suffered car accidents were associated to surgery. Women were associated with paraparesis and the morphologic diagnosis was fracture-explosion, especially in the thoracolumbar transition and lumbosacral regions. Men who presented traumatic brain injury and thoracic trauma were related to surgery. These individuals had a worse neurological status and were associated to complications. Men and the cervical region were most affected, thereby, these subjects were analyzed separately (n = 92). The presence of complications increased the length of hospital stay. The simultaneous presence of morphological diagnosis, worst neurological status, tetraplegia, sensory, and motor alterations were associated with complications. Pneumonia and chest trauma were associated with mortality.ConclusionThese factors enable investments in prevention, rehabilitation, and treatment.

In-Hospital Mortality for the Elderly with Acute Traumatic Spinal Cord Injury

“… 20–24 This may lead to lengthy hospital admissions, a myriad of complications or adverse events, and, ultimately, in-hospital death. 23 , 25 …”

Perfil Epidemiológico De Indivíduos Com Lesão Medular Atendidos Pelo Programa De Atividades Motoras Para Deficientes Na Cidade De Manaus

“…O estudo aponta o sexo masculino como a maior prevalência no período analisado, indo ao encontro com os achados em estudos epidemiológicos de pessoas com lesão medular (CALLIGA;PORTO, 2019;SILVA et al, 2018;ALAMINOS, 2018;NASCIMENTO et al, 2017;LEMOS et al, 2017) confirmados que homens são mais acometidos.…”

“…Outro parâmetro dos dados e a média de idade ao longo dos três anos na faixa etária entre 30 e 40 anos, podendo considerar como uma faixa etária produtiva, os achados no nosso estudo corroboram com os dados encontrados na literatura, que apontam a faixa etária entre 20 e 40 anos (CALLIGA;PORTO, 2019;SILVA et al, 2018;LOMAZ, 2017;NASCIMENTO et al, 2017;CASTRO, 2015). Isto nos remete as pessoas, por certo aspecto, passarão a depender de ações do Estado.…”

“…Acrescentando ainda que parte dos acidentes ocorreu em datas festivas, como Natal e Carnaval, quando se têm índices importante de violência registrados. (PRASAD et al, 2018;SILVA et al, 2018;ALAMINOS, 2018;NASCIMENTO et al, 2017;LEMOS et al, 2017; LUNA; MENDONZA; OROPEZA, 2017) apontou que acidentes automobilísticos e quedas são as principais causas encontradas. Podemos inferir com estes resultados que há um aumento das lesões medulares traumáticas ocasionadas por arma de fogo, evidenciando o aumento da violência urbana como aponta a BBC News Brasil (2019), referindo-se ao Atlas da Violência -levantamento de homicídios relatados pelo Sistema Único de Saúde (SUS).…”

“…A sequela que se destacou foi a de paraplegia, semelhante aos estudos de Carvajal et al (2015) e Fernandes et al (2017). O nível da lesão mais presente foi torácico e lombar de origem traumática resultados encontrados em poucos estudos da literatura como o de Nascimento et al (2017). No entanto, outros estudos apontam o nível cervical (LI et al, 2018;MELO-NETO et al, 2017;NULLE et al, 2017) e nível lombar (LOMAZ et al, 2017;LUNA;MENDOZA;OROPEZA, 2017), como o de maior prevalência.…”