Incidence and functional evolution of traumatic injuries of the spine

Ovalle, Francisco Alberto Trinidad; Ríos, Elibardo Cuellar; Balbuena, Fernando Ruiz

doi:10.1590/s1808-1851201413030r106

Cited by 6 publications

(4 citation statements)

References 28 publications

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“…However, there is a need for a large study to determine the relationship between the type of motor vehicle and level of traumatic spinal fractures. Similarly, Ovalle et al [15] reported that the most common traumatic spinal injuries occurred in the thoracolumbar region. Yunoki et al [16] retrospectively reviewed 134 patients with traumatic intracranial hemorrhage (ICH), skull fractures and spinal fractures among those whowere injured in traffic accidents or falls.…”

Section: Discussionmentioning

confidence: 96%

“…The most common victims of spinal or vertebral fractures are adolescents and young adults. Ovalle et al [15] conducted a retrospective cross-sectional study comprising of 60 patients to assess the incidence and functional outcomes of traumatic spinal injuries. The authors reported an average age of 35 years, with injuries to the thoracic region being the most common.…”

Section: Discussionmentioning

confidence: 99%

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Traumatic spinal injuries in the Kingdom of Saudi Arabia: a study of associated injuries, management and mortality

Alkhathlan¹,

Alzahrani²,

Aldosari³

et al. 2019

Pan Afr Med J

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Introduction traumatic spinal fracture is a painful and disabling injury associated with poor long-term functional outcome. The objective of the present study was to assess the frequency of spinal fractures in road traffic accident (RTA) victims, their management, mortality rate and associated injuries. This study reveals and adds useful insights to the literature from Kingdom of Saudi Arabia (KSA) in terms of incidence of RTA-related spinal fractures, including their management and mortality rate. Methods a cross-sectional study was conducted at King Khalid Hospital and Prince Sultan Center for Health Services (KKH & PSCHS) in AlKharj, KSA from September 2016 to June 2017. A total of 120 patients suffering from spinal/vertebral fractures due to RTAs were included in this study. The data was collected from patients' charts, including age, gender, region or distribution of the spinal fracture, associated fractures, number of fractures, degrees of shock, admission to intensive care unit (ICU), treatment modalities, along with the management of spinal fractures, days of hospital stay, referral and discharges or deaths. Results the mean age of patients was 29.21. The most common anatomic region of the fracture was the cervical region (35%). Injuries associated with traumatic spinal fracture were predominated by clavicular fractures. More than half of the victims (58.30%) had a cervical brace applied before leaving the hospital. 29.20% patients required posterior stabilization with pedicle screws. Anterior corpectomy, grafting and plating was done to 4.30% patients. Conclusion traumatic spinal fractures require prompt diagnosis and timely management in order to improve the outcome.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Traumatic spinal injuries in the Kingdom of Saudi Arabia: a study of associated injuries, management and mortality

Alkhathlan¹,

Alzahrani²,

Aldosari³

et al. 2019

Pan Afr Med J

View full text Add to dashboard Cite

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“…However, epidemiological studies are scarce at the national level. 4 Traumatic injuries of the spine can be categorized by the level of involvement: craniovertebral junction, subaxial cervical spine, thoracolumbar spine, and sacral spine. [5][6] Each segment should be evaluated separately, taking into account the differences and particularities between them.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of Spinal Trauma Surgically Treated at the Unicamp Hospital Das Clínicas

et al. 2018

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Objective: To report the epidemiological profile of patients operated for treatment of spinal trauma in the UNICAMP Hospital das Clínicas. Methods: Patients older than 14 years with spinal trauma operated in the service from 2012 to 2017 with complete radiological and clinical data were evaluated. Results: A total of 143 patients were included, 120 men and 23 women, with a mean age of 37.8 years. Falls from height (32%), motorcycle (26%) and car accidents (24%) were the most common trauma mechanisms. The most affected vertebral level was C6 (11%) and most patients (55%) had some neurological deficits. The overall postoperative complication rate was 23%. Conclusions: Spinal trauma has a high socioeconomic impact due to its high morbidity and mortality, and it is necessary to study its epidemiology for the development of public policies for prevention and treatment financing. Level of Evidence: III. Type of study: Retrospective study.

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“…Violent causes continued to be more accentuated in developing countries than in developed countries. 8,21 There was a statistical correlation between the different trauma mechanisms and the three spinal regions analyzed ( Figure 5). The predominance of fractures of the first lumbar vertebra in association with "falls", as well as that of fractures of the upper cervical spine with traffic accidents, was clear.…”

Section: Discussionmentioning

confidence: 89%

Epidemiological Profile of Patients With Traumatic Spinal Fracture

et al. 2017

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Objective: To analyze the epidemiological profile of patients with spinal fractures and the characteristics of the population at risk attended at a university hospital. Methods: The study population is composed of 202 patients diagnosed and treated for vertebral fracture due to trauma. The variables were correlated with each other and the correlations with p<0.05 were considered statistically significant. Results: The ratio of incidence of trauma between the sexes was 3:1 for males. The mean age was 37 years and the age group with the highest incidence was between 20 and 39 years. Traffic accidents were the most frequent mechanism (51.2%) and secondly, falls (33.2%). There was a statistical correlation between trauma mechanisms to age group and region of the spine. The first lumbar vertebra (L1) fracture alone accounted for 21.5% of all cases studied associated with the fall mechanism. Spinal cord injury was recorded in 33.7% of the individuals in the sample. A total of 57.3% of the patients were submitted to surgical treatment and 41.7% to the conservative treatment. The mean hospitalization time was 15 days. Conclusions: Spinal fractures are important determinants of morbidity and mortality in the population with a major impact on economically active individuals, especially males. They are directly associated to traffic accidents in the young population and to falls in the higher age brackets. Primary prevention of trauma is the main mechanism for change in this scenario.

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Incidence and functional evolution of traumatic injuries of the spine

Cited by 6 publications

References 28 publications

Traumatic spinal injuries in the Kingdom of Saudi Arabia: a study of associated injuries, management and mortality

Traumatic spinal injuries in the Kingdom of Saudi Arabia: a study of associated injuries, management and mortality

Epidemiology of Spinal Trauma Surgically Treated at the Unicamp Hospital Das Clínicas

Epidemiological Profile of Patients With Traumatic Spinal Fracture

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