Epidemiology of Spine Fractures in Motorcycle Accident Victims

Abstract

Objective: To analyze the incidence of spinal injuries between 2000-2010 due to motorcycle accidents and the relation to the increase in motorcycle sales in the same period, as well as the anatomical distribution of these spinal injuries. Methods: Data were collected from 1,295 records of patients who have suffered spinal injury resulting from motorcycle accidents admitted to the ward TRM (Spinal Cord Trauma) of the Hospital Geral do Estado da Bahia from 2000 to 2010 in this retrospective study. We selected 110 medical records and collected information on sex, age, neurological deficit on admission (according to Frankel scale), diagnosis, and level of injury. Results: Between 2000 and 2010 there was an increase of almost five times in the incidence of patients who have suffered spinal injury due to motorcycle accidents. More than half (51.4%) had cervical spine injury, 37.2% thoracic spine injury and 11.34% had lumbar spine injury. Only 34.3% of patients had no neurological deficit on admission and patients with thoracic spine fracture had a higher incidence and severity of lesion. The average age of patients was 30 years. Conclusions: The increased incidence of spinal injuries due motorcycle accidents occurred in the same period in which there was an increase in motorcycle sales in the country. Patients who have suffered those injuries were young, with higher incidence in the cervical and thoracic spinal levels and high rates of neurological deficit.

Epidemiological and clinical profile of patients with pressure injury after spinal cord trauma

“…The most affected medullar segments are the cervical and thoracic regions, caused by firearm accidents, followed by accidents caused by falls and diving in shallow water 10,12,13 , corroborating the findings of this research. The total medullary trauma of the cervical segment and the initial part of the thoracic spine may result in quadriplegia and, in other situations, the partial dissection of other parts of the spine will result in paraplegia as a sequel, according to this investigation and the analyzed study 14 .…”

National incidence of traumatic spinal fractures in China

“…Several articles concerning the epidemiological features of spinal fractures have been published. [3–5] Hu et al [6] reported that the incidence rate of traumatic spinal fractures was 64 per 100,000 in Manitoba province, Canada. Cooper et al [7] estimated the incidence rate in Rochester, Minnesota which was 117 per 100,000.…”

Perfil epidemiológico e clínico de pacientes com lesão por pressão após trauma raquimedular

“…Os seguimentos medulares mais acometidos são as regiões cervical e torácica, causados por acidentes por arma de fogo, seguidos dos acidentes oriundos de quedas e mergulho em águas rasas 10,12,13 , estando de acordo com os achados nesta pesquisa. O trauma medular total do seguimento cervical e a parte inicial da coluna torácica pode trazer como consequência a tetraplegia e, em outras situações, a dissecção parcial de outras partes da coluna trará como sequela a paraplegia conforme estudo verificado 14 e averiguado nesta investigação.…”