Epidemiological Panorama of Orthopedic Spine Pathology in Mexico

Abstract

Objective: To determine the epidemiology of orthopedic spine pathology in a national reference hospital in Mexico. Methods: Retrospective, observational and cross-sectional study, using the database and hospitalization census of the orthopedic spine service from January 2009 to December 2016. The data analysis was performed with SPSS version 22 measuring the central frequency and percentages. The demographic variables age and sex, and those related to the diagnosis, type of pathology, affected segment and degrees of affection were obtained. The sampling technique was non-probabilistic sampling by convenience of consecutive cases. Results: We analyzed 7,771 cases: 50.34% males, with a mean age of 53.51 years. The prevalence of the most frequent diseases in hospitalized patients was stenosis of the lumbar canal with 25.85% (1,834 patients), followed by lumbar disc herniation (23.12%), spondylolisthesis (22.63%), cervical spondylotic myelopathy (8.76%), lumbar pain and lumbosciatalgia (4.10%), cervical disc herniation (3.96%), primary infection (3.80%), loosening of material (3.16%), spinal tumors (2.53%) and cervical instability (2.04%). Conclusions: This is the largest series of cases of spinal pathology treated in a hospital in Latin America. The most frequent condition was the stenosis of the lumbar canal, the most affected segment was the lumbar, and the most affected age group was 51 to 60 years. The estimate is an increase in the incidence of spinal diseases, so it is necessary to identify the risk factors and the behavior of each disease for its prevention.

Anterior and Posterior Approach Results for Treatment of Cervical Myelopathy in the Elderly: A 10-Year Experience in a Mexican Institution

“…These changes occur because of the late instability and early stabilization secondary to bony overgrowth, leading to disturbing with more frequency C6C7 (60%), followed by C5C6 (40%) and C4C5 (5%) [10]. In our series, the most affected levels were C4C5 and C5C6; C3C4 occupied third place, derived from the changes in motion at this level [6].…”

“…Elderly patients with CM often present with a multilevel disease, the literature considers the treatment with laminoplasty rather than anterior fusion in case of failure of the conservative therapy [5]. This is the first research that describes and compares the outcomes between the Anterior Approach (AA) and Posterior Approach (PA) to treat CM in the elderly in the Mexican population [6].…”

Incidencia de enfermedad neuroquirúrgica de columna vertebral en una población de la Ciudad de México

“…Spinal column pathologies have become relevant worldwide because it has been reported an increment in the number of patients with degenerative spine diseases (DSD), tumors and spinal cord injuries secondary to trauma, with high rates of morbidity and mortality 1,2 . Most of the patients are young adults who are occupationally active.…”

Risk factors and association of body composition components for lumbar disc herniation in Northwest, Mexico

“…Specially, the Lumbar Disc Herniation (LDH) is a musculoskeletal condition that has been associates to obesity and overweight, along with genetic, environmental and those related with lifestyle condition 2 . Nowadays, LDH has a prevalence over 23.12% in Mexico 3 . And, it is the second cause of work incapacity in the United States of America 4 .…”