Epidemiologic profile of surgery for spinomedullary injury at a referral hospital in a country town of Brazil

Abstract

Objectives: To analyze the epidemiological profile of patients undergoing surgery at a referral hospital in a small, country town. Methods: A retrospective study was carried out between February 2009 and May 2010, in a Regional Referral unit, with a total of 24 patients. The cases study included all patients undergoing surgery for spinal trauma during this period, with or without neurological deficits. The data analyzed were: sex, age, location and degree of the injury, and mechanism of the injury. Results: The medianage of the patients was 35.8 years, and 75% were male. The mechanisms of the injury were motorcycle accidents in 37.5%, falls in 33.3%, automobile accidents in 25%, and diving into shallow water in 4.2%. The vertebral level affected was the cervical spine in 44%, the thoracic spine in 36%, and the thoracolumbar level in 20%. The neurological damage, classified according ASIA (American Spinal Injury Association) was complete, or category A in 37.5%, incomplete, or category B in 4.2%, incomplete, or category C in 12.5%, incomplete, or category D in 8.3%, and incomplete, or category E in 37.5%. In terms of access route, 64% of the procedures were performed with posterior access and 36% with anterior access. Conclusion: The epidemiological profile maintains the trend towards a prevalence of injuries among young men, affecting the cervical level, with the presence of spinal cord lesion. However, accidents involving motorcycles and fallings from heights are factors that can be modified by safety measures on the roads and in the workplace, which can reverse the high prevalence of these accidents.

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

“…O cometimento do TRM em homens ainda é maior que em mulheres, como em pesquisa semelhante a esta, em que se evidenciou que homens foram os mais acometidos pelo TRM. Esse perfil pode estar relacionado ao estilo de vida, pois homens exibem comportamento desafiador ao se exporem mais às ocasiões de risco 9 .…”

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

“…The affliction of SCI in men is still bigger than in women, as in research similar to this study. This profile may be related to lifestyle, as men exhibit challenging behavior by exposing themselves more to risky occasions 9 .…”

Impacto Da Realidade Virtual No Equilíbrio E Na Qualidade De Vida Em Indivíduos Com Lesão Medular

“…Neste estudo foi possível observar maior predomínio de lesão medular (LM) traumática nos indivíduos do gênero masculino e adultos jovens com média de idade 33± 3,4 anos, estando de acordo com estudos, nos quais explicam o fato de estes estarem envolvidos ao tráfico, a violência urbana, acidentes de trânsito e exigências profissionais [21][22][23] , já que neste período da vida os indivíduos se encontram em uma fase produtiva da vida, além de ser uma fase de inserção na sociedade 24 .…”

“…O traumatismo Raquimedular (TRM) é uma lesão com interrupção provisória ou permanente da função normal da medula espinhal que causa sequelas motoras, sensitivas e autonômicas, que interferem nas atividades levando ao isolamento social nos primeiros momentos do dano [1][2][3] .…”