Abstract
ABSTRACT Objective: To describe the epidemiology of 111 patients to determine the age group affected, the level of fracture, fracture classification, and type of treatment. Methods: Descriptive study of 111 cases of cervical spine fracture treated at the Hospital of Traumatology and Orthopedics Lomas Verdes - IMSS from March 2009 to October 2014. Results: The condition appeared in 88% of men. The age range was 16-81 years, with an average of 40 years. The most common fracture according to the AO classification was type A (57%). The segments most affected were C5-C6, C6-C7, C6 and C4-C5 (24.32%, 17.1%, 9.9% and 8.1%). Neurological involvement occurred in 46.8%. The most common mechanism of injury was high energy. Surgical treatment was performed in 78.4% of patients, being one-level corpectomy with placement of mesh and plate, and posterior fixation with facet screws the most appropriate procedures (31.5% and 27.9%, respectively). Conclusions: Males were the most affected, the highest incidence was in C5-C6 and C6-C7 levels and the surgical procedure was the most used.
Highlights
Cervical spine fractures are a common pathology in our population, significantly affecting the economically active population in terms of work, social, and family aspects
This study describes the epidemiology of 111 patients over a
A search was conducted from March 2009 to October 2014 on all cases of spine fractures treated in the spine module of the Medical Specialty Unit of Hospital de Traumatología y Ortopedia Lomas Verdes Instituto Mexicano del Seguro Social (IMSS), obtaining information from the patient medical records
Summary
Cervical spine fractures are a common pathology in our population, significantly affecting the economically active population in terms of work, social, and family aspects. The incidence in the general population is not known precisely, but there are reports of up to. 5-year period at a tertiary hospital of the Mexican Institute of Social Security, determining the age group most affected, the level of fracture, the classification, and the type of treatment. This analysis will serve as the basis for updating the internal norms and procedures of the spine service, based on the corresponding needs, and for updating of electronic databases, seeking to improve the quality of information available
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