Epidemiology of Spinal cord Injury in references trauma center in Curitiba (Paraná, Brazil)

Francisco Alves De Araújo Junior,Anderson Matsubara,Gabriel Luiz De Souza Kondlatsch,Eric Henrique Batista Schmidt,Luiz Henrique Cardoso Pereira

doi:10.1590/s1808-185120212002240563

Francisco Alves De Araújo Junior, Anderson Matsubara + Show 3 more

Open Access

https://doi.org/10.1590/s1808-185120212002240563

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Journal: Coluna/Columna	Publication Date: Jun 1, 2021
Citations: 1	License type: CC BY 4.0

Affiliation: Faculdade Evangélica do Paraná

Abstract

ABSTRACT Objective: To outline the clinical-epidemiological profile of patients who were victims of SCT, to identify the main trauma mechanisms for this injury and its outcome. Methods: Retrospective cross-sectional study, in which the epidemiological data, computed tomography reports and medical records of patients with fractures identified in their examinations at trauma reference hospitals in Curitiba-PR, in 2018, were analyzed. Results: 705 patients were studied. There was a male prevalence (64%), the most affected age group was 21 to 30 years old (18%), the mean age was 48.23 years, the mean female age being approximately 10 years higher. The main mechanisms were traffic accidents (34%), falls from a higher level (29%) and falls from the same level (25%). The most affected segment was the lumbar with 46% of cases. The incidence of surgical treatment was 15%, of spinal cord injury was 5%, and death was the outcome in less than 3% of cases. Conclusions: The profile of the patient victim of SCT in 2018 in Curitiba-PR was that of a young man, victim of a traffic accident with thoracolumbar involvement without spinal cord injury, under conservative treatment.Level of evidence II; Retrospective Study.

Highlights

Spinal trauma accounts for only a small portion of all fractures, with a reported incidence of 4% to 23% in several epidemiological studies.[1]
The profile of the patient victim of SCT in 2018 in Curitiba-PR was that of a young man, victim of a traffic accident with thoracolumbar involvement without spinal cord injury, under conservative treatment
In 2004, the Unified Health System (SUS) registered 15,700 hospitalizations, with 505 deaths, resulting from spinal fractures, which required the involvement of multidisciplinary teams and high hospital costs.[3]

Summary

Introduction

Spinal trauma accounts for only a small portion of all fractures, with a reported incidence of 4% to 23% in several epidemiological studies.[1]. In the United States, approximately 15% of spinal trauma patients will have neurological impairment, and prevention remains the best strategy.[5]

Methods

Results

Discussion

Conclusion