Abstract

ABSTRACT Objective The aim of this paper is to analyze the epidemiological profile of a large series of spine trauma victims in the Southernmost state of Brazil. Methods A retrospective study including spine trauma patients was performed at a tertiary hospital from January 1st, 2013 to December 31st, 2018. The variables analyzed include demographic data, information related to the trauma (etiology, trauma mechanism, type of spine injury, number of vertebrae involved, vertebral segment involved), neurological status at hospital admission (Frankel scale), treatment performed and the outcome (number of days in hospital, neurological outcome, and mortality). Results A total of 808 patients were included. The mean age was 47.9 (±19.0), and the majority were male and Caucasian. The most frequent etiology was falls from height (N=508; 62.9%) followed by traffic accidents (N=185; 22.9%). The thoracolumbar segment was the spinal segment most frequently affected, occurring in 401 (52.1%) patients, followed by the cervical, thoracic and lumbar segments. The incidence of SCI was 16.7%. Non-operative treatment was indicated in 510 (63.1%) patients. Conclusion The authors presented the largest epidemiological profile regarding spine trauma in Latin America, analyzing a total of 808 patients, which represents an incidence of 134.6 cases/year. This paper fills a gap in the medical literature regarding the epidemiological profile of this disease in Latin America. Level of evidence II; Prognostic study.

Highlights

  • The authors presented the largest epidemiological profile regarding spine trauma in Latin America, analyzing a total of 808 patients, which represents an incidence of 134.6 cases/year

  • Spine trauma is defined as any traumatic lesion to the spine secondary to an external etiology,[1,2] which may be associated with spinal cord injury (SCI).[3]

  • Spine trauma patients have a high rate of morbidity and when there is associated SCI, most patients have motor, sensitive, and autonomic impairment.[4,5,6]

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Summary

Introduction

Spine trauma is defined as any traumatic lesion to the spine secondary to an external etiology,[1,2] which may be associated with spinal cord injury (SCI).[3] Spine trauma patients have a high rate of morbidity and when there is associated SCI, most patients have motor, sensitive, and autonomic impairment.[4,5,6] Men are three to four times more likely to be affected than women, corresponding to 76-88% of patients, with a peak age of between 34 and 58 years.[7,8,9]. No experience from Latin America was reported.[17]

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