Epidemiology of Traumatic Spinal Fracture: A Study of Trauma Hospital in Southern Tehran

Jafari Marandi, H; Zeinali, M; Jahanbakhshi, A; Abooii- Mehrizi, A; Shahivand, A; Dastmalchi, AR

Epidemiology of Traumatic Spinal Fracture: A Study of Trauma Hospital in Southern Tehran

Document Type : Original Article

Authors

H Jafari Marandi ¹

M Zeinali ²

A Jahanbakhshi ³

A Abooii- Mehrizi ⁴

A Shahivand ⁵

AR Dastmalchi ⁵

¹ Professor, Department of Neurosurgery, Ahvaz Jandi Shapour University, Ahvaz Golestan Hospital

² Assistant Professor of Neurosurgery, Ahvaz Jundishapur University of Medical Sciences, Gholestan Hospital, Ahvaz, Iran

³ Professor, Department of Neurosurgery, Iran University of Medical Sciences, Martyrs of Haft Tir Hospital

⁴ Assistant Professor, Neurosurgery Department, Iran University of Medical Sciences, Seven-Thir Martyrs Hospital

⁵ Assistant, Neurosurgery Department, Iran University of Medical Sciences, Seven-Tir Martyrs Hospital

Abstract

Introduction & Objective: Trauma is the most common cause of mortality in young people, and spinal fracture and cord injuries are associated with early and late social and economic consequences and lead to permanent disabilities and reduced life expectancy. The aim of this study was to evaluate the spinal canal damage and its associated traumatic injury in patients referring to trauma referral hospital at the age of 10 years. Materials & Methods: 680 patients who were referred to the university hospital with spinal fractures based on case studies and imaging were included in our study. All patients were ICD10 classified according to the ICD10 classification between 2015 and 2016. Age, sex, traumatic mechanism, traumatic injury and fracture type date demographically analyzed. Results: Among 522 patients examined, the incidence of male to female was 2.3 to 1 and it was between the age ranges of 21 to 45 years. Traffic accidents and falls were the most common causes of fracture. In addition, the most common fracture site was thoracolumbar region (T11-L2) and injury to the head, lower extremity and chest wall were the most common coexisted injuries. Conclusions: There was no relationship between the factors affecting external spinal injuries with age and gender, but there was a significant relationship between the cause of the accident and the factors affecting non-spinal injuries. The distribution of fractures per spine in terms of Frankl's classification and AO criteria has a significant relationship with each other. There was a significant relationship between Frankl's classifications in AO criteria.

Keywords

Spinal Fracture

Neurological Deficits

Spinal Cord Injury

Poly Trauma

Epidemiology

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