Journal of Research in Orthopedic Science
1
J. Res. Orthop. Sci.
Medical Sciences
http://jros.iums.ac.ir
1
admin
2676-7031
2676-7031
8
7
14
8888
13
en
jalali
1399
2
1
gregorian
2020
5
1
7
2
online
1
fulltext
en
Different Traumatic Spinal Column Fractures and Traumatic Spinal Cord Injury: An Epidemiologic Study
جراحی دست / آرنج
Hand surgery / Elbow
پژوهشی
Research Article
<div style="text-align: justify;"><strong>Background: </strong>Trauma and traumatic injuries are the most common causes of disabilities among the young population in developing countries. Besides morbidity and mortality, traumatic injuries can significantly decrease the quality of life and life expectancy of the victims.<br>
<strong>Objectives:</strong> Traumatic Spinal Cord Injury (TSCI) is an acute, traumatic lesion of the spinal cord. It usually produces economic problems that can emotionally and psychologically affect the patients. This study aims to evaluate spinal column fractures and TSCI in Iran.<br>
<strong>Methods: </strong>In this study, we evaluated all of the cases diagnosed with TSCIs between 2012 and 2018. A total of 1014 patients were included in our study. Prevalence of spinal column fractures was evaluated and the percentage of each type of fractures was extracted. The need for surgery and the percentage of TSCI were also evaluated.<br>
<strong>Results:</strong> The most common cause of trauma was vehicle and road accidents (83.4%) followed by falling (12.7%). A total of 21 patients (2.1%) died due to injuries. The incidence of TSCI among patients with traumatic spinal column fractures were 62 cases (6.1%). Also, 67.7% of patients with TSCI underwent surgery. Furthermore, we found that the lumbar area received the highest incidence of TSCI (38.3% of all TSCIs) followed by thoracic spine fractures (27.4% of all TSCIs). Also thoracic and cervical spine fractures were mostly associated with mortality compared with other sites of spine fractures (47.6% and 38.1% of all mortalities, respectively).<br>
<strong>Conclusion:</strong> In our study, most cases (83.4%) were injured by road accidents which indicates the low safety of vehicles and roads in Iran. Epidemiological features of spinal column injuries and TSCI vary among different societies due to different causes. So far, this study is the first one to evaluate different spine fractures and TSCI and other associated factors in the Iranian population.The results indicate a high incidence of thoracic and lumbar fractures and a higher mortality rate in thoracic and cervical fractures.</div>
Spinal cord injury, Epidemiology, Spinal column fractures
67
72
http://jros.iums.ac.ir/browse.php?a_code=A-10-628-1&slc_lang=en&sid=1
Ali
Andalib
ali_andalib@yahoo.com
10031947532846004050
10031947532846004050
No
Department of Orthopedics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Hossein
Akbari Aghdam
akbariaghdam@med.mui.ac.ir
10031947532846004051
10031947532846004051
Yes
Department of Orthopedics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Emran
Ahmadi
emran1372@yahoo.com
10031947532846004052
10031947532846004052
No
Department of Orthopedics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.