Abdelwahab, A., Al-Qazaz, M., Abdelmonem, A., Manhy, M. (2023). Studying Prevalence of Thoracolumbar Spine Fractures in Trauma Patients During One Year at Suez Canal University Hospitals. Suez Canal University Medical Journal, 26(8), 0-0. doi: 10.21608/scumj.2023.321631
Aboelazm M. Abdelwahab; Mohamed Y. Al-Qazaz; Ahmed M. Abdelmonem; Mohamed A. Manhy. "Studying Prevalence of Thoracolumbar Spine Fractures in Trauma Patients During One Year at Suez Canal University Hospitals". Suez Canal University Medical Journal, 26, 8, 2023, 0-0. doi: 10.21608/scumj.2023.321631
Abdelwahab, A., Al-Qazaz, M., Abdelmonem, A., Manhy, M. (2023). 'Studying Prevalence of Thoracolumbar Spine Fractures in Trauma Patients During One Year at Suez Canal University Hospitals', Suez Canal University Medical Journal, 26(8), pp. 0-0. doi: 10.21608/scumj.2023.321631
Abdelwahab, A., Al-Qazaz, M., Abdelmonem, A., Manhy, M. Studying Prevalence of Thoracolumbar Spine Fractures in Trauma Patients During One Year at Suez Canal University Hospitals. Suez Canal University Medical Journal, 2023; 26(8): 0-0. doi: 10.21608/scumj.2023.321631
Studying Prevalence of Thoracolumbar Spine Fractures in Trauma Patients During One Year at Suez Canal University Hospitals
Department of Neurosurgery, Faculty of Medicine, Suez Canal University, Egypt
Abstract
Background: Traumatic fractures of the spine are most common at the thoracolumbar junction and can be a source of great disability. Aim: To define the prevalence of thoracolumbar fractures for improving management process and outcome results and to decrease causes and co-morbidities of thoracolumbar spine fractures. Patients and Methods: Data collection (history, examination, Investigations, hospital course, Management) from patients presenting with traumatic thoracolumbar fracture to Suez Canal University Hospital emergency department through the period from January 2021 to December 2021. Results: The prevalence of thoracolumbar fractures is 4.94% of all trauma patients during the period between January 2021 to December 2021. The mean age of patients with thoracolumbar spine injury was 39 years. The most rated mechanisms of injury were Falling from height (39.1%); Motor car accident (24.3%); Pedestrian accident (21.7%); Sliding on the floor (12.2%), and others (2.6%). There were different anatomic levels of injury. 63% of patients had injuries to the thoracic vertebrae, and 37% of patients had injuries to the lumbar vertebrae. (13%) had multiple-level injuries. Most of them had a single-level injury (87%). L1 was the most common site of injury, accounting for 43.0% of all fractures, The second most common fracture was L2 (18.8%), and the third most common is T12 (8.1%). while the T4 vertebra was the structure least likely to be injured. Of the surgical cases 62 cases (53.9%), 2 cases refused surgery while 53 cases (46.1%) were conservative. Conclusions: Thoracolumbar fractures represent common and disabling problems in blunt trauma patients. It is very important to exclude spine injury in every trauma patient admitted to the emergency department. Safety measures are highly recommended to prevent these injuries. Motor car accidents and pedestrian accidents are common causes of spine fractures so strict rules on roads and streets should be applied.
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