Studying Prevalence of Thoracolumbar Spine Fractures in Trauma Patients During One Year at Suez Canal University Hospitals

Abdelwahab, Aboelazm M.; AlQazaz, Mohmed; Abdelaziz, Mohamed A; Abdelmonem, Ahmed M.

doi:10.21608/scumj.2023.151707.1278

Studying Prevalence of Thoracolumbar Spine Fractures in Trauma Patients During One Year at Suez Canal University Hospitals

Articles in Press

Document Type : Original Article

Authors

¹ Department of neurosurgery, suez canal university

² neurosurgery department, faculty of medicine, Suez canal university

³ Neurosurgery Department, faculty of medicine, Suez canal university

10.21608/scumj.2023.151707.1278

Abstract

- BACKGROUND: Spine fractures are most common at the thoracolumbar junction and can be a source of great disability.
- PURPOSE: To define Prevalence of Thoracolumbar fractures for improving management process and outcome results and to decrease causes and co-morbidities of thoracolumbar spine fractures.
- STUDY DESIGN: Prospective descriptive study
- METHODS: Data collection from Patients presented with traumatic thoracolumbar fracture to Suez Canal University Hospital emergency department during one year
- RESULTS: The prevalence of thoracolumbar fractures is 4.94% of all trauma patients during period between January 2021 to December 2021. The mean age of patients with thoracolumbar spine injury was 39 years. The most rated mechanism of injury were Falling from height (39.1%); Motor car accident (24.3%); Pedestrian accident (21.7%). (13%) had multiple level injury. The majority of them had 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%), The third most common is T12 (8.1%). while the T4 vertebra was the structure least likely to be injured. 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 problem. It is very important to exclude spine injury in every trauma patient admitted to emergency department. Safety measures are highly recommended to prevent these injuries. Motor car accident and pedestrian accidents are common causes of spine fractures so strict rules on roads should be applied.

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