Coluna / Columna v.15, n.1 /2016

ARTIGO ORIGINAL


EPIDEMIOLOGY OF SPINE FRACTURES IN MOTORCYCLE ACCIDENT VICTIMS



Tiago Argolo Bittencourt de Oliveira1 , Sérgio Murilo dos Santos Andrade1 , Gabriel Oliveira Prado3 , Rony Brito Fernandes1 , Maurício Santos Gusmão1 , Eduardo Gil França Gomes1 , Djalma Castro de Amorim1 , Maurício Guimarães Pimentel1 , Marcus Thadeu Venâncio Simões1 , Joilda Fontes Gomes1 , Jayme Batista Freire1 , Glauco Landim Batista Sampaio1 , Marcelo de Luna Freire Lima1 , Marcos Almeida Matos4


DOI: http://dx.doi.org/



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ABSTRACT

Objective:
To analyze the incidence of spinal injuries between 2000-2010 due to motorcycle accidents and the relation to the increase in motorcycle sales in the same period, as well as the anatomical distribution of these spinal injuries.

Methods:
Data were collected from 1,295 records of patients who have suffered spinal injury resulting from motorcycle accidents admitted to the ward TRM (Spinal Cord Trauma) of the Hospital Geral do Estado da Bahia from 2000 to 2010 in this retrospective study. We selected 110 medical records and collected information on sex, age, neurological deficit on admission (according to Frankel scale), diagnosis, and level of injury.

Results:
Between 2000 and 2010 there was an increase of almost five times in the incidence of patients who have suffered spinal injury due to motorcycle accidents. More than half (51.4%) had cervical spine injury, 37.2% thoracic spine injury and 11.34% had lumbar spine injury. Only 34.3% of patients had no neurological deficit on admission and patients with thoracic spine fracture had a higher incidence and severity of lesion. The average age of patients was 30 years.

Conclusions:
The increased incidence of spinal injuries due motorcycle accidents occurred in the same period in which there was an increase in motorcycle sales in the country. Patients who have suffered those injuries were young, with higher incidence in the cervical and thoracic spinal levels and high rates of neurological deficit.


Keywords: Spine,Spine fractures,Spinal injuries,Accidents, traffic,Motorcycles

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