Coluna / Columna v.15, n.2 /2016

ARTIGO ORIGINAL

ANÁLISE DE 111 PACIENTES COM FRATURAS DA COLUNA CERVICAL EM UM HOSPITAL DE ATENDIMENTO TERCIÁRIO


ANALYSIS OF 111 PATIENTS WITH CERVICAL SPINE FRACTURES IN A TERTIARY HOSPITAL


ANÁLISIS DE 111 PACIENTES CON FRACTURAS DE COLUMNA CERVICAL EN UN HOSPITAL DE TERCER NIVEL


Hugo Vilchis Sámano1 , Edgar Villegas Esquivel1 , Luis Muñiz Luna1

1 . Instituto Mexicano del Seguro Social, Hospital de Ortopedia y Traumatología Lomas Verdes. Unidad Médica de Alta Especialidad, Naucalpan de Juárez, México.

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



RESUMO

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Palavras-chave: Coluna vertebral,Fraturas da coluna vertebral,Epidemiologia,Descritiva.

ABSTRACT

Objective:
To describe the epidemiology of 111 patients to determine the age group affected, the level of fracture, fracture classification, and type of treatment.

Methods:
Descriptive study of 111 cases of cervical spine fracture treated at the Hospital of Traumatology and Orthopedics Lomas Verdes - IMSS from March 2009 to October 2014.

Results:
The condition appeared in 88% of men. The age range was 16-81 years, with an average of 40 years. The most common fracture according to the AO classification was type A (57%). The segments most affected were C5-C6, C6-C7, C6 and C4-C5 (24.32%, 17.1%, 9.9% and 8.1%). Neurological involvement occurred in 46.8%. The most common mechanism of injury was high energy. Surgical treatment was performed in 78.4% of patients, being one-level corpectomy with placement of mesh and plate, and posterior fixation with facet screws the most appropriate procedures (31.5% and 27.9%, respectively).

Conclusions:
Males were the most affected, the highest incidence was in C5-C6 and C6-C7 levels and the surgical procedure was the most used.


Keywords: Spine,Spinal fractures,Epidemiology,Descriptive.

Resumen

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Palavras-chave: Columna vertebral,Fracturas de la columna vertebral,Epidemiología,Descriptiva.






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