EPIDEMIOLOGY OF SPINE FRACTURES IN MOTORCYCLE ACCIDENT VICTIMS
EPIDEMIOLOGY OF SPINE FRACTURES IN MOTORCYCLE ACCIDENT VICTIMS
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DOI：
10.1590/s1808-185120161501147147
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发表时间：
2016-03-01
期刊：
影响因子：
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通讯作者：
Matos, Marcos Almeida
中科院分区：
文献类型：
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作者：
Oliveira, Tiago Argolo Bittencourt de;Andrade, Sérgio Murilo dos Santos;Matos, Marcos Almeida
摘要目的：分析2000-2010年摩托车事故所致脊柱损伤的发生率及其与同期摩托车销量增长的关系，以及脊柱损伤的解剖分布。 研究方法：在这项回顾性研究中，数据收集自2000年至2010年在巴伊亚州总医院TRM（脊髓创伤）病房因摩托车事故导致脊髓损伤的1,295例患者的记录。我们选择了110份病历，收集了性别、年龄、入院时神经功能缺损（根据Frankel量表）、诊断和损伤程度等信息。 结果如下：在2000年至2010年期间，由于摩托车事故而遭受脊柱损伤的患者的发病率几乎增加了五倍。颈椎损伤占51.4%，胸椎损伤占37.2%，腰椎损伤占11.34%。仅34.3%的患者入院时无神经功能缺损，胸椎骨折患者的神经功能缺损发生率和严重程度较高。患者平均年龄为30岁。 结论：由于摩托车事故造成的脊柱损伤的发病率增加发生在该国摩托车销售增加的同一时期。遭受这些损伤的患者都很年轻，颈椎和胸椎的发病率较高，神经功能缺损的发生率也很高。
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.