Presentation and outcome of traumatic spinal fractures

Ahmed El-Faramawy, Ayman El-Menyar, Ahmad Zarour, Kimball Maull, Jane Riebe, Krishna Kumar, John Mathew, Ashok Parchani, Hassan Al-Thani, Rifat Latifi

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Background: Motor vehicle crashes and falls account for most of the spine fractures with subsequent serious disability. Aim: To define the incidence, causes, and outcome of spinal fractures. Materials and Methods: Data were collected retrospectively from trauma registry database of all traumatic spinal injuries admitted to the section of trauma surgery in Qatar from November 2007 to December 2009. Results: Among 3712 patients who were admitted to the section of trauma surgery, 442 (12%) injured patients had spinal fractures with a mean age of 33.2 12 years. The male to female ratio was 11.6:1. Motor vehicle crashes (36.5%) and falls from height (19.3%) were the leading causes of cervical injury (P = 0.001). The injury severity score ranged between 4 and 75. Nineteen percent of cases with cervical injury had thoracic injury as well (P = 0.04). Lumber injury was associated with thoracic injury in 27% of cases (P < 0.001). Combined thoracic and lumber injuries were associated with cervical injury in 33% of cases (P < 0.001). The total percent of injuries associated with neurological deficit was 5.4%. Fifty-three cases were managed surgically for spine fractures; 14 of them had associated neurological deficits. Overall mortalityrate was 5%. Conclusions: Spine fractures are not uncommon in Qatar. Cervical and thoracic spine injuries carry the highest incidence of associated neurological deficit and injuries at other spinal levels. Young males are the most exposed population that deserves more emphasis on injury prevention programs in the working sites and in enforcement of traffic laws.

Original languageEnglish (US)
Pages (from-to)316-320
Number of pages5
JournalJournal of Emergencies, Trauma and Shock
Volume5
Issue number4
DOIs
StatePublished - Oct 1 2012

Keywords

  • Cord injury
  • Qatar
  • fracture
  • spine
  • trauma

ASJC Scopus subject areas

  • Emergency Medicine

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    El-Faramawy, A., El-Menyar, A., Zarour, A., Maull, K., Riebe, J., Kumar, K., Mathew, J., Parchani, A., Al-Thani, H., & Latifi, R. (2012). Presentation and outcome of traumatic spinal fractures. Journal of Emergencies, Trauma and Shock, 5(4), 316-320. https://doi.org/10.4103/0974-2700.102381