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

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

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

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.