EPIDEMIOLOGIA DAS FRATURAS TRAUMÁTICAS DA COLUNA NO HOSPITAL MARIO COVAS ENTRE 2015 E 2020

Franco, Cássio Bousada; Cruz, Pedro Henrique Swinerd Coelho da; Moreno, Caio Cesar Lucchese; Meneses, Igor Oliveira; Santos, Lara Guercio dos; Fontoura Junior, Antonio Carlos; Brandão, Thiago Kolachinski; Rodríguez, Luciano Miller Reis; Yonezaki, Adriano Masayuki

Cássio Bousada Franco Correspondence: Faculdade de Medicina do ABC, Santo André, São Paulo, Brazil. Avenida Lauro Gomes, 2000. Vila Sacadura Cabral, Santo André, São Paulo, Brazil. 09060-870 . cassiobf10@gmail.com

made substantial contributions to the conception or design of the work

acquisition

analysis or interpretation of data for the work.

They also contributed to the writing of the work and provided critical review of its intellectual contente

Additionally

They provided final approval of the manuscript version to be published

Instituto de Assistência Médica ao Servidor Público Estadual de S. Paulo /IAMSPE, São Paulo, São Paulo, Brazil.

https://orcid.org/0000-0002-1559-1929

Pedro Henrique Swinerd Coelho da Cruz

made substantial contributions to the conception or design of the work

acquisition

analysis or interpretation of data for the work.

They also contributed to the writing of the work and provided critical review of its intellectual contente.

Additionally

They provided final approval of the manuscript version to be published

Faculdade de Medicina do ABC, , São Paulo, Brazil.

https://orcid.org/0000-0002-3053-7189

Caio Cesar Lucchese Moreno

made substantial contribution to the conception or design of the work

or acquisition

analysis or interpretation of data for the work.

They also contributed to the writing of the work and provided critical review of its intellectual content

Faculdade de Medicina do ABC, , São Paulo, Brazil.

https://orcid.org/0000-0001-9084-7616

Igor Oliveira Meneses

made substantial contribution to the conception or design of the work

or acquisition

analysis or interpretation of data for the work.

They also contributed to the writing of the work and provided critical review of its intellectual content

Faculdade de Medicina do ABC, , São Paulo, Brazil.

https://orcid.org/0000-0002-2195-0393

Lara Guercio dos Santos

made substantial contribution to the conception or design of the work

or acquisition

analysis or interpretation of data for the work.

They also contributed to the writing of the work and provided critical review of its intellectual content

Hospital da Alvorada, São Paulo, São Paulo, Brazil.

https://orcid.org/0000-0002-1321-7394

Antonio Carlos Fontoura Junior

made substantial contributions to the conception or design of the work

or acquisition

analysis or interpretation of data for the work.

They provided final approval of the manuscript version to be published

Faculdade de Medicina do ABC, , São Paulo, Brazil.

https://orcid.org/0000-0001-9759-1342

Thiago Kolachinski Brandão

made substantial contributions to the conception or design of the work

acquisition

analysis or interpretation of data for the work.

They provided final approval of the manuscript version to be published

Faculdade de Medicina do ABC, , São Paulo, Brazil.

https://orcid.org/0000-0002-5880-9094

Luciano Miller Reis Rodríguez

contributed to the writing of the work and provided critical review of its intellectual content.

Also provided final approval of the version of the manuscript to be published

Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil.

https://orcid.org/0000-0001-6891-5395

Adriano Masayuki Yonezaki

contributed to the writing of the work and provided critical review of its intellectual contente.

Also provided final approval of the manuscript version to be published.

Faculdade de Medicina do ABC, , São Paulo, Brazil.

https://orcid.org/0000-0002-2141-0119

Correspondence: Faculdade de Medicina do ABC, Santo André, São Paulo, Brazil. Avenida Lauro Gomes, 2000. Vila Sacadura Cabral, Santo André, São Paulo, Brazil. 09060-870 . cassiobf10@gmail.com

All authors declare no potential conflict of interest related to this article.

	< 19 years		20 e 39		40 e 59		60 years or +
	n=11	%	n=78	%	n=88	%	n=76	%	p-value
Sex									0.0006 ^* * Independence chi-square.
Feminine	2	18,2	11	14,1	19	21,6	32 ^(z) (z) Lower than expected.	42,1 ^(z) (z) Lower than expected.
Masculine	9	81,8	67	85,9	69	78,4	44 ^(x) (x) Above expectations.	57,9 ^(x) (x) Above expectations.
Trauma mechanism								<0.0001 ^* * Independence chi-square.
Auto accident	2	18,2	6	7,7	9	10,2	7	9,2
Motorcycle accident	1	9,1	14 ^(x) (x) Above expectations.	17,9 ^(x) (x) Above expectations.	2 ^(z) (z) Lower than expected.	2,3 ^(z) (z) Lower than expected.	2	2,6
Domestic accident	2	18,2	5	6,4	9	10,2	6	7,9
Motorcycle accident vs auto	0	0,0	9 ^(x) (x) Above expectations.	11,5 ^(x) (x) Above expectations.	1	1,1	0 ^(z) (z) Lower than expected.	0,0 ^(z) (z) Lower than expected.
Running over	1	9,1	0	0,0	2	2,3	3	3,9
FAF	1	9,1	11 ^(x) (x) Above expectations.	14,1 ^(x) (x) Above expectations.	0 ^(z) (z) Lower than expected.	0,0 ^(z) (z) Lower than expected.	1	1,3
Diving	0	0,0	3	3,8	2	2,3	0	0,0
Fall	4	36,4	29 ^(z) (z) Lower than expected.	37,3 ^(z) (z) Lower than expected.	61 ^(x) (x) Above expectations.	69,3 ^(x) (x) Above expectations.	49	64,6
Fall own height	0	0,0	1	1,3	2	2,3	8	10,5
Conduct									0,4897
Arthrodesis	4	36,4	39	50,0	46	52,3	32	42,1
Conservative	7	63,6	39	50,0	42	47,7	44	57,9

	Feminine		Masculine
	n=64	%	n=189	%	p-value
Trauma mechanism					<0.0001 ^* * Independence chi-square.
Auto accident	9	14,1	15	7,9
Motorcycle accident	0	0,0	19	10,1
Domestic accident	3	4,7	19	10,1
Motorcycle accident vs auto	0	0,0	10	5,3
Running over	1	1,6	5	2,6
FAF	2	3,1	11	5,8
Diving	0	0,0	5	2,6
Fall	42	65,6	101	53,5
Fall own height	7	10,9	4	2,1
Conduct					0,3681 ^* * Independence chi-square.
Arthrodesis	27	42,2	94	49,7
Conservative	37	57,8	95	50,3

Conduct	Arthrodesis		Conservative
	n=121	%	n=132	%
Auto accident	12	9,9	12	9,1
Motorcycle accident	9	7,4	10	7,6
Domestic accident	12	9,9	10	7,6
Motorcycle accident vs auto	6	5,0	4	3,0
Running over	3	2,5	3	2,3
FAF	5	4,1	8	6,1
Diving	2	1,7	3	2,3
Fall	68	56,2	75	56,7
Fall own height	4	3,3	7	5,3
p-value					0,9738 ^* * Independence chi-square.

Topography ^* * p-value <0.0001. Chi-square of independence.	Odontoid		Cervical		Cervical/Odontoid		Lumbar
	n=6	%	n=63	%	n=2	%	n=101	%
Auto accident	1	16,7	10 ^(x) (x) Above expectations.	15,9 ^(x) (x) Above expectations.	0	0,0	3	3,0
Motorcycle accident	1	16,7	4	6,3	0	0,0	6	5,9
Domestic accident	1	16,7	7	11,1	1 ^(x) (x) Above expectations.	50,0 ^(x) (x) Above expectations.	7	6,9
Motorcycle accident vs auto	0	0,0	2	3,2	0	0,0	4	4,0
Running over	0	0,0	2	3,2	0	0,0	3	3,0
FAF	0	0,0	4	6,3	0	0,0	5	5,0
Diving	0	0,0	5 ^(x) (x) Above expectations.	7,9 ^(x) (x) Above expectations.	0	0,0	0	0,0
Fall	3	50,0	27	42,9	1	50,0	70 ^(x) (x) Above expectations.	69,3 ^(x) (x) Above expectations.
Fall own height	0	0,0	2	3,2	0	0,0	3	3,0

Topography	Thoracic		Thoracic/Cervical		Thoracic/Cervical/Odontoid
	n=53	%	n=7	%	n=1	%
Auto accident	5	9,4	2	28,6	1	100,0
Motorcycle accident	7	13,2	0	0,0	0	0,0
Domestic accident	3	5,7	0	0,0	0	0,0
Motorcycle accident vs auto	3	5,7	1	14,3	0	0,0
Running over	0	0,0	1	14,3	0	0,0
FAF	2	3,8	1	14,3	0	0,0
Diving	0	0,0	0	0,0	0	0,0
Fall	28 ^(x) (x) Above expectations.	52,8 ^(x) (x) Above expectations.	1	14,3	0	0,0
Fall own height	5	9,4	1	14,3	0	0,0

Conduct	Surgical		Conservative
	n=121	%	n=132	%
Topography ^* * p-value: 0.5517. Chi-square of independence.
Odontoid	1	0,8	5	3,8
Cervical	28	23,1	35	26,5
Cervical/Odontoid	1	0,8	1	0,8
Lumbar	49	40,6	52	39,3
Thoracic	29	24,0	24	18,2
Thoracic /Cervical	5	4,1	2	1,5
Thoracic /Cervical/Odontoid	0	0,0	1	0,8
Thoracic /Lumbar	3	2,5	6	4,5
Thoracic /Lumbar/Cervical	0	0,0	1	0,8
Sacrum	5	4,1	5	3,8

[1] Correspondence: Faculdade de Medicina do ABC, Santo André, São Paulo, Brazil. Avenida Lauro Gomes, 2000. Vila Sacadura Cabral, Santo André, São Paulo, Brazil. 09060-870 . cassiobf10@gmail.com

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EPIDEMIOLOGIA DAS FRATURAS TRAUMÁTICAS DA COLUNA NO HOSPITAL MARIO COVAS ENTRE 2015 E 2020

RESUMO

Objetivos:

Metodologia:

Resultados:

Conclusão: