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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.

2024, Number 2

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Cir Columna 2024; 2 (2)

Spinal injury: historical review of a third level traumatology and orthopedic hospital seven years after its inauguration

Gutiérrez GGR, Aragón DR, Gervacio GHC, Pavón FJ, Meré GJD, Martínez BLA, Leyva MEE

Language: Spanish
References: 17
Page: 74-78
PDF size: 229.93 Kb.


ABSTRACT

Introduction: the World Health Organization (WHO) recognizes an annual incidence of between 250,000 and 500,000 people suffering from spinal cord trauma worldwide. Objective: to present the historical incidence observed in the state of Puebla, identify the variables associated with these conditions and their importance as an orthopedic emergency for immediate attention. Material and methods: descriptive, retrospective, observational and analytical study carried out in the Emergency Service of the Hospital de Traumatología y Ortopedia "Dr. y General Rafael Moreno Valle". The information was obtained from a database between the period from January 2016 to December 2022. Patients who had a diagnosis of spinal cord trauma were selected; data were collected on: sex, age and occupation of the patient, mechanism of injury, association (fracture), neurological level of initial injury and after the treatment used and its complications. Results: information was collected from a total of 602 patients with a diagnosis of spinal cord trauma; There was a prevalence of the male gender (77.2%). In the total integrated segments recorded, at the cervical level the most prevalent was C6 with 7%; at the thoracic level T12 with 12% and at the lumbar level L1 with 13%. The ASIA classification was used to assess the neurological status upon admission, the three most prevalent were: A, E, D with 32.4, 22.6 and 18.6%, respectively. Among the last neurological states recorded in its evolution, the three most prevalent were: E (30.4%), A (21.3%) and D (15.3%). Conclusion: knowing the prevalence of these variables during these years, an approach should be carried out to search for the patterns found, as well as identify the differences with the reviewed bibliography.


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