Shiraz University Of Medical Sciences
Rajaee Trauma center, Department of neurosurgery SUMS
Rajaee trauma center, Department of general surgery SUMS
Shiraz university of medical sciences
Objective: To describe the epidemiological characteristics of patients with cervical spine injury admitted to Rajaee hospital, Shiraz, Iran.Methods: This cross-sectional study includes all patients admitted with impression of cervical column injury with or without cervical cord injury from October 2009 to March 2012 to our level I trauma center in Shiraz. We recorded the patients’ characteristics including age, sex, marital status, mechanism of injury, level of injury, concomitant injury, treatment(non-operative or operative) and clinical outcome. The data were described and compared with the international literature.Results: Among 261 patients referred with impression of spinal cord injury, the diagnosis of spinal column injury (with or without spine cord injury) was confirmed in 206 patients. The mean age of patients was 37.2±15.9 years with Male/Female ratio of 3:1. Car turn-over and car-collisions were the leading causes of injury. The most common spine fracture was C6 vertebra involving 60 (29.1%) patients. Fracture of upper and lower extremities were the most concomitant fractures observed in 31(15.1%) patients. Open surgery was performed in 65(31.6%).Mortality rate was 7.3% (15 patients).Patients with brain, lung and cord injuries had increased risk of death, among 15 deaths,9 patients had brain injury, 5 individuals had lung injury and 10 patients suffered from cord injury.Conclusion: Cervical spine injuries mostly affect young males, and comprise 206 (10%) cases out of 2100 spine injuries in our country. Preventive measures should be taken to reduce cervical spine injuries especially in young age group.
- Thietje R, Pouw MH, Schulz AP, Kienast B, Hirschfeld S. Mortality in patients with traumatic spinal cord injury: descriptive analysis of 62 deceased subjects.J Spinal Cord Med 2011;34(5):482-7.
- Dryden DM, Saunders LD, Rowe BH, May LA,Yiannakoulias N, Svenson LW, et al. The epidemiology of traumatic spinal cord injury in Alberta, Canada. Can J Neurol Sci 2003;30(2):113-21.
- Bracken MB, Freeman DH Jr, Hellenbrand K. Incidence of acute traumatichospitalized spinal cord injury in the United States, 1970-1977. Am J Epidemiol 1981;113(6):615-22.
- Dryden DM, Saunders LD, Jacobs P, Schopflocher DP, Rowe BH, May LA, et al. Direct health care costs after traumatic spinal cord injury. J Trauma 2005;59(2):443-9.
- Zhang S, Wadhwa R, Haydel J, Toms J, Johnson K, Guthikonda B.Spine and spinal cord trauma: diagnosis and management.Neurol Clin 2013;31(1):183-206.
- Lenehan B, Boran S, Street J, Higgins T, McCormack D, Poynton AR. Demographics of acute admissions to a National Spinal Injuries Unit. Eur Spine J 2009;18(7):938-42.
- Khorasani-Zavareh D, Mohammadi R, Khankeh HR, Laflamme L, Bikmoradi A, Haglund BJ. The requirements and challenges in preventing of road traffic injury in Iran.A qualitative study. BMC Public Health 2009;9:486.
- Rahimi-Movaghar V, Saadat S, Rasouli MR, Ganji S, Ghahramani M, Zarei MR, et al. Prevalence of spinal cord injury in Tehran, Iran. J Spinal Cord Med 2009;32(4):428-31.
- Moradi-Lakeh M, Rasouli MR, Vaccaro AR, Saadat S, Zarei MR, Rahimi-Movaghar V. Burden of traumatic spine fractures in Tehran, Iran. BMC Public Health 2011;11:789.
- Ditunno JF Jr, Young W, Donovan WH, Creasey G. The international standards booklet for neurological and functional classification of spinal cord injury. Paraplegia 1994;32(2):70-80.
- Santos EA, Filho WJ, Possatti LL, Bittencourt LR, Fontoura EA, Botelho RV.Epidemiology of severe cervical spinal trauma in the north area of SÃ£o Paulo City: a 10-year prospective study. Clinical article.J Neurosurg Spine 2009;11(1):34-41.
- Clayton JL, Harris MB, Weintraub SL, Marr AB, Timmer J, Stuke LE, et al. Risk factors for cervical spine injury.Injury 2012;43(4):431-5.
- Taghipour M, Kazemzadeh SE. Traumatic vertebral column and spinal cord injury in Nemazee hospital, Shiraz, 2002 :an epidemiological study.Armaghan Danesh J2005:11(4):55-62. [in Persian]
- FredÃ¸ HL,Rizvi SA,Lied B,RÃ¸nning P, Helseth E. The epidemiology of traumatic cervical spine fractures: a prospective population study from Norway.Scand J Trauma Resusc Emerg Med 2012;20:85.
- Ryan MD, Henderson JJ. The epidemiology of fractures and fracture-dislocations of the cervical spine.Injury 1992;23(1):38-40.
- Horlyck E, Rahbek M. Cervical spine injuries. Acta Orthop Scand 1974;45(6):845-53.
- ErdoÄan MÃ, AnlaÅ Demir S, KoÅargelir M, Colak S, ÃztÃ¼rk E. Local differences in the epidemiology of traumatic spinal injuries. Ulus Travma Acil Cerrahi Derg 2013;19(1):49-52.
- Yousefzadeh Chabok S, Safaee M, Alizadeh A, Ahmadi Dafchahi M, Taghinnejadi O, Koochakinejad L. Epidemiology of traumatic spinal injury: a descriptive study.Acta Med Iran 2010;48(5):308-11.
- Leucht P, Fischer K, Muhr G, Mueller EJ. Epidemiology of traumatic spine fractures. Injury 2009;40(2):166-72.
- Rush JK, Kelly DM, Astur N, Creek A, Dawkins R, Younas S, et al. Associated injuries in children and adolescents with spinal trauma. J Pediatr Orthop 2013;33(4):393-7.