Journals / Türkiye Acil Tıp Dergisi / 2005 / Cilt: 5 - Sayı: 1

Retrospective evaluation of spinal cord injury victims presented to the emergency department

Acil servise başvuran spinal travmalı hastaların geriye dönük analizi

Pages
28–31
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Detailed evaluation and close monitoring of these patents in the emergency department is vital.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: The aim of study was to determine the cause, age, existence of neuro-deficits, presence of additional traumatic pathologies and segmental level of traumatic spinal cord injuries.
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Key Findings & Data:Material and Method: All 43 patients with traumatic spinal cord injuries admitted to the emergency department of an University hospital from January 2000 to december 2001 were included.
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Conclusion & Impact:Detailed evaluation and close monitoring of these patents in the emergency department is vital.
🔬Design:Research Article
📍Scope:2000 Verileri
⚙️Variables:Domain Parameters

Abstract

Introduction: The aim of study was to determine the cause, age, existence of neuro-deficits, presence of additional traumatic pathologies and segmental level of traumatic spinal cord injuries. Material and Method: All 43 patients with traumatic spinal cord injuries admitted to the emergency department of an University hospital from January 2000 to december 2001 were included. Data were obtained from medical files and studied retrospectively. Results: 43 patients were enrolled into the study; 25 (%58.1) were male and 18(%41.8) were female. Falls (%60) and road accidents (%34) were the main causes. The initial clinical level of injury was the cer­vical spine in %60 of the patients, the thoracic spine in %23 and the lumbar spine % 11. Mortality rate was %6.9. There was a neurological deficid on 14 (%32.6) patients. Conclusion: Demographic data, existence of neuro-deficits, presence of additional traumatic pathologies, segmental level of cord injuries of patients with spinal trauma were consistent with the literature. Detailed evaluation and close monitoring of these patents in the emergency department is vital.

Özet

Giriş: Bu çalışmada spinal kord yaralanmalarındaki yaş, nörolojik defisit, eşlik eden patoloji, yaralanan segmentin seviyesi araştırıldı. Gereç ve Yöntem: Bu geriye dönük çalışmada; Ocak 2000 ile Aralık 2001 tarihleri arasında Tıp Fakültesi Acil Tıp Anabilim Dalı acil servisine spinal kord yaralanması ile başvuran hasta dosyaları incelendi. Bulgular: incelenen 43 hastanın; 25'i (%58) erkek, 18'i (%42) kadındı. Yaralanma sebebi olarak 26 (%60) hastanın yüksekten düşme, 15 (%34) hastanın trafik kazası olduğu tespit edildi. Hastaların %60'ında servikal, %23'ünde torasik, %11'inde lomber seviyede kord yaralanması vardı. Çalışmada mortalite oranı % 6.9 olarak bulundu. 14 olguda %32.6 nörolojik defisit vardı. Sonuç: Bu çalışmadan elde edilen spinal travmalı hastaların demografik verileri, nörolojik defisit ve eşlik eden patoloji, yaralanan segmentin seviyesinin oranları literatürle uyumludur

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Cite This Article

YANDI, M., GÜNDÜZ, A., NARCI, H., TÜREDİ, S. (2022). Retrospective evaluation of spinal cord injury victims presented to the emergency department. Türkiye Acil Tıp Dergisi, Cilt: 5 - Sayı: 1, 28–31. https://ajindex.com/articles/626210

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References (1)

  1. Tintinalli JE. Emergency medicine:a comprehensive study guide. Fifth edition. Mac Graw Hill Book Comp. New Yortk, St Louis San Francis­co. 2000: 1645-1660. 2.Burney RE, Maio RF, Maynard F, et al: Incidence, characteristics, and outcome of spinal cord injury at trauma centers in Nort America. Arch Surgery 1983; 128:596. 3.Weiss. MH. Mid and lower cervical spine injuries Ch 212, Neurosur­gery Ed by:Wilkins R.H Rengachary S.S.Vol. 2: Mac Graw Hill Book Comp. New Yortk, St Louis San Francisco 1985: 1708. 4.Deen HG, Tolhin S. Combination Jefferson frakture of CI and type 2 odontoid frakture requiring surgery: Report of two cases. Nourosurgery 1989; 26: 293-297. 5.Clark K. Injuries to the cervical spine and spinal cord.Youmans JR(Ed). Neurological Surgery Vol 4.Philadephia: WB Saunders 1982: 2318-2337. 6.Huelke DF, O'day J, Mendelson RA. Cervical injuries.suffered in auto­mobile crashes. Neurosurgery 1981; 54: 316-322. 7.Meyer PR. Cervical spine: overview and conservative management Me­yer PR (Ed) Surgery of Spine Trauma New York: Livingstone. 1989: 341-395. 8.Weiss MD. Mid and lower cervical spine injuries. Wilkins RH.Rengachary SS (Eds). Neurosurgery vol 2 New York: Mc Graw Hill 1982: 1708-1716. 9.Hagen EM, Aarli JA, Gronning M. Patients with traumatic spinal cord injuries at the department of neurology, Haukeland Hospital 1952-99. Tidsskr Nor Laegeforen 2001; 121: 3273-5. 10.Burney RE, Maio RF, Maynard F, et al. Incidance, characteristics,and outcome of spinal cord injury at trauma centers in nort America. Arch Surg 1993; 128: 596-9 11.Pagliacci MC, Celani MG, Zampolini M. An Italian survey of trauma­tic spinal cord injury.The gruppo Italiano studio epidemiologico mielo-lesioni study. Arc Phys Med Rehabil 2003; 84: 1266-75. 12.Alker GJ Jr, Oh YS, Leslie EV. High cervical spine and craniocervical junction injuries in fatal traffic accidents: A radiological study. Orthop Clin North Am 1978; 9: 1003-10. 13.Bucholz RW, Burkhead WZ. The pathological anatomy of fatal atlantooccipital dislocations. J Bone Joint Surg Am 1979; 61: 248-50. 14.Zileli M, Övül İ, Tunçbay E. A prospective study on acute spinal injuri­es. Neurosurg Rev 1989; 12: 107-113. 15.Apuzzo ML, Heiden LS, Weiss MH, et al. Acute fractures of the odon­toid process. An analysis of 45 cases. J Neurosurg 1978; 48: 85-91. 16.Jakson AB, Dijkers M, DeVivo M, et al. A demographic profile of new traumatic spinal cord injury: Change and stability over 30 years. Arc phys MedRehabit'2004; 85: 1740-48. 17.Wagner