Türkiye’de Doğu Anadolu bölgesinde spinal travmaların tanımlayıcı özellikleri: 3 yıllık retrospektif analiz

Year 2024, Volume: 17 Issue: 2, 359 - 368, 01.04.2024

Mürteza Çakır , Fatma Tortum , Kamber Kaşali

https://doi.org/10.31362/patd.1443672

Abstract

Amaç: Spinal travmaların etiyoloji, epidemiyoloji, mortalite, mortalite ile ilişkili tanımlayıcı özelliklerinin bilinmesi spinal travmaların tanı, tedavisini kolaylaştırabilir. Ayrıca önlenebilir nedenlerin ortadan kaldırılması ile görülme sıklığı azaltılabilir. Bu çalışmada da ülkemizde spinal travmaların tanımlayıcı özellikleri ve mortalite ile ilişkili durumların değerlendirilmesi amaçlandı.
Gereç ve yöntem: Çalışmamız üçüncü düzey bir hastanenin acil servisinde retrospektif olarak yapılmıştır. 2020-2023 yılları arasında hastanemiz acil servisine omurga travması nedeniyle başvuran hastaların verileri, çalışmaya dahil edilmek üzere hastane bilgi yönetim sisteminden elektronik hasta kayıtları taranarak elde edildi.
Bulgular: Çalışmamıza toplamda 1835 hasta dahil edilmiştir. Bu hastalardan 427 tanesi kadındı. Çalışmaya dahil edilen hastaların en sık acile başvuru şikâyeti düşme (n=1112) olarak gözlendi. Çalışmaya alınan hastalardan %52,8’inde (n=968) spinal travmaya eşlik eden başka bir yaralanma daha mevcuttu. Çalışmaya dahil edilen hastalardan %3,7’si (n=68) exitus olarak sonlanmıştır.
Sonuç: Ülkemizde en sık spinal travma nedeni düşmeler olup eşlik eden kafa travması ve toraks travması olması mortalite ile yakından ilişkilidir. Spinal travma ile erkekler daha sık acil servise başvururken mortalite oranı açısından her iki cinsiyet arasında bir fark bulunmamamıştır. Ayrıca spinal travma sonrasında en sık görülen vertebra fraktürü lomber vertebranın corpus ve processus spinosus kısımlarındadır.

Keywords

Vertebra fraktürü, spinal travma, etiyoloji, epidemiyoloji, Doğu Anadolu

Descriptive characteristics of spinal traumas in the Eastern Anatolia region of Türkiye: a 3-year retrospective analysis

Abstract

Purpose: Understanding the descriptive characteristics of traumatic spinal injuries such as etiology, epidemiology, mortality and their associations with mortality may facilitate the diagnosis and management of spinal traumas. Moreover, its incidence can be reduced through eliminating preventable causes. The present study aimed to assess the descriptive characteristics of spinal traumas and the conditions associated with mortality in our country.
Materials and methods: Our study was conducted retrospectively in the emergency service of a tertiary care hospital. Data of patients visiting to our hospital’s emergency room between 2020 and 2023 with spinal trauma, were obtained from the hospital information management system by scanning electronic patient records for inclusion in the study.
Results: A total of 1835 patients were included in our study, of which 427 (23.3%) were female and 1408 (76.7%) were male. The most common complaint of the included patients who presented to the emergency room was observed as falls (n=1112). 52.8% (n=968) of those patients with special traumas had other concomitant injury. 3.7% (n=68) of the included patients resulted in death.
Conclusion: Falls are the most common cause of special traumas in our country and concomitant head trauma and thoracic trauma are closely associated with mortality. While men are more frequently presented to the emergency room with special trauma, there has been no difference between both sexes in terms of mortality rate. Moreover, the most common vertebral fractures after spinal trauma occur in the parts of the corpus and spinous processes of the lumbar vertebrae.

Keywords

Vertebra fracture, spinal trauma, etiology, epidemiology, Eastern Anatolia

Ethical Statement

Ethical approval for this study was obtained from Ataturk University Faculty of Medicine Clinical Research Ethics Committee (Permission Date:21.02.2024, Permission number 1/43).

Supporting Institution

none

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