Epidemiology Profile of Traumatic Spine Injury of a Spinal Cord Service in the State of Espírito SantoArticle in several languages: English | português
25 September 2015
23 November 2015
22 January 2016 (online)
Objective To analyze the epidemiological profile of patients with traumatic spinal cord injury (SCI) undergoing surgical procedures in the state of Espírito Santo, Brazil.
Methods A cross-sectional, descriptive study was performed based on the analysis of 70 medical records of patients who underwent surgery due to traumatic SCI in the state of Espírito Santo, Brazil.
Results Males comprised 79% of the patients. The average age of the occurrence of the traumatic SCI was 44 years; automobile accidents were the main cause of trauma (44%). Half of the patients had lesions in the cervical region, and 46% were classified as Frankel A, according to the Frankel scale. In the first 60 days after surgery, the main complication presented by the patients was urinary tract infection (UTI). Half of the patients were from the metropolitan area.
Conclusion Patients undergoing surgery for traumatic SCI in the state of Espírito Santo are predominantly men, with a mean age of 44 years, with cervical spine injury due to car accidents, from the metropolitan area, and whose main complication was UTI.
- 1 Silveira PR. Trauma raquimedular: diagnóstico e tratamento nas emergências. Rev Bras Med 2000; 78: 17-37
- 2 Frankel HL, Hancock DO, Hyslop G. , et al. The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia. I. Paraplegia 1969; 7 (03) 179-192
- 3 Yang R, Guo L, Wang P. , et al. Epidemiology of spinal cord injuries and risk factors for complete injuries in Guangdong, China: a retrospective study. PLoS One 2014; 9 (01) e84733
- 4 Sousa EPD, Araujo OF, Sousa CLM, Muniz MV, Oliveira IR, Neto NGF. Principais complicações do Traumatismo Raquimedular nos pacientes internados na unidade de neurocirurgia do Hospital de Base do Distrito Federal. Com. Ciênc Saúde (Porto Alegre) 2013; 24 (04) 321-330
- 5 Pereira CU, Carvalho LFP, Santos EAS. Complicações clínicas do traumatismo raquimedular: pulmonares, cardiovasculares, geniturinárias e gastrointestinais. Arq Bras Neurocir 2010; 29 (03) 110-117
- 6 Botelho RV, Albuquerque LDG, Junior RB, Júnio AA. Epidemiology of traumatic spinal injuries in Brazil: systematic review. Arq Bras Neurocir 2014; 33 (02) 100-106
- 7 Rahimi-Movaghar V, Sayyah MK, Akbari H. , et al. Epidemiology of traumatic spinal cord injury in developing countries: a systematic review. Neuroepidemiology 2013; 41 (02) 65-85
- 8 Stephan K, Huber S, Häberle S. , et al; TraumaRegister DGU. Spinal cord injury--incidence, prognosis, and outcome: an analysis of the TraumaRegister DGU. Spine J 2015; 15 (09) 1994-2001
- 9 Pereira CU, Jesus RM. Epidemiologia do Traumatismo Raquimedular. J Bras Neurocirurg 2011; 22 (02) 26-31
- 10 Hagen EM, Rekand T, Gilhus NE, Grønning M. Traumatic spinal cord injuries--incidence, mechanisms and course. Tidsskr Nor Laegeforen 2012; 132 (07) 831-837
- 11 Cadotte DW, Fehlings MG. Spinal cord injury: a systematic review of current treatment options. Clin Orthop Relat Res 2011; 469 (03) 732-741
- 12 Albert TJ, Kim DH. Timing of surgical stabilization after cervical and thoracic trauma. Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004. J Neurosurg Spine 2005; 3 (03) 182-190
- 13 Vaccaro AR, Daugherty RJ, Sheehan TP. , et al. Neurologic outcome of early versus late surgery for cervical spinal cord injury. Spine 1997; 22 (22) 2609-2613
- 14 Rutges JP, Oner FC, Leenen LP. Timing of thoracic and lumbar fracture fixation in spinal injuries: a systematic review of neurological and clinical outcome. Eur Spine J 2007; 16 (05) 579-587
- 15 Júnior MFS, Bastos BPR, Jallageas DN, Medeiros AAA. Perfil epidemiológico de 80 pacientes com traumatismo raquimedular, internados no Hospital do Pronto-Socorro Municipal de Belém, PA, no período de janeiro a setembro de 2002. J Bras Neurocirurg 2002; 13 (03) 92-98
- 16 Rahimi-Movaghar V, Saadat S, Rasouli MR. , et al. Prevalence of spinal cord injury in Tehran, Iran. J Spinal Cord Med 2009; 32 (04) 428-431
- 17 Pickett GE, Campos-Benitez M, Keller JL, Duggal N. Epidemiology of traumatic spinal cord injury in Canada. Spine 2006; 31 (07) 799-805
- 18 Calenoff L, Chessare JW, Rogers LF, Toerge J, Rosen JS. Multiple level spinal injuries: importance of early recognition. AJR Am J Roentgenol 1978; 130 (04) 665-669
- 19 Lee BB, Cripps RA, Fitzharris M, Wing PC. The global map for traumatic spinal cord injury epidemiology: update 2011, global incidence rate. Spinal Cord 2014; 52 (02) 110-116
- 20 Pagliacci MC, Franceschini M, Di Clemente B, Agosti M, Spizzichino L. ; GISEM. A multicentre follow-up of clinical aspects of traumatic spinal cord injury. Spinal Cord 2007; 45 (06) 404-410
- 21 www.es.gov.br/Banco%20de%20Documentos/mapas/Divisao-Regional_Macrorregioes.jpg