Epidemiology of Spinal cord Injury in references trauma center in Curitiba (Paraná, Brazil)

Abstract

Objective: To outline the clinical-epidemiological profile of patients who were victims of SCT, to identify the main trauma mechanisms for this injury and its outcome. Methods: Retrospective cross-sectional study, in which the epidemiological data, computed tomography reports and medical records of patients with fractures identified in their examinations at trauma reference hospitals in Curitiba-PR, in 2018, were analyzed. Results: 705 patients were studied. There was a male prevalence (64%), the most affected age group was 21 to 30 years old (18%), the mean age was 48.23 years, the mean female age being approximately 10 years higher. The main mechanisms were traffic accidents (34%), falls from a higher level (29%) and falls from the same level (25%). The most affected segment was the lumbar with 46% of cases. The incidence of surgical treatment was 15%, of spinal cord injury was 5%, and death was the outcome in less than 3% of cases. Conclusions: The profile of the patient victim of SCT in 2018 in Curitiba-PR was that of a young man, victim of a traffic accident with thoracolumbar involvement without spinal cord injury, under conservative treatment.Level of evidence II; Retrospective Study.

Spinal Fractures and Thoracoabdominal Injuries in Polytraumatized Patients: Epidemiological Evaluation

“…3 The epidemiological data from Curitiba show that patients with spinal cord injuries are more prevalent in young men aged 45 years, victims of traffic accidents. 4 A previous study in the United States showed that the estimated annual incidence of spinal cord injury was approximately 12,000 new cases in 2011, and the estimated number of people living with neurological sequelae is 232,000 to 316,000. 5 From the local perspective in the city of Curitiba, the previous epidemiological studies are concentrated in the early 2000s, with a need for a recent review, given the implementation of the whole--body tomography study in polytrauma patients who are seen in the emergency department, as well as the expansion and improvement of pre-hospital care.…”