Evaluation of Traumatic Vertebra and Rib Fractures

Abstract

Background: In our study, we aimed to examine the relationship between trauma-related thoracic vertebral fractures and/or rib fractures location, age and gender. Methods: Between January 1, 2020 and December 31, 2020, 100 patients with trauma-related thoracic vertebral fracture and/or rib fracture were included in the study. Rib fractures and thoracic vertebral fractures were analyzed according to age, gender, level and fracture type. The correlation between rib and vertebral fractures was investigated. Results: 72% of the patients were male and 28% were female, mean age was 48.49 ± 18.83. Thoracic vertebral corpus fractures were detected most frequently in T8 in 22 patients and in T1 in at least 1 patient. Spinous process fracture was found to be highest in T2 with 9 patients, and 1 patient each in T5, T6, and T12. Transverse processes fracture was seen in T9 with a maximum of 5 patients. Rib fractures were observed more frequently on the right. Displaced rib fractures were most common in the 6th and 7th ribs, and non-displaced rib fractures were observed in the 5th ribs with 9 patients. Left rib fractures were most common in the 5th rib, with 6 displaced patients and 8 non-displaced patients. When the thoracic vertebral fractures and rib fractures were examined depending on the age variable, it was determined that the fractures in the T2 spinous, T3 spinous, T5 corpus and T8 vertebral corpus, and rib fractures in the right 4,6,8,10 and left 2 and 4 differ depending on the age variable (p<0.05). When thoracic vertebral fractures and rib fractures were analyzed depending on gender, a correlation was found between T7 vertebral body fractures and left 6th rib fractures (p<0.05). Conclusion: The coexistence of vertebral and rib fractures should be kept in mind in trauma patients, and plans for diagnosis and treatment should be made accordingly.

Variable selection in gender and age decision-making for traumatic spine and thoracic pathologies after various accidents with Multivariate Adaptive Regression Spline (MARS)

“…It is very important to determine the age and gender of the corpses that are not recognized in the discipline of forensic medicine. Tülüce and Altuntaş [19] reported that traumatic pneumothorax is a very important pathology that requires early intervention due to rib fractures and contusion, Ergün and Topuz [20] reported that mortality is high in fracture patients accompanied by a chest injury, Dumanli et al [7] emphasized that the coexistence of vertebral and costal fractures in trauma patients should be kept in mind, and diagnosis and treatment planning should be made accordingly. In this study, in light of the literature, criteria such as fractures or cracks, bruises and injuries in the body were reviewed while determining the first criteria to be considered in the estimation of gender and age.…”

“…40% of all trauma cases involve thoracic trauma, the third most frequent type of injury overall [3][4][5]. Thoracic injuries make up one-third of all trauma emergency and hospital admissions [5][6][7]. A tomographic image of the vertebral and rib fractures is shown in Figure 1.…”