Retrospective Analysis of Spinal Fracture Cases in a Tertiary Hospital

Abstract

Objective: To evaluate the clinical and epidemiological profile of patients diagnosed with spinal fractures treated at Hospital Regional de São José Dr. Homero de Miranda Gomes (HRSJ), from the municipality of São José/SC, from March 2020 to March 2021. Methods: An observational study was carried out with a cross-sectional design and analysis of secondary data obtained by reviewing electronic medical records of patients diagnosed with spinal fractures treated during the study period. Associations of categorical variables were tested using Pearson’s chi-square test. The statistical significance level adopted was 5% (p<0.05). Results: 173 individuals participated in the study. There was a predominance of males, with 120 (70.5%) cases. The most frequent trauma was falling from a height (43.4%), followed by trauma from traffic accidents (37.6%). In the AO Classification, A1 was attributed in 35.8% of the cases, and the Frankel Scale had mostly E (90.8%). The approach to fractures was predominantly conservative (70.5%). The most injuries were in the lumbar spine (93). Conclusion: The risk group for spine fractures consists of young men, with a predominance of falls as a mechanism of trauma and lumbar involvement. It is necessary to establish preventive measures aimed at the public at risk. Since spine fractures are important determinants of morbidity and mortality in the population. Level of Evidence II; Type of study: Prognostic study.