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Volume 4, Issue 4 (Autumn 2018)
Iran J Neurosurg 2018, 4(4): 213-218 |
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Andalib S, Mohtasham-Amiri Z, Yousefzadeh-Chabok S, Saberi A, Emamhadi M, Kouchakinejad-Eramsadati L, et al . Traumatic Spinal Cord Injuries Due to Motor Vehicle Accidents. Iran J Neurosurg 2018; 4 (4) :213-218
URL: http://irjns.org/article-1-167-en.html
URL: http://irjns.org/article-1-167-en.html
Sasan Andalib * 
1, Zahra Mohtasham-Amiri2 , Shahrokh Yousefzadeh-Chabok1 , Alia Saberi3 , Mohammadreza Emamhadi4 , Leila Kouchakinejad-Eramsadati2 , Zohreh Norouzi2 , Hadiseh Shokat2 , Sara Sayad-Fathi3 , Samaneh Ghorbani-Shirkouhi3
1, Zahra Mohtasham-Amiri2 , Shahrokh Yousefzadeh-Chabok1 , Alia Saberi3 , Mohammadreza Emamhadi4 , Leila Kouchakinejad-Eramsadati2 , Zohreh Norouzi2 , Hadiseh Shokat2 , Sara Sayad-Fathi3 , Samaneh Ghorbani-Shirkouhi3
1- Guilan Road Trauma Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.; Neuroscience Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.; Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
2- Guilan Road Trauma Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
3- Neuroscience Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
4- Brachial Plexus and Peripheral Nerve Injury Center, Guilan University of Medical Sciences, Rasht, Iran
2- Guilan Road Trauma Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
3- Neuroscience Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
4- Brachial Plexus and Peripheral Nerve Injury Center, Guilan University of Medical Sciences, Rasht, Iran
Abstract: (4957 Views)
Background and Aim: Spine trauma is an important health problem. Traumatic Spinal Cord Injury (SCI) due to Motor Vehicle Accident (MVA) might have a different epidemiologic pattern in Guilan province of Iran owing to its geographical characteristics. Therefore, the present study was conducted to the study epidemiology of SCI injuries due to road accidents in a trauma referral center in Guilan.
Methods and Materials/Patients: In this cross-sectional study, we used data SCI registry of Poursina Hospital. All the patients with spine trauma, due to MVA, hospitalized in the trauma center of Poursina Hospital, Rasht, Guilan, Iran between March 2015 and March 2018 were studied.
Results: A total of 127 patients with spine trauma due to MVA were reviewed. The Mean±SD age of patients was 38.27±16.22 years. We observed that 93.7%, 1.6%, and 4.7% of the patients had initial Glasgow Comma Scale (GCS≥13, 9≤GCS≤12, and GCS<9, respectively). SCIs were found several anatomical regions including cervical (n=54, 42.5%), lumbar (n=39, 30.7%), thoracic (n=23, 18.1%), thoracic and lumbar (n=7, 5.5%), thoracic and cervical (n=3, 2.4%), and lumbar and cervical (n=1, 0.8%) regions. Evaluated by Glasgow Outcome Scale (GOS), good recovery, moderate disability, severe disability, vegetative state, and death were found in 114 (91.2%), 4 (3.1%), 4 (3.1%), 1 (0.8%), 2 (1.6%) of the patients, respectively. Two patients were discharged by their personal contest.
Conclusion: Spine trauma due to MVA is mostly seen in the young. SCI due to such trauma is mostly found in the cervical region. Good recovery was seen in most of the subjects.
Methods and Materials/Patients: In this cross-sectional study, we used data SCI registry of Poursina Hospital. All the patients with spine trauma, due to MVA, hospitalized in the trauma center of Poursina Hospital, Rasht, Guilan, Iran between March 2015 and March 2018 were studied.
Results: A total of 127 patients with spine trauma due to MVA were reviewed. The Mean±SD age of patients was 38.27±16.22 years. We observed that 93.7%, 1.6%, and 4.7% of the patients had initial Glasgow Comma Scale (GCS≥13, 9≤GCS≤12, and GCS<9, respectively). SCIs were found several anatomical regions including cervical (n=54, 42.5%), lumbar (n=39, 30.7%), thoracic (n=23, 18.1%), thoracic and lumbar (n=7, 5.5%), thoracic and cervical (n=3, 2.4%), and lumbar and cervical (n=1, 0.8%) regions. Evaluated by Glasgow Outcome Scale (GOS), good recovery, moderate disability, severe disability, vegetative state, and death were found in 114 (91.2%), 4 (3.1%), 4 (3.1%), 1 (0.8%), 2 (1.6%) of the patients, respectively. Two patients were discharged by their personal contest.
Conclusion: Spine trauma due to MVA is mostly seen in the young. SCI due to such trauma is mostly found in the cervical region. Good recovery was seen in most of the subjects.
Type of Study: Case report |
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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