Abstract
Background
The daily thoracolumbar fractures become more frequent and more severe because of the high urbanization and labor requirements is subject to the individual. Thoracolumbar spine injuries are of great importance for themselves, leaving a high morbidity, that is, residual functional disability leave despite its correction. Usually, a thoracolumbar injury, usually involving several segments, primarily affects the individual in the third and fourth decade of life, period of highest risk in the individual economically productive. Unfortunately, the prevalence of these lesions is subject to the presence of economic, cultural, demographic, without reports that reflect the reality etiology of these fractures thoracolumbar.
Research Question: What are the characteristics and incidence of thoracolumbar fractures in UMAE Hospital Dr. Victorio de la Fuente Narváez during the period 2004 to 2009?
Objective
This study aims to identify the characteristics and incidence of thoracolumbar fractures in UMAE Hospital Dr. Victorio de la Fuente Narváez during the period 2004 to 2009.
Methods
We reviewed all the records and medical records of patients seen during the years 2004 to 2009 with a diagnosis of thoracolumbar fractures, which have been treated at the Hospital UMAE Dr. Victorio de la Fuente Narváez and have required hospitalization. Data will be collected in catch sheet specially designed for this protocol (Appendix 1) emptying the information later in the database in Excel to perform estimates, final graphics performance.
Results
A total of 1,102 patients in the period from January 1, 2004 to December 31, 2009 which met the criteria of this research are the study sample. Of which, 754 (69%) were male and 345 (31%) were female. As the incidence is reported according to the copyright holder population aged 15 years, the unit per year was 1,361,122 in 2004; 1,841,004 in 2005; 1,871,122 in 2006; 1,989,014 in 2007; 2,345,379 in 2008; and 2,375,893 in 2009. Its average incidence was 8.71 per 100,000 population most affected segment was lumbar 712: 345 followed by thoracic, thoracolumbar 38, and 7 mixed. The most common levels were L1 397, L2 215, T12 63, L3 95, L4 76, T11 48, and T5 40. The most frequent type according to AO classification were: In 618 cases, 255 cases B, C 194 cases, and firearm injuries (PAF) 28 cases. Mixed (A + B, A + C, and B + C) seven cases. The most common subtype according to the AO classification was B1.2 (128), followed by A3.1 (108), the neurological condition are presented in this series, with complete neurological injury Frankel A 184, with partial neurological injury Frankel B 13, C 26 Frankel, Frankel D 43; and neurlogica unaffected Frankel E 834.