Demographic study of patients with vertebral column trauma in North-West of Iran trauma center

Samad Shams Vahdati, Ozgur Tatli, Seyedpouya Paknejad, Neda Parnianfard, Ali Aygun


Background: Spinal Traumatic injuries is the major damage which is associated with morbidity and mortality rates. In this study the epidemiological characteristics of trauma, spine and their relationship to outcome were investigated. Methods: In this cross sectional study, patients’ information such as age, sex, type of injury, severity of injury, site of injury trauma who admitted to Imam Reza hospital from 29 march 2012 to 20 march 2014 were included. We used Chi-square tests to compare the types of injuries associated with the injury and regression methods. Results: The spinal trauma was identified in 105 cases, of which 9/61% were male. 1.18% of patients with incomplete injury, 5/10% 4/71% damage and no injuries were full. 6/48% of vehicle accidents, 22 cases (21%) of motorcycle accidents, 14 cases  3/13% due to the fall, the equivalent of 10 5/9% of pedestrian accidents, the equivalent of 5 7/4% injury 3 people with a knife and the rest of 9/2% were due to other causes. 6 people, equivalent to 2/9% were experiencing mortality. Type of injury, site of injury and injury severity was significantly associated with outcome. Conclusion: accidents caused by motor vehicles (cars and motorcycles) are the most common cause of trauma in spines in our country. Three factors as well as stable or unstable trauma, the severity of the initial injury and the injury as factors influencing outcome were obtained. According to the achievement of the emergency department in the early diagnosis, appropriate management such as surgery in preventing complications and improving outcome becomes more clear.


Trauma; Spine;

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Oliver, Susan. Oxford handbook of musculoskeletal nursing. Oxford University Press, 2009.

Ayers, Susan, et al., eds. Cambridge handbook of psychology, health and medicine. Cambridge University Press, 2007.

Grobbee, Diederick E., and Arno W. Hoes. Clinical epidemiology: principles, methods, and applications for clinical research. Jones & Bartlett Learning, 2009.

Feigin, Valery L., et al. "Incidence of traumatic brain injury in New Zealand: a population-based study." The Lancet Neurology 12.1 (2013): 53-64.

Reier, Paul J. "Cellular transplantation strategies for spinal cord injury and translational neurobiology." NeuroRx 1.4 (2004): 424-451.

Bedbrook, George M. The care and management of spinal cord injuries. Springer Science & Business Media, 2013.

Sommers, Marilyn S., and Ehriel Fannin. Diseases and disorders: A nursing therapeutics manual. FA Davis, 2014.

Waters, R.L., Adkins, R.H., Yakura, J.S., and Sie, I. (1993). Motor and sensory recovery following complete tetraplegia. Arch. Phys. Med. Rehabil. 74, 242–247.

Waters, R.L., Adkins, R.H., Yakura, J.S., and Sie, I. (1994a). Motor and sensory recovery following incomplete tetraplegia.

Arch. Phys. Med. Rehabil. 75, 306–311.

Waters, R.L., Adkins, R., Yakura, J., and Vigil, D. (1994b). Prediction of ambulatory performance based on motor scores derived from standards of the American Spinal Injury Association. Arch. Phys. Med. Rehabil. 75, 756–760.

Vahdati SS, GhafarZad A, Rahmani F, Panahi F, Rad AO. Patterns of road traffic accidents in north west of Iran during 2013 New Year Holidays: complications and casualties. Bulletin of emergency & trauma. 2014 Apr;2(2):82.

Bydon, Mohamad, et al. "The current role of steroids in acute spinal cord injury." World neurosurgery 82.5 (2014): 848-854.

Agarwal P, Upadhyay P, Raja K. A demographic profile of traumatic and non-traumatic spinal injury cases: a hospital-based study from India. Spinal cord. 2007 Sep 1;45(9):597-602.

Scaer, Robert. The body bears the burden: Trauma, dissociation, and disease. Routledge, 2014.

Hagen EM, Lie SA, Rekand T, Gilhus NE, Gronning M. Mortality after traumatic spinal cord injury: 50 years of follow-up. Journal of Neurology, Neurosurgery & Psychiatry. 2010 Apr 1;81(4):368-73.

Jackson, Amie B., et al. "A demographic profile of new traumatic spinal cord injuries: change and stability over 30 years." Archives of physical medicine and rehabilitation 85.11 (2004): 1740-1748.

Tator CH. Epidemiology and general characteristics of the spinal cordinjuredpatient.In:TatorCH,BenzelEC,eds.ContemporaryManagement of Spinal Cord Injury: From Impact to Rehabilitation, 3rd ed. Park Ridge, IL: American Association of Neurological Surgeons, 2000:15–9

Sekhon LH, Fehlings MG. Epidemiology, demographics, and pathophysiology of acute spinal cord injury. Spine. 2001 Dec 15;26(24S):S2-12.

Ala A, Vahdati SS, Seyyedghiasi G. Evaluation of Trauma Patient Transport via Emergency Medical Services in Tabriz. Trauma monthly. 2012 May;14(1):262-3.

Amiri H, Gholipour C, Mokhtarpour M, Vahdati SS, Aghdam YH, Bakhshayeshi M. Two-day primary trauma care workshop: early and late evaluation of knowledge and practice. European Journal of Emergency Medicine. 2013 Apr 1;20(2):130-2.

Amiri H, Vahdati SS. Two-Day Primary Trauma Care Workshop-İs it Beneficial?. Turkish Journal of Emergency Medicine. 2009;9(1):008-11.



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