EPIDEMIOLOGICAL PROFILE OF PATIENTS WITH VERTEBRAL TRAUMA AT A REFERENCE CENTER IN THE AMAZON

ABSTRACT Objective To analyze the epidemiological profile of patients with vertebral trauma treated at a medical reference center at the state of Pará, Northern Brazil. Methods A quantitative and retrospective study conducted at Hospital Metropolitano de Urgência e Emergência (HMUE) in Ananindeua, Northern Brazil, from January 2020 to March 2020, using medical records of patients admitted to the hospital from January 2018 to December 2019. Results Data from 270 medical records from the orthopedic and trauma sector of the hospital were analyzed. Conclusion The predominant profile was male patients, aged between 20 and 29 years, with low social conditions, presenting compressive lesions of lumbar vertebrae, submitted to conservative intervention, with hospital stays of 8 to 30 days, and evolving to complete recovery without sequelae. Level of evidence II; Retrospective Study.

Benefit of dorsal laminectomy without lumbosacral stabilization in lumbosacral traumatic cat

Two cats were diagnosed with depression of caudal equina spinal nerve and lumbosacral spinal trauma that revealed rapid improving clinical signs after 1 month of dorsal laminectomy at the region of lumbar and sacral vertebrae without internal and external stabilization devices. This report showed that dorsal laminectomy was a powerful procedure for decompression caudal equina spinal injuries in stable lumbosacral vertebral trauma in cats without ancillary fixation methods. Dorsal laminectomy is valuable technique for correction of fracture/luxation of vertebrae that this procedure can reduce spinal cord edema, and axonal disruption. Stabilization of vertebrae by the orthopedic implants may be not necessary in small cat that has enough vertebral stability as the same in two these cases.

Abdominal bleeding in victims with abdominal-vertebral injury as a result of road accidents

One of the main factors for increasing mortality from injuries and injuries is road traffic injuries. With a combined and isolated abdominal trauma, the operational activity reaches 88%, significantly exceeding that in injuries of the limbs, pelvis, chest and head injuries. The purpose of our work was to reduce the lethality of internal bleeding in victims of abdominal-vertebral trauma as a result of an accident by improving medical diagnostic tactics and provision of emergency surgical care. We analyzed the treatment of 122 victims with abdominal-vertebral trauma as a result of an accident, were hospitalized in the Kiev City Clinical Emergency Hospital for the period from 2013–2017. Abdominal bleeding of different volume in case of concomitant abdominal-vertebral injury as a result of an accident occurs in 37.4% of cases and is shocking in 57.4% of cases. The main source of hemoperitoneum is damage to the parenchymal abdominal organs. A feature of spleen and liver injury is the weak correlation between the mechanism of combined trauma and the degree of damage to the parenchymal abdominal organs.

Epidemiology of orthopaedic trauma in Istanbul level 3 private hospital

Background: The distribution of patients who were admitted to the hospital for trauma depends on the location of hospital and the distribution of the population where the hospital is located. The aim was to answer the question regarding the distribution of orthopaedic traumas which were admitted to the emergency service of level 3 a private hospital and to be able to shed light on necessary training and equipment for the aforementioned emergency departments.Methods: The distribution of the patients who were admitted to level 3 private hospital for a year was analyzed retrospectively. The patients who admitted between January 2014 and January 2015 were divided into subgroups as upper extremity, lower extremity, vertebral disk pathology, vertebral trauma, infection and soft tissue trauma, accompanying thoracic trauma and then they were taken into consideration.Results: A total of 1538 patients admitted during a 12-month period. The number of the patients with upper extremity trauma was 539 while that of lower extremity was 423. There were 365 patients with vertebral trauma which was followed by 94 patients with pelvic trauma. The remaining patient group had thoracic trauma.Conclusions: The patients aged between 30-39 years constituted the majority of the cases in present study. The upper extremity injuries were predominant. Also, the number of male patients was higher in every month. The center where the hospital is located plays an important role in determining the age group and type of trauma.