Spine injury in patients with polytrauma as a result of road traffic accidents. Report 1

S.E. Guriev, P.V. Tanasienko, K.V. Palagniuk

Abstract


Severe trauma is one of the serious health problems, the death toll exceeds 5 million people a year in the world, and this number is expected to exceed 8 million to 2020. Every year, 500,000 people are injured in the spine. The probability of early death of persons suffering from spinal trauma is 2–5 times higher, while in low- and middle-income countries, survival rates are lower. To solve the research problems, a retrospective analysis of 207 case reports of stationary patients with spinal injuries and polytrauma as a result of an accident was carried out. The conducted studies demonstrated that in the group of the recovered the young patients prevail: the age groups up to 20, 21–30 and 31–40 years was 58.0 % of the massif, while only 36.4 % in the group of the dead patients of this cohort. In the group of the deceased, the elderly patients prevailed: in the age groups over 61 years old there were 1.4 times more deceased persons compared to the recovered patients. Among the middle-aged victims aged 41–50 and 51–60 years old, spine injuries in polytrauma as a result of road accidents occurred more often in the group of the deceased and were found 1.6 times more often. Peculiarities of gender distribution in age groups were that both among women and men young people predominated, among men aged 31–40 years old, and among women aged 21–30 years old. Among the patients with spinal cord injury and polytrauma as a result of road accidents, persons of working age predominated: 86.0 % men and 91.7 % women. Spine injuries in polytrauma were found less often in the elderly persons (age groups 61–70 and ≥ 71), while among men they occurred 1.7 times more often.


Keywords


spine; polytrauma; injured; patients; road traffic accident

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DOI: https://doi.org/10.22141/1608-1706.3.18.2017.105363

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