blunt traumatic cervical spine fractures in iran在伊朗钝创伤性颈椎骨折.pdfVIP

Surgical Science, 2011, 2, 407-413 doi:10.4236/ss.2011.28089 Published Online October 2011 (http://www.SciRP.org/journal/ss) Blunt Traumatic Cervical Spine Fractures in Iran 1 1 2 1 Soheil Saadat , Aliashraf Eghbali , Alexander R. Vaccaro , Mahdi Sharif-Alhoseini , Vafa Rahimi-Movaghar1,3 1Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran 2Department of Orthopaedic Surgery , Thomas Jefferson University and Rothman Institute, Philadelphia, USA 3Research Centre for Neural Repair, University of Tehran, Tehran, Iran E-mail : v_rahimi@sina.tums.ac.ir Received April 4, 2011; revised August 25, 2011; accepted September 26, 2011 Abstract Background: Blunt traumatic cervical spine fractures (TCSF) are serious injuries which may be associated with considerable mortality and morbidity. We describe the epidemiology of blunt traumatic cervical spine fracture in Iran over a definable time period. Methods: in a cross-sectional study, the data including the dis- tribution of TCSF, demographics, mechanisms, abbreviated injury scale (AIS), spinal cord associated inju- ries and final outcome of patients, was extracted from the Iranian national trauma registry database in target hospitals in eight major cities of Iran from 1999 to 2004. The Chi square test was used to compare mortality and one-way ANOVA was used to compare ISS amongst the categories of TCSF. Results: TCSF was identi- fied in 120 cases, of these 70.8% were male. Their mean age was 36.6 ± 17.2 years. The overall incidence of TCSF among all trauma patients was 0.7% (95%CI: 0.61% - 0.88%). The TCSF incidence among all spine fractured patients was 19.3