MULTIPLE VERTEBRAL FRACTURES AT THE “DR. MANUEL DUFOO” SPINE CLINIC

• Main Authors: Collado Arce María Griselda Lizbeth, García López Ozcar Felipe, Dufoo Olvera Manuel, López Palacios José de Jesús, Goméz Flores Gerson, Ladewig Bernaldez Guillermo Iván, Oropeza Edith, Treviño Rivera Marco Antonio, May Martínez Erick, Silvas Vazquez Martín Rodrigo, Pérez Jacobo Guillermo, Garcia Roman Carlos Mariano, Gonzalez Ruiz Oscar Omar
• Format: Article
• Language: English
• Published: Sociedade Brasileira de Coluna (SBC)
• Series: Coluna/Columna
• Subjects: Fracturas múltiples; Trauma; Lesión
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000200143&lng=en&tlng=en

ABSTRACT Objective: To establish the frequency of presentation of multiple vertebral fractures and evaluate the relationship between the postsurgical condition and the initial neurological lesion, as well as to report the associated injuries in this group of patients. Methods: We conducted a review of patients with spinal trauma and a diagnosis of multiple vertebral fractures who were admitted to the “Dr. Manuel Dufoo Olvera” Spine Clinic of the Secretary of Health of Mexico City from January 1,2014 to June 30, 2017. The multiple fractures were classified as either contiguous or non-contiguous, according to the number of vertebral bodies and levels affected. The statistical analysis was conducted using formulas of descriptive statistics and the information was then tabulated and graphed to assess the relationship between the anatomical classification and the degree of neurological injury. Results: We observed 530 patients, of whom 47 met the criteria. Thirty-one (65.95%) of the cases corresponded to contiguous fractures and 16 cases (34.05%) to non-contiguous fractures. Fourteen patients (29.78%) with neurological integrity were classified as ASIA D, 20 patients (42.58%) with complete lesion as ASIA A, 7 seven patients (14.89%) as ASIA B, and 6 patients (12.76%) with partial injury as ASIA C. Conclusions: The correlation between the classification of vertebral injuries and the presence of neurological lesion did not show significant differences between contiguous and non-contiguous fractures. Level of Evidence II; Retrospective.