[Home ] [Archive]    
:: Main Archive Search Submit Manuscript Publication Ethics Contact ::
:: Volume 4, Issue 1 (1-2019) ::
CJHR 2019, 4(1): 12-15 Back to browse issues page
Epidemiology of Traumatic Spinal Fractures and Spinal Cord Injuries in Guilan, North of Iran
Sara Ramezani1, Zahra Mohtasham-Amiri2, Leila Kouchakinejad-Eramsadati2, Hadiseh Shokatjalil2, Shahrokh Yousefzadeh-Chabok 3
1- Neuroscience Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
2- Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
3- Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran , sh.yousefzadeh@gmail.com
Abstract:   (376 Views)
Background: Epidemiological knowledge of traumatic spinal fractures and spinal cord injuries (SCIs) is essential for preventive planning and health policy-making. The present study was conducted to investigate the epidemiological features of traumatic spinal fractures and SCIs in Guilan province, Iran.
Methods: The present cross-sectional study was performed on all 15-80 years old patients with trauma admitted to Poursina Hospital from January 2015 to December 2017. The individual characteristics, time, place and mechanism of trauma and diagnostic characteristics of spinal trauma were gathered using trauma registry system. The incidence and epidemiological distribution of spinal fractures among traumatic patients were then estimated.
Results: The incidence of traumatic spinal fractures was found to be 0.6% in 2015, 0.3% in 2016 and 0.2% in 2017. The men to women ratio was 2.33:1. Motor Vehicle Accident (MVA) and falls were respectively the most common mechanisms of trauma and their incidence were higher in rural communities than in urban communities. There was significant relationships between mechanism of trauma and the site of vertebral fracture (P-value = 0.02). Lumbar vertebrae mostly caused by falls while cervical vertebrae caused by MVA. The incidence of SCI in all the patients with spinal fractures was 18.23% in 2015-17. SCIs were found to be more prevalent in 15-45 year olds compared to other age groups. Quadriplegia (54.83%) and paraplegia (38.7%) were the most prevalent SCI-induced types of paralysis. The incidence of SCI was significantly associated with the site of spinal fractures, although it was not associated with mechanism of trauma.
Conclusion: This study revealed that the incidence of spinal fractures were decreased in recent years and MVA is the major cause of spinal fractures. Preventive programs are recommended to focus on traffic engineering and the training of drivers and pedestrians, especially in high-risk populations.
Keywords: Epidemiology, Spinal cord injuries, Spinal fracture, Traffic accident, Trauma
Full-Text [PDF 539 kb]   (107 Downloads)    
Article Type: Original Contributions | Subject: Epidemiology
Received: 2018/10/26 | Accepted: 2018/12/2 | Published: 2019/01/1
1. Jackson AB, Dijkers M, Devivo MJ, Poczatek RB. A demographic profile of new traumatic spinal cord injuries: change and stability over 30 years. Arch Phys Med Rehabil. 2004;85(11):1740-1748. doi: 10.1016/j.apmr.2004.04.035. [DOI:10.1016/j.apmr.2004.04.035]
2. Rahimi-Movaghar V, Sayyah MK, Akbari H, Khorramirouz R, Rasouli MR, Moradi-Lakeh M, et al. Epidemiology of traumatic spinal cord injury in developing countries: a systematic review. Neuroepidemiology. 2013;41(2):65-85. doi: 10.1159/000350710. [DOI:10.1159/000350710]
3. Yousefzadeh Chabok S, Safaee M, Alizadeh A, Ahmadi Dafchahi M, Taghinnejadi O, Koochakinejad L. Epidemiology of traumatic spinal injury: a descriptive study. Acta Med Iran. 2010;48(5):308-311.
4. Sharif-Alhoseini M, Rahimi-Movaghar V. Hospital-based incidence of traumatic spinal cord injury in tehran, Iran. Iran J Public Health. 2014;43(3):331–341.
5. Albert T, Ravaud JF. Rehabilitation of spinal cord injury in France: a nationwide multicentre study of incidence and regional disparities. Spinal Cord. 2005;43(6):357-365. doi: 10.1038/sj.sc.3101717. [DOI:10.1038/sj.sc.3101717]
6. Chien LC, Wu JC, Chen YC, Liu L, Huang WC, Chen TJ, et al. Age, sex, and socio-economic status affect the incidence of pediatric spinal cord injury: an eleven-year national cohort study. PLoS One. 2012;7(6):e39264. doi: 10.1371/journal.pone.0039264. [DOI:10.1371/journal.pone.0039264]
7. Chiu WT, Lin HC, Lam C, Chu SF, Chiang YH, Tsai SH. Epidemiology of traumatic spinal cord injury: comparisons between developed and developing countries. Asia Pac J Public Health. 2010;22(1):9-18. doi: 10.1177/1010539509355470. [DOI:10.1177/1010539509355470]
8. Dahlberg A, Kotila M, Leppänen P, Kautiainen H, Alaranta H. Prevalence of spinal cord injury in Helsinki. Spinal Cord. 2005;43(1):47-50. doi: 10.1038/sj.sc.3101616. [DOI:10.1038/sj.sc.3101616]
9. Devivo MJ. Epidemiology of traumatic spinal cord injury: trends and future implications. Spinal Cord. 2012;50(5):365-372. doi: 10.1038/sc.2011.178. [DOI:10.1038/sc.2011.178]
10. Galvin J, Scheinberg A, New PW. A retrospective case series of pediatric spinal cord injury and disease in Victoria, Australia .Spine (Phila Pa 1976). 2013;38(14):E878-82. doi: 10.1097/BRS.0b013e318294e839. [DOI:10.1097/BRS.0b013e318294e839]
11. Kattail D, Furlan JC, Fehlings MG. Epidemiology and clinical outcomes of acute spine trauma and spinal cord injury: experience from a specialized spine trauma center in Canada in comparison with a large national registry. J Trauma. 2009;67(5):936-943. doi: 10.1097/TA.0b013e3181a8b431. [DOI:10.1097/TA.0b013e3181a8b431]
12. Kraft R, Dorstyn D. Psychosocial correlates of depression following spinal injury: A systematic review. J Spinal Cord Med. 2015;38(5):571-583. doi: 10.1179/2045772314Y.0000000295. [DOI:10.1179/2045772314Y.0000000295]
13. Munce SE, Straus SE, Fehlings MG, Voth J, Nugaeva N, Jang E, et al. Impact of psychological characteristics in self-management in individuals with traumatic spinal cord injury. Spinal Cord. 2016;54(1):29-33. doi: 10.1038/sc.2015.91. [DOI:10.1038/sc.2015.91]
14. Hagen EM. Acute complications of spinal cord injuries. World J Orthop. 2015;6(1):17-23. doi: 10.5312/wjo.v6.i1.17. [DOI:10.5312/wjo.v6.i1.17]
15. Kennedy P, Lude P, Taylor N. Quality of life, social participation, appraisals and coping post spinal cord injury: a review of four community samples. Spinal Cord. 2006;44(2):95-105. doi: 10.1038/sj.sc.3101787. [DOI:10.1038/sj.sc.3101787]
16. Collie A, Keating C, Pezzullo L, Gabbe B, Cooper J, Brown D, et al. Brain and spinal cord injury in Australia–economic cost and burden of disease. Inj Prev. 2010;16(Suppl 1):A25-A26. doi: 10.1136/ip.2010.029215.92. [DOI:10.1136/ip.2010.029215.92]
17. Economics A. The economic cost of spinal cord injury and traumatic brain injury in Australia. Report by Access Economics for the Victorian Neurotrauma Initiative. Canberra, Australia: Access Economics; 2009.
18. Krueger H, Noonan VK, Trenaman LM, Joshi P, Rivers CS. The economic burden of traumatic spinal cord injury in Canada. Chronic Dis Inj Can. 2013;33(3):113-122.
19. Priebe MM, Chiodo AE, Scelza WM, Kirshblum SC, Wuermser LA, Ho CH. Spinal cord injury medicine. 6. Economic and societal issues in spinal cord injury. Arch Phys Med Rehabil. 2007;88(3 Suppl 1):S84-88. doi: 10.1016/j.apmr.2006.12.005. [DOI:10.1016/j.apmr.2006.12.005]
20. Roberts TT, Leonard GR, Cepela DJ. Classifications In Brief: American Spinal Injury Association (ASIA) Impairment Scale. Clin Orthop Relat Res. 2017;475(5):1499-1504. doi: 10.1007/s11999-016-5133-4. [DOI:10.1007/s11999-016-5133-4]
21. Hagen EM, Rekand T, Gilhus NE, Grønning M. Traumatic spinal cord injuries--incidence, mechanisms and course. Tidsskr Nor Laegeforen. 2012;132(7):831-837. doi: 10.4045/tidsskr.10.0859. [DOI:10.4045/tidsskr.10.0859]
22. Somers MF. Spinal cord injury: functional rehabilitation. Upper Saddle River, NJ: Prentice Hall; 2001.
Send email to the article author

Add your comments about this article
Your username or Email:


XML     Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ramezani S, Mohtasham-Amiri Z, Kouchakinejad-Eramsadati L, shokatjalil H, Yousefzadeh-Chabok S. Epidemiology of Traumatic Spinal Fractures and Spinal Cord Injuries in Guilan, North of Iran. CJHR. 2019; 4 (1) :12-15
URL: http://cjhr.gums.ac.ir/article-1-109-en.html

Volume 4, Issue 1 (1-2019) Back to browse issues page
Caspian Journal of Health Research
Creative Commons License
Persian site map - English site map - Created in 0.16 seconds with 32 queries by YEKTAWEB 3960