SPINAL TRAUMA CLASSIFICATION AND PRINCIPLES OF TREATMENT: A RETROSPECTIVE STUDY OF 234 CASES

Amaç: tedavi uygulanan olguların retrospektif olarak yaş, cinsiyet, yaralanma nedeni, nörolojik durumu, kırık seviyesi, kırık tipi belirlemek, sonuçlarımızı literatürle karşılaştırmak ve tartışmaktır.Materyal Metod: Bu çalışma Ocak 2004-Aralık 2011 tarihleri arasında Spinal travmaya maruz kalan 234 hasta değerlendirilerek yapılmıştır. Servikal, Torakal ve Lomber bölge travmasına maruz kalan 234 hastanın hastaneye başvurduklarında çekilen Direkt Grafi, Bilgisayarlı Tomografi (BT) ve Magnetik Rezonans Görüntüleme (MRG) sonucunda her bir hastaya ayrı ayrı sınıflandırma yapılmıştır. Hastalar Üst Servikal, Alt Servikal, Torakal, Torakolomber ve Lomber bölge travmalarına göre 5 ayrı gruba ayrılmış, her bir grup kendi içinde değerlendirilmiştir.Sonuçlar: Çalışmamızda spinal travmaların en sık nedeni olarak motorlu taşıt kazaları ve en sık etkilenen bölgede torakolomber bölge ( T11-L1) bulunmuştur. Sonuç: Hastalara uygulanacak tedavinin belirlenmesinde genel bir sınıflama sisteminin kullanılması artık zorunlu hale gelmiştir

SPİNAL TRAVMALARDA SINIFLAMA VE TEDAVİ PRENSİPLERİ: 234 OLGULU BİR RETROSPEKTİF ÇALIŞMA

Objective: To determine the age, gender, reason of injury, neurological status, level of fracture, type of fracture of the cases that are hospitalized in our clinic due to spinal trauma and that are practiced medical or surgical treatment in a retrospective way and to compare the results with the literature and to discuss them.Material and Method: This research has been conducted in between January 2004 - December 2011 by evaluating 234 patients who were exposed to spinal trauma. They were exposed to cervical, thoracic and lumbar area. Trauma has been included to this research. A classification for each patient has been made separately according to the results of X-ray, computerized tomography and magnetic resonance imaging of patients, performed just after the patients consulted to the hospital. The patients have been classified in 5 groups according to upper cervical, lower cervical, thoracic, thoracolumbar and lumbar area traumas and each group has been evaluated in itself.Conclusion: In our research, the most frequent reason of spinal traumas has been determined to be motor vehicle accidents and the most affected area has been determined to be thoracolumbar area (T11-L1). Using a general classification system has turned to be compulsory in determining the treatment that is to be applied to the patient

Kaynakça

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