Multiple Vertebral Fractures

DOI: https://doi.org/10.15417/issn.1852-7434.2022.87.1.1407
Keywords: Spine, trauma, vertebral injuries, associated injuries, kinematics, injury pattern.

Abstract

Background: Multiple vertebral fractures (MVF) are the result of high-energy trauma. These can be contiguous (CMVF) when there is a fracture of two or more vertebral bodies in an adjacent way and non-contiguous (NCMVF) when there are lesions of various levels separated by at least one vertebra without injury. Objective: To evaluate clinical features and kinematics, establish distribution, evaluate association with extra-vertebral injuries, detail complications. Materials and Methods: A multicenter, prospective, and observational study. Patients with MVF. Results: Sixty-six patients presented 196 vertebral lesions, without neurological deficit in 55; 26 were women and 40 were men, with an average age of 39 years old. Kinematics: 32 car accidents, 27 falls from height, 5 direct traumas and 2 sports traumas. Topography: 2 C0-C3, 4 C3-C7, 8 C7TT1, 61 T1-T10, 91 T10-L2, 28 L2-L5 and 1 sacrum. Combination: 21 thoracolumbar-thoracolumbar and 8 thoracic-thoracic. There were 32 contiguous injuries, 19 non-contiguous injuries, and 15 mixed-pattern injuries. Twenty-six patients presented 47 extra-verterbral injuries (20 multiple trauma, 12 thoracic trauma). 36 patients received non-surgical treatment and 30 patients underwent surgery. Conclusion: The presence of MVF in spinal cord trauma is frequent, most do not show neurological involvement and are consequences of motor vehicle accidents. The most affected sector was between T2 to L5, the most frequent combination was thoracolumbar-thoracolumbar, followed by thoracic-thoracic; the most frequent were extra-vertebral injuries, mainly head and chest trauma. Complications: one patient hadincreased kyphosis; one, surgical site infection; and one patient died.

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Author Biographies

Pedro Luis Bazán, Spinal Pathology Unit, Orthopedic and Traumatology Service, Acute Care Hospital “General San Martín”, La Plata, Buenos Aires, Argentina
Spinal Pathology Unit, Orthopedic and Traumatology Service, Acute Care Hospital “General San Martín”, La Plata, Buenos Aires, Argentina
Richard Alejandro Avero González, Spine Team, Sanatorio Modelo de Quilmes, Buenos Aires, Argentina
Spine Team, Sanatorio Modelo de Quilmes, Buenos Aires, Argentina
Luis Patalano, Orthopedics and Traumatology/Spine Service, Clínica de Fracturas y Ortopedia, Mar del Plata, Buenos Aires, Argentina
Orthopedics and Traumatology/Spine Service, Clínica de Fracturas y Ortopedia, Mar del Plata, Buenos Aires, Argentina
Álvaro Enrique Borri, Spinal Pathology Unit, Orthopedic and Traumatology Service, Acute Care Hospital “General San Martín”, La Plata, Buenos Aires, Argentina
Spinal Pathology Unit, Orthopedic and Traumatology Service, Acute Care Hospital “General San Martín”, La Plata, Buenos Aires, Argentina
Martín Medina, Spinal Pathology Unit, Orthopedic and Traumatology Service, Acute Care Hospital “General San Martín”, La Plata, Buenos Aires, Argentina
Spinal Pathology Unit, Orthopedic and Traumatology Service, Acute Care Hospital “General San Martín”, La Plata, Buenos Aires, Argentina
Carlos Cortés Luengo, Orthopedics and Traumatology Service, Instituto Traumatológico de Santiago, Chile
Orthopedics and Traumatology Service, Instituto Traumatológico de Santiago, Chile
Edgar Enrique Gutiérrez, Spine Unit, Sanatorio ITO, Posadas, Misiones, Argentina
Spine Unit, Sanatorio ITO, Posadas, Misiones, Argentina
José Carlos Soria Adaro, Spine Team, Orthopedics and Traumatology Service, Clínica Francesa, Mendoza, Argentina
Spine Team, Orthopedics and Traumatology Service, Clínica Francesa, Mendoza, Argentina
Nicolás Maximiliano Ciccioli, Spine Sector, Clínica Pueyrredón, Mar del Plata, Buenos Aires, Argentina
Spine Sector, Clínica Pueyrredón, Mar del Plata, Buenos Aires, Argentina
Joel Acevedo Yoga, Spinal Surgery Sector, Centro Médico Carolina de Jesús, Santo Domingo, Dominican Republic
Spinal Surgery Sector, Centro Médico Carolina de Jesús, Santo Domingo, Dominican Republic

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Published
2022-02-14
How to Cite
Bazán, P. L., Avero González, R. A., Patalano, L., Borri, Álvaro E., Medina, M., Cortés Luengo, C., Gutiérrez, E. E., Soria Adaro, J. C., Ciccioli, N. M., & Acevedo Yoga, J. (2022). Multiple Vertebral Fractures. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(1), 51-56. https://doi.org/10.15417/issn.1852-7434.2022.87.1.1407
Issue
Vol 87 No 1 (2022)
Section
Clinical Research
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