write the comparison of findings that you just read" 15: The study aimed to determine the epidemiology of traumatic spine injuries in Kashan, Iran. It was a cross-sectional study that included 986 patients with traumatic spine injuries admitted to Shahid Beheshti hospital of Kashan University of Medical Sciences from 2014 to 2017. The majority of the patients were male (77%) and aged 15-30 years. Traffic accidents were the most common mechanism of injury (35.2%) followed by falls (26.95%). The lumbar section was the most common site of injury. The rate of spinal cord injury was 2.63% and the mortality rate was 2.3%. The study highlights the importance of understanding the epidemiology of traumatic spine injuries in order to create appropriate preventative measures.
16: This retrospective cross-sectional study analyzed 206 patients with cervical spine and cord injuries admitted to a trauma center in Shiraz, Iran. The majority of patients were male and the mean age was 37.2 years. The most common fracture location was C6 vertebra, with the upper cervical spine (C0-C1-C2) being affected in 64 cases and the lower in 205. Concomitant injuries included brain, lung, and abdominal injuries, as well as fractures of the face, skull, and other parts of the spine. Treatment options varied, with non-operative management being most common, followed by anterior and posterior decompression, fixation, and fusion. The mortality rate was 7.3%, with factors such as longer hospital stay, brain and lung injury, and cord injury associated with a higher risk of death. Patients with associate injuries (AOI) had a higher risk of death compared to those without AOI.
17: The study analyzed data from 127 patients with traumatic spinal cord injuries (TSCI) due to motor vehicle accidents (MVA) at Poursina Hospital, Iran between March 2015 and March 2018. The mean age of patients was 38.27 years, and 78% of the patients were male. Most accidents involved car/pickup truck collisions in urban areas with 48.8% of patients being car passengers and 32.3% being motorcyclists. SCIs were predominantly cervical and lumbar, with safety devices rarely used. The majority of patients had a Glasgow Comma Scale (GCS) of ≥13, and only a few had cardiovascular or respiratory diseases. Complications were rare, but pain was moderate. Good recovery was noted in 91.2% of patients upon discharge, with two patients being discharged with their consent.
18: The study aimed to describe the characteristics and outcomes of cervical spinal column and spinal cord injuries in patients admitted to Rajaee Trauma Hospital over a 30-month period. A retrospective cross-sectional study was conducted, and data was collected from the medical charts of 206 patients who had cervical spinal column and spinal cord injuries. The majority of patients were male (75.2%) with a mean age of 37.2±15.9 years. The most common site of fracture was C6 vertebra (29.1%), and the most commonly performed operation was anterior decompression, fixation, and fusion (21.4%). Fifteen patients (7.3%) died during hospitalization, and 11 patients (5.3%) were released before completing recovery. Longer hospital stay, brain and lung injury, and cord injury were significantly associated with an increased risk of death. Additionally, C7 fracture was found to differ significantly between patients with and without associated injuries.
9: This cross-sectional study surveyed medical records of 274 patients with spine trauma admitted to Poursina hospital trauma center in Rasht and enrolled in the Guilan trauma center spinal cord injuries’ registry between 2015 and 2019. The survey recorded demographic information, including age, sex, anatomical site of injury, type of injury, associated injuries, and neurological defects, using the American Spinal Injury Association impairment scale. The study found that of the 274 patients, 120 had lumbar SCI, 76 had cervical SCI, 50 had thoracic SCI, and 28 were unable to control their urine. The survey also noted the presence of locked facet in 12 patients and accompanying injuries in 75 patients, with a majority having limb fractures. Of the patients with accompanying injuries, 57 reported having pain. The median Visual Analogue Scores for patients with spine trauma and accompanying injuries was 6. Only three of the 103 patients with SCI had score A, while the rest of them had score E neurological defects.
This study aimed to investigate the incidence, demographics, causes, and characteristics of traumatic spinal cord injury (TSCI) in Tehran, Iran. The study was a retrospective hospital-based analysis of patients with TSCI admitted to governmental, private, and military hospitals of Tehran from March 2010 to July 2011. Of 867 patients with spine fracture, 138 (15.9%) had TSCI. The majority of TSCI patients were male, had a mean age of 33.2 ± 14.3 years, and were caused by road traffic accidents (24.6%) and falls (16%). The mean annual incidence of TSCI hospitalized patients was 10.5 per million populations per year. The most common site of the fracture was L1, and the most frequent level of injury was at thoracic segments (49.6%). Fall was more common than RTC. The majority of cases presented with paraplegia. The study also found that early surgery was done for 19% of the patients, and the median day of hospitalization was 12 days. Additionally, the study showed that private hospital fees were significantly higher than public ones."