U.�.TIP FAK�LTES� �LK VE AC�L YARDIM SERV�S�NE BA�VURAN VERTEBRA VE / VEYA SP�NAL TRAVMALI HASTALARIN EP�DEM�YOLOJ�K VE PROGNOST�K �NCELENMES�

Arma�an, Erol; Al, G�ltekin; Erdem, Murat; �zg��, Halil; Tokyay, Rifat

Cilt : 30 Say� : 12 Y�l : 2024

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U.�.TIP FAK�LTES� �LK VE AC�L YARDIM SERV�S�NE BA�VURAN VERTEBRA VE / VEYA SP�NAL TRAVMALI HASTALARIN EP�DEM�YOLOJ�K VE PROGNOST�K �NCELENMES� [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2000; 6(2): 110-113

U.�.TIP FAK�LTES� �LK VE AC�L YARDIM SERV�S�NE BA�VURAN VERTEBRA VE / VEYA SP�NAL TRAVMALI HASTALARIN EP�DEM�YOLOJ�K VE PROGNOST�K �NCELENMES�

Erol Arma�an¹, G�ltekin Al¹, Murat Erdem¹, Halil �zg��¹, Rifat Tokyay¹
Uluda� �niversitesi, T�p Fak�ltesi, �lk ve Acil Yard�m ve Genel Cerrahi Ad

Vertebra ve spinal kord yaralanmas�, nadir g�r�lmeyen ve sonras�nda ortaya ��kan n�rolojik problemler nedeniyle olduk�a ciddi kay�plara neden olan bir travma t�r�d�r. Bu nedenle vertebra travmas�n�n epidemiyolojik ve prognostik y�z�n� inceleyen retrospektif bir �al��ma yapt�k. U.�.T. F �lk ve Acil Yard�m Servisine A�ustos 1996-May�s 1999 y�llar� aras�nda ba�vuran 1632 travma olgusu i�inde 46 (%2.8) olguda vertebra ve/veya spinal travmaya rastland�. Hastalar�n 23 tanesinde n�rolojik defisit saptan�rken, di�er 23 hastada n�rolojik muayene normaldi. N�rolojik muayenesinde patoloji saptanan ve interne edilen 19 hastan�n, 4'�ne (%21) konservatif tedavi uygulan�rken, 15 hasta (%79) cerrahi y�ntemlerle tedavi edildi. Cerrahi tedavi sonras�nda hi�bir hastada ek n�rolojik defisit ve komplikasyon geli�medi. Hastalar�n �nemli bir k�sm�nda k�smi d�zelme saptan�rken az say�daki olguda tam d�zelme g�r�ld�.

Anahtar Kelimeler: VERTEBRA TRAVMASI, SP�NAL YARALANMA, PROGNOZ

WITH VERTEBRAL AND / OR SPINAL INJURIES WHO WERE ADMITTED TO FIRST AID AND EMERGENCY ROOM AT MEDICAL SCHOOL OF ULUDA� UNIVERSITY

Erol Arma�an¹, G�ltekin Al¹, Murat Erdem¹, Halil �zg��¹, Rifat Tokyay¹
Uluda� �niversitesi, T�p Fak�ltesi, �lk ve Acil Yard�m ve Genel Cerrahi Ad

Vertebral and spinal cord injuries are not uncommon and can result in neurological deficits that beger significant losses, Looking from this vantage point, conducting a retrospective study, we evaluated the epidemiological and prognostic features of vertebral traumas. Between August 1996-May 1999, of 1632 cases presented following a traumatic incident, in 46 (2.8%) a vertebral and/or spinal trauma was found. In 23 patients neurological deficits were detected, whereas in the ocher23 patients neurological examination was pormal. Of 19 patients found to have neurological, pathologies and referned for further management, 4 (%21) received conservative therapy, whereas 15 (79%) patients underwent surgical procedures. Non of the patients developed additional neurological complications following surgery. A significant proportion of the patients had partial recover/,where as a few recovered completely.

Keywords: VERTEBRAL TRAUMA, SPINAL INJURY, PROGNOSIS

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