Retrospective Analysis of Patients Who Underwent Spinal Fusion Surgery

Abstract

Traumatic spinal fractures are seen frequently and decrease quality of life. Spinal cord injuries influence the patients’ life socially and financially. The level of the injury and the presence of the neurological deficit are significant in terms of treatment and prognosis. This study is a descriptive, retrospective, cross-sectional study. The aim of this study is to determine the incidence and functional outcome of the traumatic injuries of the spine in patients who went spinal fusion surgery with instrumentation in the period from January 1, 2013 to January 1, 2016, at the Neurosurgery Department of Van Yuzu ncu Yıl University. We observed that 71 of the patients were men and 31 were women. The most common causes of traumatic spine fractures were high energy falls 64 (63%) and traffic accidents 38 (37%). The distribution of the injuries by vertebral segments, there were 19 cervical (24%), 4 thoracolumbar (3%), 30 thoracic (23%), 47 lumbar (50%) fractures. 21 of 102 patients had multilevel fractures. The neurological deficits were categorized using ASIA Scale 14. (14%) patients had complete neurological deficit, 10 patients (10%) had incomplete neurological deficit, 78 (76%) patients had no neurological deficit. We can suggest that early stabilization did not also significantly improve the early preop ASIA score but improve the postop 6th Month ASIA score. Lumbar region is the most affected location of injury. Falling from height is common in this district because of the affected people are mostly construction workers and fastening seat belt in traffic accidents. © 2018, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.