The association between type of spine fracture and the mechanism of trauma: A useful tool for identifying mechanism of trauma on legal medicine field

Aghakhani, K. and Kordrostami, R. and Memarian, A. and Asl, N.D. and Zavareh, F.N. (2018) The association between type of spine fracture and the mechanism of trauma: A useful tool for identifying mechanism of trauma on legal medicine field. Journal of Forensic and Legal Medicine, 56. pp. 80-82.

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Background: Determining the association between mechanism of trauma, and the type of spine column fracture is a useful approach for exactly describing spine injury on forensic medicine field. We aimed to determine mechanism of trauma based on distribution of the transition of spinal column fractures. Methods: This cross-sectional survey was performed on 117 consecutive patients with the history of spinal trauma who were admitted to emergency ward of Rasoul-e-Akram Hospital in Tehran, Iran from April 2015 to March 2016. The baseline characteristics were collected by reviewing the hospital recorded files. Results: With respect to mechanism of fracture, 63.2 of fractures were caused by falling, 30.8 by collisions with motor vehicles, and others caused by the violence. Regarding site of fracture, lumbosacral was affected in 47.9, thoracic in 29.9, and cervical in 13.7. Regarding type of fracture, burst fracture was the most common type (71.8) followed by compressive fracture (14.5). The site of fracture was specifically associated with the mechanism of injury; the most common injuries induced by falling from height were found in lumbosacral and cervical sites, and the most frequent injuries by traffic accidents were found in thoracic site; also the injuries following violence were observed more in lumbar vertebrae. The burst fractures were more revealed in the patients affected by falling from height and by traffic accidents, and both burst and compressive fractures were more observed with the same result in the patients injured with violence (p = 0.003). Conclusion: The type of spine fracture due to trauma is closely associated with the mechanism of trauma that can be helpful in legal medicine to identify the mechanism of trauma in affected patients. © 2018

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: adolescent; adult; aged; Article; burst fracture; cervical spine; child; compressive fracture; cross-sectional study; disease association; falling; female; human; legal aspect; lumbosacral spine; major clinical study; male; medical record review; spine fracture; spine injury; thoracic spine; traffic accident; violence; compression fracture; Iran; middle aged; spine fracture; statistics and numerical data; very elderly; young adult, Accidental Falls; Accidents, Traffic; Adolescent; Adult; Aged; Aged, 80 and over; Child; Cross-Sectional Studies; Female; Fractures, Compression; Humans; Iran; Male; Middle Aged; Spinal Fractures; Violence; Young Adult
Subjects: WE Musculoskeletal System
Depositing User: eprints admin
Date Deposited: 19 Dec 2018 14:11
Last Modified: 17 Aug 2019 07:11

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