Citation

Bemora JS, Rakotondraibe WF, Ramarokoto M, Ratovondrainy W, Andriamamonjy C. Pan. Afr. Med. J. 2017; 26: e16.

Vernacular Title

Aspects épidémiologiques des traumatismes du rachis: à propos de 139 cas.

Affiliation

Service de Neurochirurgie, Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona Université d'Antananarivo, Madagascar.

Copyright

(Copyright © 2017, African Field Epidemiology Network)

DOI

10.11604/pamj.2017.26.16.11350

PMID

28450995

PMCID

PMC5398269

Abstract

Spinal trauma is one of the most common types of injuries among victims of traffic accidents, sports accidents, domestic accidents and workplace accidents. We conducted a 3-year retrospective study of 139 cases of spinal trauma hospitalized and treated in the Neurosurgery department of the CHUJRA, Madagascar. This study shows that 25.17% of injured patients were between 21 and 30 years of age, with a clear male predominance (69.78%; sex ratio 2.3). Falls were the dominating traumatic injury mechanism (33.09%) with risk factors including alcohol use (8.63%). Spinal injuries occurred in patients with polytrauma, of whom 34.63% had cranial trauma. Patients were admitted to the department within 1-5 hours after the trauma in 31.65% of cases, using private car as their means of transport 36.69% of cases. During the hospitalization 20 patients signed the discharge form and 6.34% of patients died. Spinal trauma is a public health problem requiring high intensity management, especially for patients with life-long disabilities. Any spine trauma requires a diligent search for cranial lesion.

Language: fr

Keywords

Fall; head trauma; polytrauma; spinal trauma