Trauma raquimedular : incidencia y factor pronóstico de las complicaciones
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
En Ecuador los accidentes de tránsito con la principal causa de mortalidad y morbilidad en la sociedad económicamente productiva. De aquellos pacientes que sobreviven accidentes de tránsito muchos de ellos presentan lesiones traumáticas y entre las más severas por el grado de discapacidad presentada son las raquimedulares, pues el efecto de la fuerza ejercida a nivel vertebral se incrementa y es causa principal de luxo fracturas. En nuestro medio, no se han reportado estadísticas sobre cuál es la frecuencia de traumatismo raquimedular que acude al servicio de emergencia, ni de como estos pacientes se presentan al examen físico. Nuestro proyecto de titulación de manera retrospectiva analítica observacional determinando que en el año 2017 en el Hospital Teodoro Maldonado Carbo, se presentaron 42 casos de traumatismo raquimedular con afectación motora completa en el 71% y parcial 29%; disestesias en el 64%; cuya lesión predominante fue la luxación y fractura (52%) sobre C2 (30%), C4 (26%), y Dorso-Lumbar (20%)
In Ecuador, traffic accidents with the main cause of mortality and morbidity in the economically productive society. Of those patients who survive traffic accidents many of them have traumatic injuries and among the most severe because of the degree of disability presented are the spinal cord injuries, as the effect of the force exerted at the vertebral level increases and is the main cause of luxo fractures. In our setting, no statistics have been reported about the frequency of spinal trauma that goes to the emergency service, or how these patients present themselves for physical examination. Our retrospective analytical retrospective titling project determined that in the year 2017 at Hospital Teodoro Maldonado Carbo, there were 42 cases of spinal cord injury with complete motor involvement in 71% and partial 29%; dysesthesias in 64%; The predominant lesion was dislocation and fracture (52%) on C2 (30%),C4 (26%), and Dorso-lumbar(20%)
In Ecuador, traffic accidents with the main cause of mortality and morbidity in the economically productive society. Of those patients who survive traffic accidents many of them have traumatic injuries and among the most severe because of the degree of disability presented are the spinal cord injuries, as the effect of the force exerted at the vertebral level increases and is the main cause of luxo fractures. In our setting, no statistics have been reported about the frequency of spinal trauma that goes to the emergency service, or how these patients present themselves for physical examination. Our retrospective analytical retrospective titling project determined that in the year 2017 at Hospital Teodoro Maldonado Carbo, there were 42 cases of spinal cord injury with complete motor involvement in 71% and partial 29%; dysesthesias in 64%; The predominant lesion was dislocation and fracture (52%) on C2 (30%),C4 (26%), and Dorso-lumbar(20%)
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Traumatismos raquimedular, Morbilidad, Mortalidad, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador