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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2024; 43(04): e372-e377
DOI: 10.1055/s-0044-1796659
Case Report

Thoracolumbar Fractures Due to Speed-Humps: A Case Series of Spine Fractures from an Atypical Cause of Injury

Fraturas toracolombares por lombadas: Uma série de casos de fraturas da coluna vertebral por uma causa atípica de trauma
Rogério P. Amorim
1   Division of Neurosurgery, Gaffrée and Guinle University Hospital (HUGG-Unirio/Ebserh), Rio de Janeiro, RJ, Brazil
,
Vinícius M. Henriques 
1   Division of Neurosurgery, Gaffrée and Guinle University Hospital (HUGG-Unirio/Ebserh), Rio de Janeiro, RJ, Brazil
,
Lucas L. Santos
1   Division of Neurosurgery, Gaffrée and Guinle University Hospital (HUGG-Unirio/Ebserh), Rio de Janeiro, RJ, Brazil
,
Fernando A. Vasconcelos
1   Division of Neurosurgery, Gaffrée and Guinle University Hospital (HUGG-Unirio/Ebserh), Rio de Janeiro, RJ, Brazil
,
Alexandre M. Schmidt
1   Division of Neurosurgery, Gaffrée and Guinle University Hospital (HUGG-Unirio/Ebserh), Rio de Janeiro, RJ, Brazil
,
Francisco L. Torrão
1   Division of Neurosurgery, Gaffrée and Guinle University Hospital (HUGG-Unirio/Ebserh), Rio de Janeiro, RJ, Brazil
,
Hebert S. Junqueira
1   Division of Neurosurgery, Gaffrée and Guinle University Hospital (HUGG-Unirio/Ebserh), Rio de Janeiro, RJ, Brazil
,
Carlos A. S. Moreira
1   Division of Neurosurgery, Gaffrée and Guinle University Hospital (HUGG-Unirio/Ebserh), Rio de Janeiro, RJ, Brazil
,
Vinícius G. Reis
1   Division of Neurosurgery, Gaffrée and Guinle University Hospital (HUGG-Unirio/Ebserh), Rio de Janeiro, RJ, Brazil
,
Fernando Guedes
1   Division of Neurosurgery, Gaffrée and Guinle University Hospital (HUGG-Unirio/Ebserh), Rio de Janeiro, RJ, Brazil
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Abstract

This retrospective case series investigates thoracolumbar fractures resulting from speed humps during bus travel in Rio de Janeiro. The study encompasses 19 patients who experienced such fractures between 2013 and 2021 without collision events. Factors examined included demographics, injury specifics, management strategies, and outcomes. The study aims to elucidate the prevalence, characteristics, and treatment of these injuries. Analyses were conducted using clinical evaluations, AOSpine classification, Visual Analog Scale (VAS) for pain, and TL AOSpine Injury Score (TL AOSIS). Surgical and non-surgical interventions were compared, highlighting the need for strict traffic regulations and preventive measures to mitigate such accidents. Results reveal a predominance of fractures in women, with a mean age of 61.26 years, and an emphasis on L1 vertebra involvement. Surgical intervention was required in over 50% of cases, demonstrating favorable outcomes. However, limitations due to the study's retrospective nature and the tertiary care setting were acknowledged. The study concludes by emphasizing the importance of preventive measures, such as stricter traffic regulations, mandatory seatbelt use in public transportation, and enhanced speed-hump safety measures to curtail these accidents and subsequent injuries.

Resumo

Esta série de casos retrospectiva investiga fraturas toracolombares resultantes de lombadas durante viagens de ônibus no Rio de Janeiro. O estudo abrange 19 pacientes que sofreram tais fraturas entre 2013 e 2021 sem eventos de colisão. Os fatores examinados incluíram dados demográficos especificidades da lesão estratégias de tratamento e resultados. O estudo visa elucidar a prevalência características e tratamento dessas lesões. As análises foram conduzidas usando avaliações clínicas classificação AOSpine Escala Visual Analógica (VAS) para dor e TL AOSpine Injury Score (TL AOSIS). Intervenções cirúrgicas e não cirúrgicas foram comparadas destacando a necessidade de regulamentações de trânsito rigorosas e medidas preventivas para mitigar tais acidentes. Os resultados revelam uma predominância de fraturas em mulheres com idade média de 61 26 anos e ênfase no envolvimento da vértebra L1. A intervenção cirúrgica foi necessária em mais de 50% dos casos demonstrando resultados favoráveis. No entanto limitações devido à natureza retrospectiva do estudo e ao cenário de cuidados terciários foram reconhecidas. O estudo conclui enfatizando a importância de medidas preventivas como regulamentações de trânsito mais rigorosas uso obrigatório de cinto de segurança no transporte público e medidas de segurança aprimoradas em lombadas para reduzir esses acidentes e ferimentos subsequentes.

Keywords

thoracolumbar fractures - spinal cord injuries - speed-hump - low back pain

Palavras-chave

fraturas toracolombares - lesões da medula espinhal - lombada - dor lombar


Publikationsverlauf

Eingereicht: 28. Oktober 2023

Angenommen: 21. Oktober 2024

Artikel online veröffentlicht:
11. Dezember 2024

© 2024. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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