title: Presentation and outcome of traumatic spinal fractures.
abstract: BACKGROUND
  Motor vehicle crashes and falls account for most of the spine fractures with subsequent serious disability.
  
  
  OBJECTIVE
  To define the incidence, causes, and outcome of spinal fractures.
  
  
  METHODS
  Data were collected retrospectively from trauma registry database of all traumatic spinal injuries admitted to the section of trauma surgery in Qatar from November 2007 to December 2009.
  
  
  RESULTS
  Among 3712 patients who were admitted to the section of trauma surgery, 442 (12%) injured patients had spinal fractures with a mean age of 33.2 ± 12 years. The male to female ratio was 11.6:1. Motor vehicle crashes (36.5%) and falls from height (19.3%) were the leading causes of cervical injury (P = 0.001). The injury severity score ranged between 4 and 75. Nineteen percent of cases with cervical injury had thoracic injury as well (P = 0.04). Lumber injury was associated with thoracic injury in 27% of cases (P < 0.001). Combined thoracic and lumber injuries were associated with cervical injury in 33% of cases (P < 0.001). The total percent of injuries associated with neurological deficit was 5.4%. Fifty-three cases were managed surgically for spine fractures; 14 of them had associated neurological deficits. Overall mortalityrate was 5%.
  
  
  CONCLUSIONS
  Spine fractures are not uncommon in Qatar. Cervical and thoracic spine injuries carry the highest incidence of associated neurological deficit and injuries at other spinal levels. Young males are the most exposed population that deserves more emphasis on injury prevention programs in the working sites and in enforcement of traffic laws.
authors.affiliation: Department of Surgery, Section of Trauma Surgery, Hamad General Hospital, Doha, Qatar.
authors.forename: Ahmed
authors.initials: A
authors.lastname: El-Faramawy
authors.forename: Ayman
authors.initials: A
authors.lastname: El-Menyar
authors.forename: Ahmad
authors.initials: A
authors.lastname: Zarour
authors.forename: Kimball
authors.initials: K
authors.lastname: Maull
authors.forename: Jane
authors.initials: J
authors.lastname: Riebe
authors.forename: Krishna
authors.initials: K
authors.lastname: Kumar
authors.forename: John
authors.initials: J
authors.lastname: Mathew
authors.forename: Ashok
authors.initials: A
authors.lastname: Parchani
authors.forename: Hassan
authors.initials: H
authors.lastname: Al-Thani
authors.forename: Rifat
authors.initials: R
authors.lastname: Latifi