Epidemiology and management of Cervical Spine Fractures in Mauritania.

Abstract

Introduction : Cervical spine fracture (CSF) is often caused by road accidents and falls. They are associated with signi icant morbidity and mortality. The primary goal of this retrospective study is to determine the incidence of Traumatic cervical spine fracture (CSF) in Mauritania, the epidemiological pro ile and also to evaluate the surgical management of these patients. Materials and Methods : A retrospective study of CSF over a 5‑year period of time from August 1, 2011 to July 31, 2016, involving patients who have a cervical spine trauma (CST). Results : A total of 77 patients with CSF were included in the study. The mean age was 42.5±13.8 years, with a range of 15–80 years, and the male/female ratio was 3.8:1. The most affected age group is 16‑25 years old (n = 20, 26%). The most common mechanisms of injury were motor vehicle accidents (MVA) (n=60; 80%). The incidence rate of cervical spine fractures in Mauritania is estimated at 1.84 / 100,000. The common distribution of vertebral lesions is C5‑6 and C6‑7. The associated lesions were, thoracic trauma: (n= 9; 12%) and head injury (n= 7; 9%). The conservative treatment was performed in 21 patients (27 %). The Surgical treatment was performed in 46 patients (n= 46; 60%). Ten patients (13%) died before they reach surgery. Forty‑six patients were operated (60%). We reported one error of level, and one oeso‑tracheal istula. All Patients were seen again at one month and at six months evaluated by ASIA impairment scale, and radiologically. Conclusion : The cervical spine is the most commonly injured spinal segment in Mauritania. This documented study could be useful in preventing and managing trauma by giving us clues and general insights into trauma