Profile of patients with thoracolumbar spine injuries: A descriptive study

Abstract

Introduction: Thoracic spine is much stiffer than the lumbar spine in sagittal plane. This restricts lateral flexion- extension. This is due to restraining effects of the rib cage, and the relatively thinner discs of the thoracic spine, which restrict the arc of motion. Rotation about the craniocaudal axis is greater in the thoracic spine. Methodology: All patients were initially evaluated in the out-patient department or casualty according to their presentation and then they underwent detailed assessment of their hemodynamics, spine, neurological status and other injuries if associated with trauma. Results: L1 was the commonest site of fracture followed by T12, L4, L2.L3, T11 and T5. Overall thoracolumbar junction showed highest incidence of fracture. Conclusion: Commonest mode of injury was Road traffic accident followed by fall from height.