TY - JOUR PY - 2011// TI - Work-related traumatic spinal cord lesions in Chile, a 20-year epidemiological analysis JO - Spinal Cord A1 - Correa, G. I. A1 - Finkelstein, J. M. A1 - Burnier, L. A. A1 - Danilla, S. E. A1 - Tapia, L. Z. A1 - Torres, V. N. A1 - Castillo, J. C. SP - 196 EP - 199 VL - 49 IS - 2 N2 - STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To describe the characteristics of patients with work-related traumatic spinal cord injuries (TSCI) in Chile. SETTING: Hospital del Trabajador in Santiago, Santiago, Chile. METHODS: Patients suffering from TSCI incurred at the workplace from 1986 to 2005 were identified through records of the Asociación Chilena de Seguridad (ACHS, Chilean Safety Association). RESULTS: The medical records of 173 patients, 172 men and 1 woman, were analyzed. The yearly average incidence was 7.8 per million workers. Age at TSCI onset was 38.2 ± 12.1 years. The principal external causes for TSCI incurred at the workplace were falls from a height in 86 cases (49.7%) and trauma blows to the vertebral spine in 61 cases (35.3 %). More falls occurred in the field construction, and other traumas occurred as a result of traumatic blows caused by tree trunks and stones in forestry and mining sectors. Mortality in this series was 8.7%, and the worst prognosis was for older patients with complete tetraplegia. The paraplegia:tetraplegia ratio was 3.2:1. CONCLUSIONS: The characteristics of workplace TSCI are specific to this population. It is important therefore to develop prevention programs for specific work-related TSCI.
Language: en
LA - en SN - 1362-4393 UR - http://dx.doi.org/10.1038/sc.2010.71 ID - ref1 ER -