Traumatic spinal cord and peripheral nerve injuries: correlation of trauma type with subsequent disability

IF 1.3 Q3 MEDICINE, LEGAL
Ahsen Kaya, Ender Senol, Engin Bayrakci, Hayrettin Altindag
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Abstract

Traumatic spinal cord and peripheral nerve injuries may lead to neurological deficits and fatal consequences. This study aimed to evaluate the characteristics of traumatic spinal cord and peripheral nerve injuries, examine the relationship between the type of injury and the affected nerves, and discuss appropriate prevention measures. Of these, 236 were males and 63 were females, and the mean age was 35.56 ± 15.10 years. Traffic accidents (56.9%) were the most common etiological factor. This study included 288 peripheral nerve injuries and 82 spinal cord injuries. The fibular nerve (n = 49) and cervical spinal cord (n = 35) were the most frequently injured areas. Permanent functional and sensorial losses associated with traumatic nerve injuries were observed in 239 (79.9%) cases, of which 171 exhibited loss of muscle strength, 114 presented with neuro-sensorial symptoms, 37 had urinary/faecal incontinence, and 1 demonstrated erectile dysfunction. And, the incidence of permanent loss of function was significantly higher following traffic accidents ( $$\chi$$ 2 = 50.095, Adj. p < 0.001). Peripheral and spinal nerve injuries play a crucial role in forensic investigations, providing valuable insights into the circumstances surrounding a crime or injury. Their significance extends to both criminal and civil proceedings, influencing legal strategies, determinations of liability, and the quantification of damages. In this study, especially traffic accidents were significantly associated with nerve injuries leading to permanent loss of function, and the type of trauma was associated with the nerves injured. Therefore, this study will contribute to criminal and civil proceedings.
创伤性脊髓和周围神经损伤:创伤类型与后续残疾的相关性
外伤性脊髓和周围神经损伤可能导致神经功能缺损和致命后果。本研究旨在评估外伤性脊髓和周围神经损伤的特征,研究损伤类型与受累神经之间的关系,并讨论适当的预防措施。本研究共收集了 236 名脊髓和周围神经外伤患者,其中男性 236 人,女性 63 人,平均年龄(35.56±15.10)岁。交通事故(56.9%)是最常见的致病因素。这项研究包括288例周围神经损伤和82例脊髓损伤。腓总神经(49 例)和颈脊髓(35 例)是最常见的受伤部位。在 239 例(79.9%)病例中观察到与创伤性神经损伤相关的永久性功能和感觉丧失,其中 171 例表现为肌力丧失,114 例出现神经感觉症状,37 例出现大小便失禁,1 例表现为勃起功能障碍。而且,交通事故后永久性功能丧失的发生率明显更高($$\chi$$ 2 = 50.095,Adj. p < 0.001)。周围神经和脊髓神经损伤在法医调查中起着至关重要的作用,为了解犯罪或伤害的相关情况提供了宝贵的线索。它们的意义延伸到刑事和民事诉讼中,影响着法律策略、责任认定和损害赔偿的量化。在本研究中,尤其是交通事故与导致永久性功能丧失的神经损伤密切相关,而创伤类型与损伤的神经相关。因此,本研究将有助于刑事和民事诉讼。
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
51
审稿时长
17 weeks
期刊介绍: Egyptian Journal of Forensic Sciences, the official publication of The International Association of Law and Forensic Sciences (IALFS), is an open access journal that publishes articles in the forensic sciences, pathology and clinical forensic medicine and its related specialities. The journal carries classic reviews, case studies, original research, hypotheses and learning points, offering critical analysis and scientific appraisal.
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