Journal Information
Vol. 28. Issue 4.
Pages 183-189 (July - August 2017)
Share
Share
Download PDF
More article options
Visits
22
Vol. 28. Issue 4.
Pages 183-189 (July - August 2017)
Investigación clínica
Lesión medular secundaria a zambullida en Canarias
Spinal cord injuries resulting from diving accidents in the Canary Islands
Visits
22
Enrique Bárbara-Batallera,
Corresponding author
ebb31604@hotmail.com

Autor para correspondencia.
, José Luis Méndez-Suáreza, Carolina Alemán-Sáncheza, Jesús Sánchez-Enríqueza, Manuel Sosa-Henríquezb
a Unidad de Lesionados Medulares, Servicio de Rehabilitación, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, España
b Instituto Universitario de Investigaciones Biomédicas y Sanitarias, Grupo de Investigación en Osteoporosis y Metabolismo Mineral, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, España
This item has received
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Tables (1)
Tabla 1. Características de los pacientes
Resumen
Objetivo

La zambullida es una de las principales causas de lesión medular, tras las caídas y los accidentes de tráfico. El objetivo de este estudio es conocer las características epidemiológicas y clínicas de estos pacientes en nuestro medio para realizar una mejor prevención.

Material y métodos

Se ha realizado un estudio descriptivo retrospectivo de los pacientes que han sufrido una lesión medular de origen traumático tras una zambullida en la comunidad autónoma canaria desde el 2000 hasta el 2014 y que ingresaron en la Unidad de Lesionados Medulares del Hospital Universitario Insular de Gran Canaria.

Resultados

De los 264 pacientes que ingresaron en nuestra unidad por una lesión medular traumática aguda, 23 (8,7%) fueron por una zambullida. Si se agrupan los pacientes por quinquenios, entre el 2000 y el 2005 se produjeron el 56% de las lesiones, entre el 2006 y el 2010 el 17% y entre el 2011 y el 2014 el 26%. Todos los pacientes eran varones, con una media de edad de 29años. El 65% eran menores de 30años. Veintidós de 23 pacientes sufrieron una fractura vertebral C5 —el nivel vertebral más afectado— y la fractura aplastamiento fue la más prevalente. El 86% fueron intervenidos quirúrgicamente. Todas las lesiones medulares fueron cervicales, siendo C6 el nivel neurológico afectado con más frecuencia. El 65% presentaban una lesión medular completa.

Conclusiones

Las lesiones medulares tras una zambullida son la tercera causa de lesión medular traumática en nuestro medio. Afecta a varones jóvenes, y la presentación clínica más frecuente es una lesión medular cervical completa. Dado el carácter irreversible de la lesión, es de gran importancia la prevención, dirigida principalmente a la población juvenil.

Palabras clave:
Lesión medular
Trauma cervical
Zambullida
Fractura vertebral
Prevención
Abstract
Objective

Diving accidents is one of the leading causes of spinal cord injury after falls and car accidents. The objective of this study was to determine the epidemiological and clinical characteristics of these patients in our setting to better prevent these injuries.

Material and methods

We performed a retrospective, descriptive study of patients who have suffered from a traumatic spinal cord injury after a diving accident in the Canary Islands, Spain from 2000 to 2014. These patients were admitted to the Spinal Cord Unit of Hospital Universitario Insular de Gran Canaria.

Results

Of the 264 patients admitted to our unit for acute traumatic spinal cord injury, 23 (8.7%) cases were due to diving. Grouping the patients into 5years periods, 56% of the injuries occurred in 2000-2005, 17% in 2006-2010 and 26% in 2011-2014. All patients were male, with a mean age of 29years. Approximately 65% were under 30years. A total of 22/23 patients had a fracture and injury most commonly occurred to the C5 vertebra. Burst fractures were the most common. A total of 86% of cases underwent surgery. All the spinal cord injuries were cervical, with C6 being the neurological level most often affected. A total of 65% of spinal cord injuries were complete injuries.

Conclusions

Spinal cord injury secondary to diving accidents is the third leading cause of traumatic spinal cord injury in our setting. It affects young males and the most common clinical presentation is a complete cervical spinal cord injury. Given the irreversible nature of the injury, prevention, aimed mainly at young people, is of great importance.

Keywords:
Spinal cord injury
Cervical trauma
Diving accident
Spinal fracture
Prevention

Article

These are the options to access the full texts of the publication Neurocirugía (English edition)
Member
Member of the Sociedad Española de Neurocirugía

If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Neurocirugía (English edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Neurocirugía (English edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?