الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The thoracic spine vertebrae from T1 to T10 have unique anatomical and biomechanical features which require special care when evaluating patients with spinal column fractures. The majority of spinal fractures occur in the dorsolumbar and the lumbar region, with injuries between T11 and L1 being the most frequent.
This study reported the incidence of skeletal and extraskeletal injuries associated with high energy fractures of the dorsal and lumbar spine in patients admitted to the ER of Alexandria Main University Hospital over the entire year of 2020 and their total number was 94 patients. All patients were subjected to thorough clinical and radiological examination and the AO classification system for thoracolumbar injuries was used.
The majority of patients included in the study were among the age group between 20 to 30 years old. The study showed higher incidence of traumatic thoracic and lumbar spine fractures in the male sex with 65 patients (69.15%). While the female sex was 29 patients (30.85%). Falling from height was the most common mode of trauma causing injury in 43 patients (45.7%). Followed by road traffic accidents causing injury in 37 patients (39.36%). While other injuries were caused by other modes of trauma such as direct trauma or fall of heavy objects.
Associated injuries were found in 52 patients (55.32%).
Intracranial injuries were found in 9 patients (17.3%). Chest injuries other than rib cage fractures were found in 10 patients (19.23%). Abdomen and pelvis visceral injuries were found in 16 patients (30.77%). Upper extremities injuries were found in 12 patients (23.15%). Pelvic & Lower extremities injuries were found in 29 patients (55.77%). Skull and rib cage fractures were found in 8 patients (15.9%).
AO type A fractures were found in 72 patients (76.6%). AO type B fractures were found in 8 patients (8.5%). AO type C fractures were found in 14 patients (14.9%).
Neurological injury complicated 33 patients (35.1%). Among the patients with type A fractures 19 patients (26.39%) were found to have neurological injury. Among the patients with type B fractures 4 patients (50%) were found to have neurological injury. While among patients with type C fractures 10 patients (71.43%) were found to have neurological injury.