Analysis of Tree-related Falls in Terms of Thoracolumbar Injury Classification System Scores and Patient Outcomes

Authors : Gürkan BERİKOL, Göksu BOZDERELİ BERİKOL, İbrahim SARBAY, Mehmet Ali KARATAŞ

Pages : 368-372

Doi:10.33631/sabd.1309087

View : 58 | Download : 60

Publication Date : 2023-09-21

Article Type : Research Paper

Abstract :Aim: Falling from trees are main problems of occupational healthcare. Patients falling from trees are suffered from spinal and extremity injuries due to high energy traumas. Our aim with this study was to reveal the differences in thoracolumbar injury classification system insert ignore into journalissuearticles values(TLICS); scores, degrees of spinal damage and treatments of traumas belonging to patients who presented with falls from different tree species in different plantations. Material and Methods: This is a retrospective observational study. Patients who were brought to the emergency department due to falling from a tree between 2015-2020 were included. Characteristics of injuries due to falls from trees, TLICS scores, treatment types and 3 month follow up results were obtained from the hospital information system and comparative analysis was done. Results: The mean age of the patients was 53.25±17.9 years and 54.9% were male. 33insert ignore into journalissuearticles values(64.7%); patients had undergone vertebroplasty or stabilization. According to height categories, TLICS scoresinsert ignore into journalissuearticles values(p=0.003); and stabilization levelsinsert ignore into journalissuearticles values(p=0.003); were statistically higher in taller tree categories insert ignore into journalissuearticles values(p=0.003);. Although surgical interventions were statistically higher in tree falls higher than four meters insert ignore into journalissuearticles values(p=0.026);, there was no statistically significant difference between trees in terms of treatment type insert ignore into journalissuearticles values(p=0.315);, VAS score insert ignore into journalissuearticles values(p=0.219); and 30-day VAS score insert ignore into journalissuearticles values(p=. 0.329); In addition, the change in Visual Analogue Scale insert ignore into journalissuearticles values(VAS); score was statistically higher in operated patients insert ignore into journalissuearticles values(median VAS=7); than in non-operated patients insert ignore into journalissuearticles values(median VAS=5.5); insert ignore into journalissuearticles values(p=0.012);. Conclusion: Our findings reveal that TLICS scores are significantly associated with tree heights and operate with good results in VAS scores.
Keywords : ağaçtan düşme, spinal yaralanma, travma