Ağaçtan Düşmelerin Torakolomber Yaralanma Sınıflandırma Sistemi Skorları ve Hasta Sonuçları Açısından Analizi

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 (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. 33(64.7%) patients had undergone vertebroplasty or stabilization. According to height categories, TLICS scores(p=0.003) and stabilization levels(p=0.003) were statistically higher in taller tree categories (p=0.003). Although surgical interventions were statistically higher in tree falls higher than four meters (p=0.026), there was no statistically significant difference between trees in terms of treatment type (p=0.315), VAS score (p=0.219) and 30-day VAS score (p=. 0.329) In addition, the change in Visual Analogue Scale (VAS) score was statistically higher in operated patients (median VAS=7) than in non-operated patients (median VAS=5.5) (p=0.012). Conclusion: Our findings reveal that TLICS scores are significantly associated with tree heights and operate with good results in VAS scores.