Faglioni Wilson, Siqueira Mario G, Martins Roberto S, Heise Carlos Otto, Foroni Luciano
Peripheral Nerve Surgery Unit, Department of Neurosurgery, University of São Paulo Medical School, São Paulo, SP, Brazil,
Acta Neurochir (Wien). 2014 May;156(5):1025-8. doi: 10.1007/s00701-013-1948-x. Epub 2013 Dec 7.
Adult traumatic brachial plexus lesions are devastating injuries. Their real incidence is difficult to ascertain, but are certainly growing due to the increasing number of high-speed motor-vehicle accidents, especially in big cities.
Analysis of the epidemiological characteristics of patients with traumatic brachial plexus lesions in São Paulo, Brazil, the sixth largest city in the world.
This was a retrospective analysis of the epidemiological characteristics of patients submitted to surgical treatment of traumatic brachial plexus lesions in the Peripheral Nerve Surgery Unit of the Department of Neurosurgery of the University of São Paulo Medical School.
In the period from 2004 to 2012, 406 patients underwent surgery. There were 384 (94.6 %) men and 22 (5.4 %) women. In 45.9 % the compromised plexus was the right and in 54.1 %, the left. The average age was 28.38 years. Among the causes, the most frequent was motorcycle accidents (79 %). Most of the lesions were supraclavicular. In 46.1 % of cases the lesions were complete, in 30.1 % the lesions compromised C5/C6 roots, in 20.9 % the C5/C6/C7 roots were lesioned and in 2.9 % the lesion was in the lower roots, C8/T1. Among the associated lesions the most prevalent were head trauma, observed in 34.2 % of the cases; lesions of long bones in 38.8 %; clavicle fractures in 25.9 %; and thoracic trauma in 12.9 %.
In a population of adult patients with brachial plexus lesions with surgical indication, most of them comprise young male adults involved in high-energy motorcycle accidents.
成人创伤性臂丛神经损伤是严重的损伤。其实际发病率难以确定，但由于高速机动车事故数量的增加，尤其是在大城市，其发病率肯定在上升。
分析世界第六大城市巴西圣保罗创伤性臂丛神经损伤患者的流行病学特征。
这是一项对圣保罗大学医学院神经外科周围神经外科单元接受创伤性臂丛神经损伤手术治疗患者的流行病学特征进行的回顾性分析。
在2004年至2012年期间，406例患者接受了手术。其中男性384例（94.6%），女性22例（5.4%）。右侧臂丛神经受损的占45.9%，左侧的占54.1%。平均年龄为28.38岁。在病因中，最常见的是摩托车事故（79%）。大多数损伤位于锁骨上。46.1%的病例损伤为完全性，30.1%的病例损伤累及C5/C6神经根，20.9%的病例C5/C6/C7神经根受损，2.9%的病例损伤位于下神经根C8/T1。在相关损伤中，最常见的是头部创伤，见于34.2%的病例；长骨损伤见于38.8%；锁骨骨折见于25.9%；胸部创伤见于12.9%。
在有手术指征的成人臂丛神经损伤患者群体中，大多数是涉及高能摩托车事故的年轻男性成年人。
