Spine surgery
Paediatric fracture location There were a total of 342 paediatric fractures in 2021. Figure 11 shows the fracture location for paediatric patients requiring surgery at RNSH. The vast majority (88.9%) are upper limb fractures in this population and many patients appear twice, reflecting the commonality of having both forearm bones fractured simultaneously. Paediatric Fracture Locations >100 81-100 61-80 41-60 21-40 1-20
There were 269 spine surgery cases entered into the database during this period, with 267 involving spine only and two additional cases that involved single-stage combined orthopaedic and spine surgery. Note, data is only reported for orthopaedic spine cases and is not inclusive of neurosurgical spine data.
Spine surgery cases
Clavicle: 1
Figures 12, 13 and 14 summarise aetiology of cases undergoing spine surgery and location of spine fractures. Classification is aligned with data collected in the Australian spine registry where possible (disc and degenerative disease). The four most common reasons for spine surgery were trauma, degenerative disease, disc-related pathology and tumour.
Humerus: 58
Aetiology of Spine Surgery Cases
Radius: 178
29.2% 28.2% 19.5%
81
Trauma Degenerative Disease Disc Tumour Infection Deformity Revision surgery Unclassified Spondylolisthesis Inflamation
Ulna: 67
78
54
8.3% 5.8% 2.5% 2.5% 2.2% 1.4% 0.4%
23
Femur: 4
16
7 7
6
4
Fibula: 4
Tibia: 24
1
Figure 12: Aetiology of spine surgery cases
Foot: 6
Adult Fracture Locations >100 81-100 61-80 41-60 21-40 1-20
Figure 11: Case numbers and fracture locations for paediatric patients
22
23
SORTED Annual Report 2021
SORTED Annual Report 2021
Clavicle: 70
Scapula: 6
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