Vertebral fractures caused by speed humps on the road: a cross-sectional study.
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| Title: | Vertebral fractures caused by speed humps on the road: a cross-sectional study. |
|---|---|
| Alternate Title: | Fracturas vertebrales causadas por reductores de velocidad en la carretera: un estudio transversal. |
| Authors: | Ricciardi, G.1 guillermoricciardi@gmail.com, Zamorano, J. J.2, Cirillo-Totera, J. I.3, Cabrera, J. P.4, Quinteros-Rivas, G.5, Carazzo, C. A.6, Guiroy, A.7, Yurac, R.8 |
| Source: | Acta Ortopédica Mexicana. May/Jun2026, Vol. 40 Issue 3, p172-178. 7p. |
| Subjects: | Vertebral fractures, Speed bumps, Bus occupants, Spinal surgery, Latin Americans, Spinal injuries, Traffic signs & signals |
| Geographic Terms: | Latin America |
| Abstract (English): | Introduction: traumatic spinal injuries account for nearly 700,000 new cases annually worldwide and are most commonly associated with high-energy trauma. An uncommon mechanism was reported as thoracolumbar fractures in bus passengers after vehicles crossed speed humps. Subsequent reports have documented similar injuries, typically affecting the thoracolumbar spine and passengers seated in the rear rows. Despite the widespread use of speed humps as traffic-calming devices, their potential role in vertebral fractures remains poorly explored and may represent an underrecognized mechanism of spinal injury. Objective: to evaluate the experience of Latin American spine surgeons with thoracolumbar fractures in bus passengers caused by road speed humps. Material and methods: a cross-sectional survey was conducted among spine surgeons in Latin America between February and March 2025. Participants were recruited through a non-probabilistic snowball sampling method using the AOSpine database. An online questionnaire explored: 1) demographic and professional background; 2) experience with thoracolumbar trauma; and 3) cases attributed specifically to speed humps. Results: of 224 responses received, 165 complete surveys were analyzed. Respondents were predominantly male (94.5%), orthopedic surgeons (67.9%), and had over five years of spinal surgery experience (73.9%). The highest response rates came from Chile (30.9%), Mexico (18.2%), Brazil (15.8%), and Argentina (13.3%). Most surgeons acknowledged speed humps as common urban traffic measures and had encountered thoracolumbar fractures resulting from them. Only 9.7% had never treated such cases. The typical patient was female (67.9%), older than 45 years (72.7%), with isolated thoracolumbar fractures (84.2%) located between T10 and L2, without neurological injury (87.8%), and most commonly classified as type A fractures (93.3%). The most frequently reported vehicle position at the time of injury was the last row of bus seats (53.9%). Conclusion: spine surgeons in several Latin American countries report clinical experience with thoracolumbar fractures related to speed humps, a mechanism of injury underrepresented in current literature. These findings highlight the need for increased awareness and preventive measures in public transportation safety. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: las lesiones traumáticas de la columna vertebral representan cerca de 700,000 casos nuevos al año en todo el mundo y se asocian con mayor frecuencia a traumatismos de alta energía. Se ha descrito un mecanismo poco común consistente en fracturas toracolumbares en pasajeros de autobús después de que los vehículos atraviesan reductores de velocidad. Reportes posteriores han documentado lesiones similares, que típicamente afectan la columna toracolumbar y a pasajeros sentados en las filas posteriores. A pesar del uso generalizado de los reductores de velocidad como medidas de control del tráfico, su posible papel en causar fracturas vertebrales permanece poco explorado y podría representar un mecanismo subreconocido de lesión espinal. Objetivo: evaluar la experiencia de cirujanos de columna de América Latina con fracturas toracolumbares en pasajeros de autobús causadas por reductores de velocidad en la vía. Material y métodos: Se realizó una encuesta transversal entre cirujanos de columna de América Latina entre Febrero y Marzo de 2025. Los participantes fueron reclutados mediante un muestreo no probabilístico en cadena (bola de nieve) utilizando la base de datos de AOSpine. Un cuestionario en línea exploró: 1) antecedentes demográficos y profesionales; 2) experiencia con trauma toracolumbar; y 3) casos atribuidos específicamente a reductores de velocidad. Resultados: de 224 respuestas recibidas, se analizaron 165 encuestas completas. Los encuestados fueron predominantemente hombres (94.5%), cirujanos ortopédicos (67.9%) y con más de cinco años de experiencia en cirugía de columna (73.9%). Las tasas de respuesta más altas provinieron de Chile (30.9%), México (18.2%), Brasil (15.8%) y Argentina (13.3%). La mayoría de los cirujanos reconoció los reductores de velocidad como medidas de tránsito urbano comunes y había encontrado fracturas toracolumbares resultantes de éstos; sólo el 9.7% nunca había tratado casos así. El paciente típico era mujer (67.9%), mayor de 45 años (72.7%), con fracturas toracolumbares aisladas (84.2%) localizadas entre T10 y L2, sin lesión neurológica (87.8%) y más comúnmente clasificadas como fracturas tipo A (93.3%). La posición del vehículo más frecuentemente reportada al momento de la lesión fue la última fila de asientos del autobús (53.9%). Conclusión: los cirujanos de columna en varios países de América Latina reportan experiencia clínica con fracturas toracolumbares relacionadas con reductores de velocidad, un mecanismo de lesión poco representado en la literatura actual. Estos hallazgos resaltan la necesidad de mayor concientización y medidas preventivas en la seguridad del transporte público. [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 194436389 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Vertebral fractures caused by speed humps on the road: a cross-sectional study. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Fracturas vertebrales causadas por reductores de velocidad en la carretera: un estudio transversal. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Ricciardi%2C+G%2E%22">Ricciardi, G.</searchLink><relatesTo>1</relatesTo><i> guillermoricciardi@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Zamorano%2C+J%2E+J%2E%22">Zamorano, J. J.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Cirillo-Totera%2C+J%2E+I%2E%22">Cirillo-Totera, J. I.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Cabrera%2C+J%2E+P%2E%22">Cabrera, J. P.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Quinteros-Rivas%2C+G%2E%22">Quinteros-Rivas, G.</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Carazzo%2C+C%2E+A%2E%22">Carazzo, C. A.</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Guiroy%2C+A%2E%22">Guiroy, A.</searchLink><relatesTo>7</relatesTo><br /><searchLink fieldCode="AR" term="%22Yurac%2C+R%2E%22">Yurac, R.</searchLink><relatesTo>8</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Acta+Ortopédica+Mexicana%22">Acta Ortopédica Mexicana</searchLink>. May/Jun2026, Vol. 40 Issue 3, p172-178. 7p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Vertebral+fractures%22">Vertebral fractures</searchLink><br /><searchLink fieldCode="DE" term="%22Speed+bumps%22">Speed bumps</searchLink><br /><searchLink fieldCode="DE" term="%22Bus+occupants%22">Bus occupants</searchLink><br /><searchLink fieldCode="DE" term="%22Spinal+surgery%22">Spinal surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Latin+Americans%22">Latin Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Spinal+injuries%22">Spinal injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Traffic+signs+%26+signals%22">Traffic signs & signals</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Latin+America%22">Latin America</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: traumatic spinal injuries account for nearly 700,000 new cases annually worldwide and are most commonly associated with high-energy trauma. An uncommon mechanism was reported as thoracolumbar fractures in bus passengers after vehicles crossed speed humps. Subsequent reports have documented similar injuries, typically affecting the thoracolumbar spine and passengers seated in the rear rows. Despite the widespread use of speed humps as traffic-calming devices, their potential role in vertebral fractures remains poorly explored and may represent an underrecognized mechanism of spinal injury. Objective: to evaluate the experience of Latin American spine surgeons with thoracolumbar fractures in bus passengers caused by road speed humps. Material and methods: a cross-sectional survey was conducted among spine surgeons in Latin America between February and March 2025. Participants were recruited through a non-probabilistic snowball sampling method using the AOSpine database. An online questionnaire explored: 1) demographic and professional background; 2) experience with thoracolumbar trauma; and 3) cases attributed specifically to speed humps. Results: of 224 responses received, 165 complete surveys were analyzed. Respondents were predominantly male (94.5%), orthopedic surgeons (67.9%), and had over five years of spinal surgery experience (73.9%). The highest response rates came from Chile (30.9%), Mexico (18.2%), Brazil (15.8%), and Argentina (13.3%). Most surgeons acknowledged speed humps as common urban traffic measures and had encountered thoracolumbar fractures resulting from them. Only 9.7% had never treated such cases. The typical patient was female (67.9%), older than 45 years (72.7%), with isolated thoracolumbar fractures (84.2%) located between T10 and L2, without neurological injury (87.8%), and most commonly classified as type A fractures (93.3%). The most frequently reported vehicle position at the time of injury was the last row of bus seats (53.9%). Conclusion: spine surgeons in several Latin American countries report clinical experience with thoracolumbar fractures related to speed humps, a mechanism of injury underrepresented in current literature. These findings highlight the need for increased awareness and preventive measures in public transportation safety. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: las lesiones traumáticas de la columna vertebral representan cerca de 700,000 casos nuevos al año en todo el mundo y se asocian con mayor frecuencia a traumatismos de alta energía. Se ha descrito un mecanismo poco común consistente en fracturas toracolumbares en pasajeros de autobús después de que los vehículos atraviesan reductores de velocidad. Reportes posteriores han documentado lesiones similares, que típicamente afectan la columna toracolumbar y a pasajeros sentados en las filas posteriores. A pesar del uso generalizado de los reductores de velocidad como medidas de control del tráfico, su posible papel en causar fracturas vertebrales permanece poco explorado y podría representar un mecanismo subreconocido de lesión espinal. Objetivo: evaluar la experiencia de cirujanos de columna de América Latina con fracturas toracolumbares en pasajeros de autobús causadas por reductores de velocidad en la vía. Material y métodos: Se realizó una encuesta transversal entre cirujanos de columna de América Latina entre Febrero y Marzo de 2025. Los participantes fueron reclutados mediante un muestreo no probabilístico en cadena (bola de nieve) utilizando la base de datos de AOSpine. Un cuestionario en línea exploró: 1) antecedentes demográficos y profesionales; 2) experiencia con trauma toracolumbar; y 3) casos atribuidos específicamente a reductores de velocidad. Resultados: de 224 respuestas recibidas, se analizaron 165 encuestas completas. Los encuestados fueron predominantemente hombres (94.5%), cirujanos ortopédicos (67.9%) y con más de cinco años de experiencia en cirugía de columna (73.9%). Las tasas de respuesta más altas provinieron de Chile (30.9%), México (18.2%), Brasil (15.8%) y Argentina (13.3%). La mayoría de los cirujanos reconoció los reductores de velocidad como medidas de tránsito urbano comunes y había encontrado fracturas toracolumbares resultantes de éstos; sólo el 9.7% nunca había tratado casos así. El paciente típico era mujer (67.9%), mayor de 45 años (72.7%), con fracturas toracolumbares aisladas (84.2%) localizadas entre T10 y L2, sin lesión neurológica (87.8%) y más comúnmente clasificadas como fracturas tipo A (93.3%). La posición del vehículo más frecuentemente reportada al momento de la lesión fue la última fila de asientos del autobús (53.9%). Conclusión: los cirujanos de columna en varios países de América Latina reportan experiencia clínica con fracturas toracolumbares relacionadas con reductores de velocidad, un mecanismo de lesión poco representado en la literatura actual. Estos hallazgos resaltan la necesidad de mayor concientización y medidas preventivas en la seguridad del transporte público. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.35366/123287 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 7 StartPage: 172 Subjects: – SubjectFull: Vertebral fractures Type: general – SubjectFull: Speed bumps Type: general – SubjectFull: Bus occupants Type: general – SubjectFull: Spinal surgery Type: general – SubjectFull: Latin Americans Type: general – SubjectFull: Spinal injuries Type: general – SubjectFull: Traffic signs & signals Type: general – SubjectFull: Latin America Type: general Titles: – TitleFull: Vertebral fractures caused by speed humps on the road: a cross-sectional study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Ricciardi, G. – PersonEntity: Name: NameFull: Zamorano, J. J. – PersonEntity: Name: NameFull: Cirillo-Totera, J. I. – PersonEntity: Name: NameFull: Cabrera, J. P. – PersonEntity: Name: NameFull: Quinteros-Rivas, G. – PersonEntity: Name: NameFull: Carazzo, C. A. – PersonEntity: Name: NameFull: Guiroy, A. – PersonEntity: Name: NameFull: Yurac, R. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: May/Jun2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 23064102 Numbering: – Type: volume Value: 40 – Type: issue Value: 3 Titles: – TitleFull: Acta Ortopédica Mexicana Type: main |
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