Introduction: Spinal fractures in some situations could be catastrophic, life-changing, and costly injuries for affected individuals, their families, and society. Road traffic accidents (RTA) are one of the leading causes of traumatic spinal Fractures. The first step in prevention is to know the epidemiological factors.
Objective and Methods:  The purpose of this study is to investigate the epidemiology of traumatic spine injuries due to RTA. A retrospective cohort study was conducted on 473 trauma patients hospitalized with spinal injuries due to RTA during 2022-2023 in Markazi Province. The patient's information included demographic and clinical characteristics. The effects of various factors were assessed on the level of injury, the type of vehicle involved in the accident, and the type of accident. Data analysis was done with SPSS 24 software.
Results: The mean (SD) Age of the patients was 40.5 (16.6) years. Of the 333 patients (70.4%), 333 were male. 290 (61.3%) patients were drivers. 74.4% of accidents were with cars. 52.9% were injured in a rollover accident. The level of injury was related to the length of hospital stay, admission to ICU, mortality, occupant position, type of accident, surgery, GCS, and AIS (p<0.05). Moreover, gender, marital status, and neck injury had a statistically significant relationship with the type of vehicle leading to the accident(p<0.05). In addition, Age, gender, marital status, education, occupational position, and back and neck injuries have a significant relationship with the type of accident.
Conclusion: Spine fractures due to RT are the most common cause in developing countries, which is the leading cause of people's disability. To implement adequate preventive measures, it is necessary to understand the causes and prevalence of these injuries and mitigate the factors that contribute to their occurrence.