Covid-19 had a profound effect on many parts of life during 2020. Our country, much like the majority of other nations across the globe, saw a Covid-19 epidemic, a wave reaching its height from the middle of March through April of 2020. This brought about significant difficulties for our civilization in a variety of spheres, including the medical, social, and economic spheres. On February 27th, the first patient in our country to be diagnosed with Covid-19 was identified. Objective: To evaluate the Covid-19 effect on the prevalence of thoracolumbar vertebral compression fractures in elderly people. Methods: A total of 172 individuals with vertebral compression fractures (VCF) were above the age of 65 years. The age and gender of the patients were comparable across the two research groups. Only those people who exhibited symptoms for less than four weeks were taken into account. We analyzed every patient's medical records and obtained all essential data, including demographics (gender, age, and compression fracture risk factors), fracture mechanism, and location of the fracture. Results: In 2020, we observed a greater percentage of high-energy VCF (10.5% versus 6.7%). In 2020, there were 7.5 times more recurrent fractures and the proportion of Ankylosing Spondylitis was much higher. Similar admission rates to VCF ED were observed, with 60% receiving conservative care. The number of procedures performed on admitted patients increased in 2020 (66.7% vs. 60%, P =.71), and PBK plus fixation tended to be more common in 2020 compared to 2018-19 (15.8% versus 7.5%, P =.29). In the Covid-19 epidemic, the RR for BKP Plus fixation vs. BKP alone was 1.95, indicating increased risks for difficult operation. In 2020, there were significantly more complications (18.4% vs 3.7%, P.001). Time to surgery also increased somewhat in 2020, from 6.25 days to 5.3 days (P =.55), and admission duration increased marginally (12.2 days vs. 9.9 days, P =.27). Most of the patients choose home treatment over inpatient care during the Covid-19 pandemic (72.2% vs. 58.8%). Conclusions: The frequency of VCF did not vary as a result of the Covid-19 pandemic; nevertheless, the features of patients did change, which had an effect on hospitalizations, institutional rehabilitative services, and a predilection for extensive surgery as opposed to BKP alone. Although it is not yet known whether or not COVID-19 will continue to be a problem in the years to come, the effects and lessons it has provided are still valuable.
Aim: To determine the clinical characteristics of pediatric thoracolumbar spinal injuries Study design: A retrospective study Place and Duration:This study was conducted at Pakistan Institute of Medical Sciences Islamabad from Jan 2021 to Jan 2022 Methodology:An analysis of pediatric thoracolumbar (TL) injuries was conducted to determine the epidemiology, risk factors, mechanisms, patterns, and management of pediatric TL injuries. A plain radiograph (anteroposterior and lateral view) was taken on all patients for diagnosis. In the case of surgical intervention or doubtful skeletal abnormalities observed on plain radiographs, thin-slice computerized tomography (CT) scans were obtained. In patients with neurological deficits or those who were scheduled for surgical intervention, magnetic resonance imaging (MRI) was performed. Results:A total of 90 children were treated at our institute for TL spine injuries, representing 2% of all spine injuries. Males predominate (3:1) with a mean age of 15.9 plus 3.2 years (range: 2–18 years). Falling from a height was the most common mode of injury. Most children (71.1%) sustained injuries after falling from height, 18/90 (20%) after a motor vehicle accident, and the rest after a heavy object fell over their neck. A total of 27.8% of the patients (the majority) had Grade A injuries. The most common spinal level injured was the lumbar spine (53.3%), and fractures accounted for 93.3% of all injuries. A total of 18/90 (20%) children underwent surgical fixation. There were 21 children available for follow-up, of which 13 (62%) were ambulant. Conclusion:The lumbar area is most affected by TL injuries, which are uncommon and most often occur in youth older than 10 years. When necessary, a surgical fusion of the affected vertebrae is a secure and reliable procedure. Keywords: Pediatrics, epidemiology, spine, thoracolumbar, injury
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