Spinal cord injury in organizational setup - A hospital based descriptive study

Singh, Gurpreet; Prakash, Rajat; Bhatti, Vijay K; Mahen, Ajoy

doi:10.4103/jmms.jmms_67_18

Cited by 12 publications

(19 citation statements)

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“…Fall from height is the most commonly reported mode of injury in developing countries as noticed in previous Indian studies also 6,14e16,18e21 which is different from studies done in developed countries where Road traffic accident (RTA) accounts for the maximum number of spine trauma cases. 22e25 Singh G et al 10 and Chhabra HS et al 17 have reported RTA as the most common mechanism of injury in their studies as their study population mainly involves people residing in urban areas. Low socioeconomic status, involvement in occupations like tree cutting, construction worksites, lack of fencing of the terrace, hilly terrain of our study accounts for fall from height as the most common mechanism of injury.…”

Section: Discussionmentioning

confidence: 98%

“…Also, there is a lack of resources and tertiary care hospitals for the management of these spine trauma patients with SCI in developing countries like-India. 10,11 Comprehensive services of rehabilitation care optimize the outcome but are generally not available at a large number of facilities in Low eMiddle-Income countries. 12,13 As a result, rehabilitation of these bedridden patients is compromised leading to increased complications.…”

Section: Discussionmentioning

confidence: 99%

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Pattern of spine fracture in Sub-Himalayan region: A prospective study

Mittal

Rana

Ahuja

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Background: Though spine trauma contributes to great functional, psychological, and economic loss, research regarding the demographic profile of patients according to different regions of our country are lacking.This study aims to identify the demographic pattern and clinical profile of patients with spinal fracture in the Sub-Himalayan region. Method: Patients with acute or subacute spine trauma presenting within 8weeks and involving fracture of cervical, dorsal, or lumbar vertebra, from July 2017 to December 2019 were included prospectively. Patients with osteoporotic or metastatic collapse, isolated transverse or spinous process fracture, penetrating trauma or ballistic injuries were excluded. Results: Out of 280 enrolled patients, 180 were males and 100 were females. The maximum number of spine trauma patients was in 16e30 years age group. The most common mechanism of injury was fall from height (FFH, 42.5%)> road traffic accident (RTA, 38.6%). RTA was more common among males and FFH among females (p < 0.0001). Most common location of injury was at thoracolumbar junction (D10-L2) (37.5%) followed by cervical spine (25.3%). 58.2% of patients had AO type A facture morphology followed by AO types C (36.1%) and AO type B (5.7%). Spinal Cord Injury (SCI) was seen in 82.1% spine trauma patients with statistically significant association with male gender (p-0.045). Complete paralysis was seen maximum in patients with cervical spine injury (67.3%, p < 0.0001). Complete neurological deficit (ASIA grade A) was seen maximum in AO type C fracture morphology (74.25%, p < 0.001) followed by AO type A4 (29.6%). Seasonal distribution showed increased incidence during summer and monsoon season. Conclusion: Young aged males in age group of 16e30 yrs were most commonly affected with fall from height as the most common mechanism of trauma. Association was found between gender and mechanism of injury (RTA in males and FFH in females). Most common vertebral injury level was thoracolumbar junction. AO type A was the most common fracture morphology. SCI seen in 82.1% of spine trauma. Statistically significant association was found between Complete SCI with Location of Injury (Cervical) and Fracture morphology (AO type C).

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Pattern of spine fracture in Sub-Himalayan region: A prospective study

Mittal

Rana

Ahuja

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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“…[ 1 2 ] Several studies have reported a high prevalence of trauma-associated spinal injuries in the young and economically productive age group, wherein the patients require long-term intensive rehabilitation endeavors. [ 3 5 6 7 8 ] The increasing prevalence has been a cause of a significant burden on the family and state in terms of health-care costs. A few epidemiological studies on spinal trauma have been performed in India and in other countries.…”

Section: Introductionmentioning

confidence: 99%

“…A few epidemiological studies on spinal trauma have been performed in India and in other countries. [ 3 4 6 7 9 10 11 12 ] However, findings pertaining to demographic profile and injury region are disparate in these studies because of varied geographical or cultural differences. Moreover, the morphological pattern has not been given due importance in most of the epidemiological studies.…”

Section: Introductionmentioning

confidence: 99%

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Traumatic spine injuries in Eastern India: A retrospective observational study

Jain

Mohanty

Doki

et al. 2021

Int J Crit Illn Inj Sci

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Background: Trauma is the leading cause of hospitalization globally, and trauma-induced spinal injuries can be devastating and permanent. The objective of this study was to describe the pattern, association, and outcome in patients with traumatic spine injury (TSI). Methods: A retrospective cross-sectional study was undertaken on patients with TSI who presented to the trauma and emergency department of a level 1 trauma center in eastern India between August 15, 2018, and August 14, 2019, by including 103 patients. Information pertaining to demography, mode of injury (MOI), fracture morphology, neurological grading, and associated spinal or other regional injuries was obtained. Correlation among injury severity score (ISS), neurological damage as per American Spinal Injury Association (ASIA), and morphological patterns was determined. Results: The median age was 39 years, and the gender ratio was 5.87:1. Fall from height (43.7%) was the most common MOI. The median ISS was 21, and the percentage of patients with polytrauma was 73% (ISS > 15). The cervical region ( n = 30) was the most common site of injury, and multiple vertebral involvement ( n = 32) was more common than isolated involvement. Type A pattern (53.4%) was the predominant type, followed by types C and B (29.1% and 15.5%, respectively) for primary spine injury, and type A was the predominant type for secondary spinal injury. Severe neurological damage (ASIA A-C) was noticed in 69 patients. The correlation between ISS and ASIA scores (Spearman's ρ = 0.561, P < 0.001) and between morphology type and ASIA score (Pearson's χ 2 = 69.7, P < 0.001) was statistically significant. In total, 53 patients were managed surgically and 24 patients were managed by conservative measures. Conclusion: Our study found a predominantly younger population, multilevel involvement, significant neurological damage, multiple associated injuries, and higher ISS among the patients of TSI. The pattern in eastern India is different from previous reports from other parts of the country.

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