EPIDEMIOLOGY AND MANAGEMENT OF TRAUMATIC SPINE INJURIES AT TERTIARY CARE HOSPITAL OF INDIA

Ghanshyam Kakadiya; Akash Shakya; Viraj Gandbhir; Yogesh Soni; Kushal Gohil

Volume : IX, Issue : VII, July - 2020

EPIDEMIOLOGY AND MANAGEMENT OF TRAUMATIC SPINE INJURIES AT TERTIARY CARE HOSPITAL OF INDIA

Ghanshyam Kakadiya, Akash Shakya, Viraj Gandbhir, Yogesh Soni, Kushal Gohil

Abstract :

Purpose: To provide valuable resource for future progress in treating Spinal cord injury (SCI) in developing Countries. There is a paucity of literature on epidemiology on current clinical practices for SCI in India. Methods: The SCI patients those were admitted from June 2014 to June 2018, included in retrospective study. Demographics, cause of spinal injury, spinal level of injury, management techniques, complications, and American Spinal Injury Association (ASIA) grades noted and analyzed. Results: 340 (276 male and 64 female) patients of mean age 34.8�3.3years included in study. The most frequent age group were 31–45 years. Road traffic accident (RTA) (188, 55.3%) was the most common cause of SCI. 160 patients with ASIA grade A injury and 180 patients had various ASIA grade of incomplete injury. Total 272 patients were managed surgically; 140 of them improved with neurology, 92 remained the same, 36 worsened and while 4 patients died. Out of 68 conservatively managed patients 36 improved in neurology, 20 remained the same, 8 worsened and 4 died. Sacral decubitus ulcers were the most common complication. Conclusions: Despite limited sources, outcomes of SCI patients in India appear favorable with evidence of clinical improvement and low mortality.