scholarly journals THE RATE OF ACUTE SPINAL CORD INJURY IN TASHKENT CITY BETWEEN 2005-2012 YEARS

2014 ◽  
Vol 7 (2) ◽  
Author(s):  
Rukhulla Zabikhullaevich Khikmatullaev ◽  
Alisher Iskandarovich Iskandarov ◽  
Dildora Zabikhullaevna Khakimova
Keyword(s):  
Spinal Cord ◽  
Traffic Accidents ◽  
Spinal Cord Injuries ◽  
Road Traffic ◽  
Lumbar Level ◽  
Thoracic Level ◽  
Medical Institutions ◽  
Cord Injury ◽  
Working Age ◽  
First Time

Objective: to analyze main clinical-statistical indices of spine and spinal cord injuries (SCI) and system of organization of medical aid to the victims. We conducted a cohort retrospective study of materials of medical institutions of Tashkent city. Medical records of patients and records of forensic examinations were analyzed. 242 cases of spinal cord injuries were studied. Over the last 10 years in Tashkent the frequency of SCI have been tend to increase, males and working-age people are dominated. In 60.9% of cases the injury was associated, in 36.2% - isolated, and in 2.9% - combined. Fallings from height and road traffic accidents were the main reasons for getting SCI. Lesions at cervical level registered in 45% of cases, thoracic level - 27.3%, at lumbar level - 27.7%, respectively. According to ASIA/IMSOP, full injuries were noted in 40.1% of cases, incomplete injures were in 59.9%. Overall mortality from SCI was 68.6%. Thus, for the first time this study allowed to get in detail the clinical and statistical indicators of SCI in the region.

scholarly journals Epidemiology of War-Related Spinal Cord Injury Among Combatants: A Systematic Review

2018 ◽  
Vol 9 (5) ◽  
pp. 545-558 ◽  
Author(s):  
Julio C. Furlan ◽  
Sivakumar Gulasingam ◽  
B. Catharine Craven
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Spinal Injury ◽  
White Men ◽  
Lumbar Level ◽  
Cord Injury ◽  
Distinct Features ◽  
The Military ◽  
First Time

Study Design: Systematic review. Objectives: War-related spinal cord injuries (SCIs) are commonly more severe and complex than traumatic SCIs among civilians. This systematic review, for the first time, synthesized and critically appraised the literature on the epidemiology of war-related SCIs. This review aimed to identify distinct features from the civilian SCIs that can have an impact on the management of military and civilian SCIs. Methods: Medline, EMBASE, and PsycINFO databases were searched for articles on epidemiology of war-related SCI among combatants, published from 1946 to December 20, 2017. This review included only original publications on epidemiological aspects of SCIs that occur during an act of war. The STROBE statement was used to examine the quality of the publications. Results: The literature search identified 1594 publications, of which 25 articles fulfilled the inclusion and exclusion criteria. The studies were classified into the following topics: 17 articles reported demographics, level and severity of SCI, mechanism of injury and/or associated bodily injuries; 5 articles reported the incidence of war-related SCI; and 6 articles reported the frequency of SCI among other war-related bodily injuries. Overall, military personnel with war-related SCI were typically young, white men, with predominantly thoracic or lumbar level, complete (American Spinal Injury Association [ASIA] Impairment Scale A) SCI due to gunshot or explosion and often associated with other bodily injuries. Marines appear to be at a greater risk of war-related SCI than the military personal in the Army, Navy, and Air Force. Conclusions: The war-related SCIs among soldiers are distinct from the traumatic SCI in the general population. The majority of the current literature is based on the American experiences in most recent wars.

Epidemiology of Spinal Cord Injuries and Their Outcomes: A Study at King Khalid Hospital (KKH), Najran, Saudi Arabia, June 2018–June 2019

2021 ◽  
pp. 30
Author(s):  
Ahood Mahjari
Keyword(s):  
Spinal Cord ◽  
Saudi Arabia ◽  
Traffic Accident ◽  
Spinal Cord Injuries ◽  
Road Traffic ◽  
Neurological Injury ◽  
National Data ◽  
Common Cause ◽  
Younger Age ◽  
Cord Injury

Introduction: Spinal cord injury (SCI) is a life-changing neurological injury that puts a significant load on the healthcare system. SCI can be caused by several reasons such as road traffic accident (RTA), motor traffic accident (MTA), fall, gunshots, or bomb blast. There is not much national data concerning the etiology of SCI in Saudi Arabia. Therefore, we conducted this study to quantify the number of SCI incidence at King Khalid Hospital (KKH), Najran between June 2018 and June 2019. The study aimed at reviewing the rate and epidemiology of SCI at KKH for all patients admitted to the hospital during the study period and examining the causes of SCI for suggesting prevention strategies. Methodology: This retrospective study included all patients with SCI admitted to KKH during the mentioned period. Several factors for each patient were recorded including their age, gender, nationality, cause of SCI, and the outcomes of neurological injury. Result: In total, 182 SCI patients were admitted during the study period: 53% of them were male, and those aged 16–30 years were most vulnerable to SCI. RTA was the most common cause of SCI for males (59%), followed by bomb blasts (15%). While fall was ranked as the second cause of SCI in males (15.4%), it was the main reason for SCI in females 13%, followed by RTA. The majority of admitted cases in younger age was stable and improved, however, after RTA four patients had quadriplegia and six cases had paraplegia. Conclusion: RTA is the most common cause of SCI followed by fall and bomb blast. Younger patients are more likely to improve after SCI compared to elderly patients.

Paraplegia, Quadriplegia and Employment in Australia

1996 ◽  
Vol 5 (1) ◽  
pp. 26-31 ◽  
Author(s):  
Gregory Murphy ◽  
Douglas Brown ◽  
Peter Foreman ◽  
Amanda Young ◽  
James Athanasou
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Cord Injuries ◽  
Full Time ◽  
Post Injury ◽  
Employment Services ◽  
Cord Injury ◽  
Working Age ◽  
Part Time ◽  
Initial Hospital

The educational and vocational achievements of a sample of Australians with spinal cord injuries are described in this study. Of the 180 working-age people surveyed, 36% were holding full-time or part-time employment at the time of the survey and one-third had gone on to obtain further qualifications post-injury. The most frequent methods of finding a job post-injury were informal rather than formal, with only 5% of jobs gained through advertisements or employment services. Of those who gained work, 49% did so within 12 months of discharge, but another 14% obtained their job more than five years after initial hospital discharge. The results indicate that there is considerable scope for employment and education achievements following spinal cord injury.

Spinal cord injury and its management

2010 ◽  
pp. 5045-5054
Author(s):  
M P Barnes
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Sports Injuries ◽  
Spine Injury ◽  
Neutral Position ◽  
Road Traffic Accidents ◽  
Cord Injury ◽  
The Individual

Spinal cord injury most commonly affects young men as a consequence of road traffic accidents, violence, and sports injuries; falls are a common cause in older patients. Appropriate management of the individual at the scene of an accident is vital to avoid unnecessary worsening of a spinal cord injury. Those who are unconscious should be assumed to have a cervical spine injury until proven otherwise, with (1) the head and neck held firmly (as far as possible) in a neutral position using (if available) a semi-rigid collar, and (2) transportation on a spinal board with a head immobilizer....

scholarly journals Emergency Management of Traumatic Spinal Cord Injuries

2020 ◽  
Vol 17 (02) ◽  
pp. 057-061
Author(s):  
Mohammed Maan Abdul Azeez ◽  
Luis Rafael Moscote-Salazar ◽  
Gabriel Alcala-Cerra ◽  
Ezequiel García-Ballestas ◽  
Diego Bustos-Salazar ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Traffic Accidents ◽  
Spinal Cord Injuries ◽  
Road Traffic ◽  
Sports Injuries ◽  
Mortality And Morbidity ◽  
Causes Of Mortality ◽  
Magnetic Resonance Imaging Mri ◽  
Almost All ◽  
No Gold Standard

AbstractSpinal cord trauma constitutes one of the main causes of mortality and morbidity in young adults around the world, with an estimated 2 to 3 new cases for every 100,000 population. Road traffic accidents, falls from high heights, sports injuries, and violent actions are common causes of spinal cord injuries. There is no “gold standard” for the diagnosis of spinal cord traumatic injuries; however, the rational use of conventional radiologic test, computed tomography scan, and magnetic resonance imaging (MRI) will allow to identify almost all clinically relevant injuries. MRI is recommended according to surgeon’s criteria, who after evaluating the specific characteristics of the injury will determine its usefulness. Therapeutic strategies need to be directed to maintain airway, breathing and circulation, maintenance of mean arterial pressure prevention of hypotension, and assessment of other associated injuries. Intensive treatment must be focused on the prevention and management of ventilatory and cardiovascular abnormalities related to muscle weakness and loss of autonomic innervation.

scholarly journals Traumatic spinal cord injuries – epidemiologic and medico-legal issues

2017 ◽  
Vol 31 (4) ◽  
pp. 484-489
Author(s):  
Bianca Hanganu ◽  
Andreea Alexandra Velnic ◽  
Valentin Petre-Ciudin ◽  
Irina Manoilescu ◽  
Beatrice Gabriela Ioan
Keyword(s):  
Spinal Cord ◽  
Traffic Accidents ◽  
Spinal Cord Injuries ◽  
Road Traffic ◽  
Medical Condition ◽  
Population Based ◽  
Legal Issues ◽  
High Morbidity ◽  
Road Traffic Accidents ◽  
Autopsy Diagnosis

Abstract Spinal cord injuries represent a special category of injuries in traumatic pathology, with high morbidity and mortality, which justify their analysis with the aim to identify useful aspects in order to prevent and treat them. We therefore performed a retrospective study on 426 cases in order to analyze epidemiology and medico-legal issues related to spinal cord injuries. The studied items regarded socio-demographic aspects (gender, age, home region), type of lesions (vertebral, spinal cord, association with other trauma), circumstances leading to trauma (cause of the injury, season), data regarding hospitalization (medical condition at the hospital admission, number of days of hospitalization, clinical diagnosis, imaging exploration level) and data resulting from autopsy (diagnosis, toxicological examination). Most of our results are consistent with literature data, except for some epidemiological items, which might be explained with cultural differences, life style and inhomogeneous population. Based on our results, the general conclusion is the need for prevention campaigns, focusing on road traffic accidents and falls (especially in elderly) as the main causes of spinal cord injuries.

scholarly journals Demographic Profile of Spinal Cord Injury Patients Admitted in a Rehabilitation Centre: An Observational Study from Bangladesh

2018 ◽  
pp. e000111 ◽  
Author(s):  
Ziniya Mustary Rahman ◽  
S. M. Alam ◽  
Md. Shujayt Goni ◽  
Faruq Ahmed ◽  
A K M Tawhid ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Demographic Data ◽  
Rehabilitation Centre ◽  
Demographic Profile ◽  
The Road ◽  
Cord Injury ◽  
Fall From Height

Background:  Spinal cord injury (SCI) is a life threating condition which has a profound impact in the morbidity and mortality. SCI causes lifetime sufferings and mostly occur among the young adults. Not only in Bangladesh but also worldwide, SCI is a devastating and burdensome condition. This research was conducted to see the demographic profile of SCI patients in Bangladesh. Methods and Materials: This is a retrospective analysis where data was collected from medical records of all SCI patients admitted in between January 2012 to December 2014 from Centre for the Rehabilitation of the Paralysed (CRP), Savar. Results: A total of 1172 SCI patients were analyzed. Most of the patients were in their second to third decade of life which consisted 28.8% (n=338). Among total respondents, 86.2% (n=1010) were male and 13.8% (n=162) were female. Most of the participants 61.1% (n=716) were from rural area. The main cause of SCI was fall from height (FFH) {45.8% (n = 537)} followed by the road traffic accidents (RTA) {24.7% (n = 288)}. Overall, 52.3% (n = 613) of participants suffered from traumatic paraplegia while 60.9% (n = 714) had complete lesion. Among the total participants, 30.70% (n = 359) of participants had skeletal level C1-C7 injury. Division-wise distribution shows that FFH is a major cause of SCI {14.84% (n = 174)} followed by the RTA which is a second most common cause in 8.95% (n = 105) of participants in Dhaka division while SCI due to bull attacks and bullet injury are a major cause in Khulna division {1.02% (n = 12)} and Chittagong division respectively. Conclusion: The data is collected from a tertiary level of rehabilitation centre where extensive demographic data was not previously represented. In many developing countries SCI is neglected, poorly managed and deprived from society. In addition, the present study suggests that demographic factors may affect the characteristics of SCI.

Spinal cord injury and its management

2020 ◽  
pp. 6135-6149
Author(s):  
Wagih El Masri(y) ◽  
Michael Barnes
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Sports Injuries ◽  
Spine Injury ◽  
Neutral Position ◽  
Cord Injury ◽  
The Individual ◽  
Ongoing Support

Spinal cord injury most commonly affects young men as a consequence of road traffic accidents, violence, and sports injuries. The incidence is increasing in older people, mainly due to falls. Appropriate management of the individual at the scene of an accident is vital to avoid unnecessary worsening of a spinal cord injury. Those who are unconscious should be assumed to have a cervical spine injury, with the head and neck held firmly in a neutral position using a semi-rigid collar, and transportation on a spinal board with a head immobilizer. With appropriate management, initial mortality from spinal cord injury is less than 5%. Most of those with complete somatosensory loss will recover up to three myotomes below the level of the injury, and with ongoing support are able to lead dignified, healthy, fulfilling, enjoyable, productive, and often competitive lives.

scholarly journals Access to primary care for persons with spinal cord injuries in the greater Gaborone area, Botswana

2019 ◽  
Vol 8 ◽  
Author(s):  
Thato M.M. Paulus-Mokgachane ◽  
Surona J. Visagie ◽  
Gubela Mji
Keyword(s):  
Primary Care ◽  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Road Traffic ◽  
Healthcare Services ◽  
Cross Sectional ◽  
Female Ratio ◽  
Care Services ◽  
Primary Care Services ◽  
Cord Injury

Background: People with spinal cord injury (SCI) often have great need for healthcare services, but they report access challenges. Primary care access to people with SCI has not been explored in Botswana.Objective: This study aimed to identify barriers and facilitators that users with spinal cord injuries experience in accessing primary care services in the greater Gaborone area, Botswana.Methods: A quantitative, cross-sectional, observational study was conducted. Data were collected with a structured questionnaire from 57 participants with traumatic and non-traumatic SCI. Descriptive and inferential analysis was performed.Results: The male to female ratio was 2.8:1. The mean age of participants was 40 years (standard deviation 9.59). Road traffic crashes caused 85% of the injuries. Most participants visited primary care facilities between 2 and 10 times in the 6 months before the study. Participants were satisfied with the services (63%) and felt that facilities were clean (95%) and well maintained (73.5%). Preferential treatment, respect, short waiting times and convenient hours facilitated satisfaction with services. Availability was hampered by insufficient provider knowledge on SCI as indicated by 71.9% of participants, and shortage of consumables (80.7%). Structural challenges (42.1% could not enter the facility by themselves and 56.5% could not use the bathroom) and lack of height-adjustable examining couches (66.7%) impeded accessibility. Cost was incurred when participants (64.9%) utilised private health services where public services failed to address their needs.Conclusion: Primary care services were mostly affordable and adequate. Availability, acceptability and accessibility aspects created barriers.

Vertebral fractures and luxations in dogs and cats, part 1: evaluation of diagnosis and prognosis

2021 ◽  
Vol 26 (2) ◽  
pp. 1-10
Author(s):  
Ivona Orgonikova ◽  
Josep Brocal ◽  
Giunio Bruto Cherubini ◽  
Viktor Palus
Keyword(s):  
Spinal Cord ◽  
Vertebral Column ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Initial Assessment ◽  
Resonance Imaging ◽  
Spinal Cord Blood Flow ◽  
Traumatic Injuries ◽  
Diagnosis And Prognosis ◽  
Cord Injury

External traumatic injuries such as those caused by road traffic accidents, fights or falls in dogs and cats, can result in vertebral column fracture or luxation. The key to successfully managing such cases is an efficient and accurate initial assessment, followed by stabilisation and immobilisation, to ensure adequate spinal cord blood flow and oxygenation. The crucial prognostic factor for vertebral column fractures or luxations is the presence or absence of nociception. Definitive diagnosis relies on computed tomography since changes, such as fractures of the articular processes, may be missed on radiography. The most appropriate diagnostic method for assessing the severity of the spinal cord injury is magnetic resonance imaging.

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