scholarly journals THORACOLUMBAR SPINAL ARTHRODESIS - EPIDEMIOLOGY AND COSTS

2017 ◽  
Vol 16 (1) ◽  
pp. 52-55
Author(s):  
TOBIAS LUDWIG DO NASCIMENTO ◽  
LUIZ PEDRO WILLIMANN ROGÉRIO ◽  
MARCELO MARTINS DOS REIS ◽  
LEANDRO PELEGRINI DE ALMEIDA ◽  
GUILHERME FINGER ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neurological Deficit ◽  
Traffic Accidents ◽  
Thoracolumbar Spine ◽  
Hospital Costs ◽  
Spine Fracture ◽  
Female Ratio ◽  
Cord Injury ◽  
Fall From Height

ABSTRACT Objective: To describe the epidemiology of patients with thoracolumbar spine fracture submitted to surgery at Hospital Cristo Redentor and the related costs. Methods: Prospective epidemiological study between July 2014 and August 2015 of patients with thoracolumbar spine fracture with indication of surgery. The variables analyzed were sex, age, cost of hospitalization, fractured levels, levels of arthrodesis, surgical site infection, UTI or BCP, spinal cord injury, etiology, length of stay, procedure time, and visual analog scale (VAS) . Results: Thirty-two patients were evaluated in the study period, with a mean age of 38.68 years. Male-female ratio was 4:1 and the most frequent causes were fall from height (46.87%) and traffic accidents (46.87%). The thoracolumbar transition was the most affected (40.62%), with L1 vertebra involved in 23.8% of the time. Neurological deficit was present in 40.62% of patients. Hospital stay had a median of 14 days and patients with neurological deficit were hospitalized for a longer period (p<0.001), with an increase in hospital costs (p= 0.015). The average cost of hospitalization was U$2,874.80. The presence of BCP increased the cost of hospitalization, and patients with spinal cord injury had more BCP (p= 0.014) . Conclusion: Public policies with an emphasis on reducing traffic accidents and falls can help reduce the incidence of these injuries and studies focusing on hospital costs and rehabilitation need to be conducted in Brazil to determinate the burden of spinal trauma and spinal cord injury.

scholarly journals Epidemiological Characteristics of Spinal Cord Injury in Northwest China: A Single Hospital-based Study

2020 ◽  
Author(s):  
ZhiMeng Wang ◽  
Peng Zou ◽  
Jun-Song Yang ◽  
Ting-ting Liu ◽  
Leilei Song ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traffic Accidents ◽  
Spinal Injury ◽  
Cervical Spinal Cord ◽  
Northwest China ◽  
Female Ratio ◽  
Hospitalization Period ◽  
Cord Injury ◽  
Epidemiological Characteristics

Abstract Background : While the cities in China in which spinal cord injury (SCI) studies have been conducted previously are at the forefront of medical care, northwest China is relatively underdeveloped economically, and the epidemiological characteristics of SCI have rarely been reported in this region. Methods : The SCI epidemiological survey software developed was used to analyze the data of patients treated with SCI from 2014 to 2018. The sociodemographic characteristics of patients, including name, age, sex, and occupation, were recorded. The following medical record data, obtained from physical and radiographic examinations, were included in the study: data on the cause of injury, fracture location, associated injuries, and level of injury. Neurological function was evaluated using the American Spinal Injury Association (ASIA) impairment scale. In addition, the treatment and complications during hospitalization were documented. Results : A total of 3,487 patients with SCI with a mean age of 39.5±11.2 years were identified in this study, the male to female ratio was 2.57:1. The primary cause of SCI was falls (low falls 47.75%, high falls 37.31%), followed by traffic accidents (8.98%) and impact with falling objects (4.39%). Of all patients, 1,786 patients (51.22%) had complications and other injuries. According to the ASIA impairment scale, the numbers of grade A, B, C, and D injuries were 747 (21.42%), 688 (19.73%), 618 (17.72%), and 1434 (41.12%), respectively. During the hospitalization period, a total of 1,341 patients experienced complications, with an percentage of 38.46%. Among all complications, pulmonary infection was the most common (437, 32.59%), followed by hyponatremia (326, 24.31%), bedsores (219, 16.33%), urinary tract infection (168, 12.53%), deep venous thrombosis (157, 11.71%), and others (34, 2.53%). Notably, among 3,487 patients with SCI, only 528 patients (15.14%) received long-term rehabilitation treatment. Conclusion : The incidence of SCI in northwest China was on the rise with higher proportion in males, fall and the MCVs were the primary causes of SCI. The occupations most threatened by SCI are farmers and workers. The investigation and analysis of the epidemiological characteristics of SCI in respiratory complications are important factors leading to death after SCI, especially when the SCI occurs in the cervical spinal cord. Finally, the significance of SCI rehabilitation should be addressed.

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.

Delayed Treatment of Spinal Cord Injury In Young: A Case Report

2018 ◽  
Vol 1 (2) ◽  
pp. 15
Author(s):  
Joshua Sutikno
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traffic Accidents ◽  
Epidemiological Data ◽  
Morbidity Rate ◽  
High Morbidity ◽  
Low Back ◽  
Traditional Treatment ◽  
Delayed Treatment ◽  
Cord Injury

Background: Spinal cord injury (SCI), one of the problems caused by traffic accidents, has a high morbidity in developing country like Indonesia. In Indonesia, the use of motorcycles is increasing every year. The epidemiological data from Fatmawati Hospital of spinal cord injury in 2014 was 104 cases both traumatic and non-traumatic SCI. In this case, a young boy with worsening of SCI, delayed the treatment for about 3 months.Case: A 19 years-old male complained of limbs paralysis for the past two weeks. He felt numbness and tingling in hamstring and calf areas. From past medical history, he had a motorcycle accident 3 months prior. After the accident, he suffered from extreme low back pain, but he could still move his legs. Due to economic restrictions, the patient refused to go to the hospital, and they chose a traditional treatment. For about three months, the pain was decreasing, but he was never pain-free. As the symptoms continued to worsen, the neurosurgeon decided to decompress the spinal cord and performed discectomy. After a week of treatment, the pain disappeared, motor muscle got better, and he could feel again the sensation on the dermatome of S1. Conclusion: Early treatment is recommended to get a better outcome. The surgery is not the only treatment, rehabilitation and orthotics using are important too. Delayed treatment increases morbidity rate.

scholarly journals Intramedullary stabbing spinal cord injury: Perioperative optimized management for a successful surgical outcome

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Pablo Martínez-Soler, ◽  
Pablo Martínez-Soler ◽  
 Juan F Martínez Canca
Keyword(s):  
Spinal Cord ◽  
Emergency Department ◽  
Spinal Cord Injury ◽  
Neurological Deficit ◽  
Rare Case ◽  
Perioperative Management ◽  
Full Account ◽  
Accident And Emergency ◽  
Cord Injury ◽  
Accident And Emergency Department

We present a rare case of fully penetrating spinal cord injury in an 8-year-old girl who accidentally stabbed herself with a crochet needle at L4-L5 level. She presented to the local Accident and Emergency Department without neurological deficit. This is the full account of her perioperative management resulting in total neurological preservation.

scholarly journals A demographic profile of cervical injury: an Indonesian single tertiary hospital study with 6 months to 1-year follow-up

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Lukas Widhiyanto ◽  
Aliefio Japamadisaw ◽  
Kukuh Dwiputra Hernugrahanto
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traffic Accidents ◽  
Tertiary Hospital ◽  
First Year ◽  
Cervical Injury ◽  
Significant Difference ◽  
Cord Injury ◽  
The Mean

Abstract Background Spinal cord injury (SCI) can cause considerable morbidity and mortality. Until now there is no spinal cord injury profile in Indonesia. Therefore, this study aims to provide an overview of the spinal cord injury profile as well as to analyze the functional outcome at the sixth month and the first year. Results Most spinal cord injury cases were traumatic SCI (67.5%). Meanwhile, non-traumatic SCI was 32.5%. The mean age of patients who had traumatic SCI was 41.9 ± 17.4 years while non-traumatic SCI patients was 48.4 ± 13.7 with a significant difference (p < 0.05). Most cases occurred in men rather than women with significant differences based on the type of injury (p < 0.05). Traffic accidents were the most common cause of cervical injuries (47.1%). Surgery was the most common treatment modality in cervical injury cases (60.4%) with the posterior approach being the preferred approach in most operative measures (72.4%). Respiratory failure was the leading cause of death (48.9%). The mean LOS of patients with traumatic SCI was 28.8 ± 14.3 days while the mean LOS of non-traumatic SCI patients was 44.7 ± 28.7 with a significant difference (p < 0.05). There was significance difference between the initial outcome and after the sixth month to first year follow-up (p < 0.05). Conclusions This study demonstrated the epidemiology and characteristics of spinal cord injury which mostly had a good neurological outcome.

scholarly journals In vivo and in vitro models of traumatic injuries of the spinal cord

2017 ◽  
Vol 5 (1) ◽  
pp. 87-93
Author(s):  
O. Rybachuk ◽  
I. Arkhypchuk ◽  
Yu. Lazarenko
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traffic Accidents ◽  
Experimental Models ◽  
The Body ◽  
Nerve Tissue ◽  
Economic Losses ◽  
Cord Injury

In recent years, there is a growing interest in the mechanisms of regeneration of damaged nerve tissue, including the spinal cord, as its injuries are quite common due to traffic accidents, industrial injuries and military actions. Damage to the spinal cord results in the loss of functional activity of the body below the injury site, which affects person’s ability to self-service and significantly reduces its efficiency. The effects of spinal injuries annually cause significant social and economic losses worldwide, including Ukraine. The development of new treatments for pathologies of the central nervous system requires mandatory pre-testing of their effectiveness in experiments in vitro and in vivo. Therefore, searching and creation of optimal animal model of spinal cord injury is in order to it meets most complete picture of the damage characteristic of real conditions in humans. This is an important task of modern neurophysiology. Such models can be used, primarily, for a more detailed clarification of the pathogenesis of all levels of nerve tissue damage and research of its own recovery potential by endogenous reparation mechanisms. In addition, experimental models allow to estimate the safety and predict the effectiveness of various therapeutic approaches to spinal cord injury.

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