scholarly journals Spinal cord injury, Clinical Profile and its Management at Tertiary Care Center in Nepal

2019 ◽  
Vol 8 (1) ◽  
pp. 16-21
Author(s):  
Prakash Kafle ◽  
Babita Khanal ◽  
Dipak Kumar Yadav ◽  
Deepak Poudel ◽  
Iype Cherian
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
College Teaching ◽  
Spine Injury ◽  
Eastern Region ◽  
Common Cause ◽  
Cord Injury

Background: Spinal cord injury causes serious disability among patients. More than 40 million people worldwide suffer from Spinal cord injury every year. Most of them are young men. More than10% of trauma victims sustain spine injury and have higher mortality than other injuries. Materials and Methods: This is a prospective observational hospital based study of traumatic spine injury cases admitted at Nobel Medical College Teaching Hospital, Biratanagr, Nepal from November 2017 to October2018. Results: Total of 352 cases were observed and 36 cases who meet the inclusion criteria for surgical intervention were analyzed. Most common affected age group was between 31-40 years with mean age of 40 years. Out of total cases, 81% were male. Most common cause for spine injury was road traffic accident. Cervical spine was the most common injury (66.7%) and C5- C6subluxation being common radiological diagnosis. ASIA-C neurology status (41.7%) on presentation being most common neurological status. Head injury was the most common associated injury. Anterior cervical discectomy and fusion was the most common surgical procedure performed. Superficial surgical site infections were observed in two cases and hardware failure was seen in one case. Conclusion: The epidemiology of traumatic spine injuries in eastern region of Nepal is similar with other developing countries. In present study, most common cause of spine injury was motor vehicle accidents followed by fall injuries and seen in male. Prevention of road traffic accident might decrease the incidence of spine injury there by reducing the national burden.

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.

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....

Liaison psychiatry in a spinal cord injury unit: characteristics of patients with acute traumatic spinal cord injury (ATSCI)

2011 ◽  
Vol 26 (S2) ◽  
pp. 386-386
Author(s):  
P. Lusilla Palacios ◽  
L. Torrent Bertrand ◽  
L. Montesinos Magraner ◽  
A. Rodríguez ◽  
M.A. González Viejo ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traffic Accident ◽  
Road Traffic ◽  
Psychiatric Morbidity ◽  
Risk Groups ◽  
University Hospital ◽  
Liaison Psychiatry ◽  
Cord Injury ◽  
Few Data

IntroductionDespite of the evidence of high psychopathological disorders in patients with ATSCI, few data are available on their psychiatric morbidity prior to the injury.ObjectivesIdentify psychiatric morbidity pre-post ATSCI in a sample of patients admitted in the Spinal Injuries Unit of the Vall d’ Hebron University Hospital in Barcelona (Spain).Material and methods54 patients with ATSCI patients were admitted between 1st. October 2009 and 1st. October 2010. SPSS (version 16.1) was used to analyze the data.ResultsSeventy-six percent of the inpatients with ATSCI (41 cases) were evaluated by the psychiatrist and constitute the study sample. Twenty-seven (66%) were male and 14 (33%) female. The average age of the sample was 41 years with younger males (p < 0.05).Reasons for ATSCI in males were traffic accident (26%), accidental falls and sports accidents (both 18.5%). In women were suicidal attempt by precipitation, fall accident (28.6% both) and traffic accident (21.4%).41% of men versus 14% of women had a history of substance misuse (p < 0.01) while 64% of women versus the 14.8% of males had a prior psychiatric disorder (p < 0.01). 72.5% of men with ATSCI caused by traffic accident had used substances prior to the accident, those association was not found for women.91% of patients underwent psychopharmacological intervention.ConclusionsATSCI patients exhibit high psychiatric morbidity and require specialized assessment. The high incidence of substance use associated with road traffic injuries suggests the need to identify risk groups in order to establish effective preventive measures.

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 A CLINICAL STUDY OF BLUNT CHEST TRAUMA

2020 ◽  
pp. 66-68
Author(s):  
Mohit B Chauhan ◽  
Hitesh Maheshwari ◽  
Dolli Aasani
Keyword(s):  
Road Traffic Accident ◽  
Blunt Chest Trauma ◽  
Traffic Accident ◽  
Chest Trauma ◽  
Road Traffic ◽  
Clinical History ◽  
Common Cause ◽  
Mortality And Morbidity ◽  
Physical Trauma ◽  
Cord Injury

Trauma to the chest is considered as one of the most serious injuries of the chest and it is also a common cause of mortality and morbidity. It is also the leading cause of death from physical trauma after head and spinal cord injury. Chest trauma is the primary or a contributing factor in approximately 1/4th of all trauma related deaths. Chest trauma accounts for 20-25% of deaths due to trauma. Approximately, 16,000 deaths per year in India alone are a result of chest trauma. The study was conducted on 25 patients of blunt chest trauma admitted in a G.G. Hospital affiliated to M.P. Shah Govt. Medical College during the years 2016- 2018. Detailed clinical history was recorded including age, sex, symptoms, mode of injury, associated injuries, external bleeding and mental status. Out of 25 patients having blunt chest trauma most common age group was 31-40 years, road traffic accident being the most common mode of injury in 60%, 64% having less than 4 ribs fractured, 60% having hemothorax and 54% having pneumothorax and 60% patients were treated with intercostal tube drainage. The study revealed that road traffic accident was the most common cause of blunt chest trauma. Majority of the patients with blunt chest trauma can be managed conservatively with pain management. Few required intercostal tube drain without the need of other invasive therapy.

scholarly journals The demographics and traumatic causes of spinal cord injury in Nepal: An observational study

Trauma ◽  
2020 ◽  
pp. 146040862094134
Author(s):  
Arran Willott ◽  
Raju Dhakal ◽  
Christine Groves ◽  
Julie Mytton ◽  
Matthew Ellis
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Young Adults ◽  
East Asia ◽  
Road Traffic ◽  
Spinal Injury ◽  
Age Groups ◽  
South East Asia ◽  
Rehabilitation Centre ◽  
Cord Injury

Introduction There has been little systematic study of the epidemiology of traumatic spinal cord injury (TSCI) in Nepal, South-East Asia, and low- and middle-income countries (LMICs) in general. One third of the global morbidity and mortality due to injuries is concentrated in South-East Asia. We need to better understand the circumstances leading to TSCI if we are to make progress with prevention. Method The Spinal Injury Rehabilitation Centre (SIRC) in Nepal systemically collected prospective data describing people with TSCI admitted between September 2015 and August 2016. Descriptive analyses of variables yielded demographic, aetiological and clinical descriptors of this cohort. Cross-tabulations were used to explore the associations between variables. Results Of 184 admissions over one year, males were admitted to SIRC almost 2.3 times more often than females. Young adults (21–30 years) were the largest age group (34%). The majority of TSCI resulted in paraplegia (67%) and was complete in nearly half (49%). Falls caused the majority of TSCI (69%), and falls from trees were the most common. Road traffic injuries (RTIs) were the second leading cause (29%); the majority involved two- or three-wheeled motorised vehicles and patients were most commonly driving. Conclusion Falls were the leading cause of TSCI across both genders and all age groups, followed by RTIs, which occurred most often in young adults and men. Injury surveillance and further research would provide a greater understanding of the pattern of TSCI and enable progress in TSCI prevention and rehabilitation.

Association of Head Trauma with Cervical Spine Injury, Spinal Cord Injury, or Both

1999 ◽  
Vol 46 (3) ◽  
pp. 450-452 ◽  
Author(s):  
Hideo Iida ◽  
Shigekuni Tachibana ◽  
Takao Kitahara ◽  
Shigeharu Horiike ◽  
Takashi Ohwada ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spine ◽  
Head Trauma ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Cord Injury

scholarly journals In Vivo Tissue-Level Thresholds for Spinal Cord Injury

2007 ◽  
Author(s):  
Jason Maikos ◽  
Ragi Elias ◽  
Zhen Qian ◽  
Dimitris Metaxas ◽  
David Shreiber
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Small Animal ◽  
Tissue Level ◽  
Spine Injury ◽  
Spinal Cord Tissue ◽  
Element Analysis ◽  
In Vivo Models ◽  
Cord Injury

Traumatic loading conditions, such as those experienced during car accidents or falls, can lead to spinal cord injury (SCI), resulting in permanent functional damage [1]. A better understanding of the biomechanical causes of SCI and knowledge of the tolerance of spinal cord tissue to mechanical loading is critical in understanding how mechanisms of injury lead to neurologic deficits, as well as designing methods to prevent SCI. Finite element analysis (FEA) has become an important and cost effective tool to investigate the biomechanics of trauma. FEA has been used to study a variety of biomechanical analyses of trauma, including brain injury and spine injury biomechanics, but there have been limited analyses on spinal cord injury (SCI) [2–5]. In fact, despite the prevalence of small animal models in the neuroscience community used to study SCI, there have been no published analyses of in vivo models of SCI.

scholarly journals Outcome of Antegrade Interlocking Intramedullary Nailing in Fracture Shaft of the Femur in Community Based Medical College Hospital, Bangladesh

2015 ◽  
Vol 4 (1) ◽  
pp. 13-17
Author(s):  
Mamunur Rashid Chowdhury ◽  
Md Anwarul Haque ◽  
Md Nasir Uddin ◽  
Md Saiful Islam ◽  
Sabrina Alam Mumu ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Intramedullary Nailing ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Medical College Hospital ◽  
Community Based ◽  
College Hospital ◽  
Common Cause ◽  
Medical College

Day by day road traffic accident in Bangladesh is increasing. Mymensingh-Dhaka highway passes beside the Community Based Medical College Hospital, Bangladesh. We often have to manage a greater number of traumatic patients. In road traffic accident the incidence of fracture shaft of femur is the most common. That's why my study was done to evaluate the result of management of fracture shaft of the femur with antegrade interlocking intramedullary nailing under the department of Orthopedic Surgery in CBMCH,B in the period between January 2009 to July 2013. Total 88 patients were selected for interlocking nailing initially in the study. Out of them 8 patients did not report in subsequent follow up. So the result of the study was based on 80 patients (48 males; 32 females) with the range of 20- 68 years of age. The average age of the patient was 36 years. Motor vehicle accidents was the most common cause of fracture shaft femur (65%) and the second most common cause was fall from height (20%) specially fall from tree. Among the patients; right sided femur involvement was 67.5% (54) and left sided femur involvement was 32.5% (26). The majority fracture of the shaft of the femur was lower third (70%). The patients were mostly in the day-laborers' groups (35%), and, the next group was students. The mean union time was 18 weeks with the range of 15-30 weeks. After operation, complications were found such as; infection 3.75%(3), non-union 1.25% (1). Excellent functional outcome was found in 82.5% (66), good in 12.5% (10), fair in 5%(4). This functional outcome study was evaluated by Klemm & Borner 1 criteria. CBMJ 2015 January: Vol. 04 No. 01 P: 13-17

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