scholarly journals Different Traumatic Spinal Column Fractures and Traumatic Spinal Cord Injury: An Epidemiologic Study

2020 ◽  
Vol 7 (2) ◽  
pp. 67-72
Author(s):  
Ali Andalib ◽  
◽  
Hossein Akbari Aghdam ◽  
Emran Ahmadi ◽  
◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Epidemiologic Study ◽  
Spinal Column ◽  
Traumatic Spinal Cord Injury ◽  
Spine Fractures ◽  
Road Accidents ◽  
Traumatic Injuries ◽  
Traumatic Lesion ◽  
Cord Injury

Background: Trauma and traumatic injuries are the most common causes of disabilities among the young population in developing countries. Besides morbidity and mortality, traumatic injuries can significantly decrease the quality of life and life expectancy of the victims. Objectives: Traumatic Spinal Cord Injury (TSCI) is an acute, traumatic lesion of the spinal cord. It usually produces economic problems that can emotionally and psychologically affect the patients. This study aims to evaluate spinal column fractures and TSCI in Iran. Methods: In this study, we evaluated all of the cases diagnosed with TSCIs between 2012 and 2018. A total of 1014 patients were included in our study. Prevalence of spinal column fractures was evaluated and the percentage of each type of fractures was extracted. The need for surgery and the percentage of TSCI were also evaluated. Results: The most common cause of trauma was vehicle and road accidents (83.4%) followed by falling (12.7%). A total of 21 patients (2.1%) died due to injuries. The incidence of TSCI among patients with traumatic spinal column fractures were 62 cases (6.1%). Also, 67.7% of patients with TSCI underwent surgery. Furthermore, we found that the lumbar area received the highest incidence of TSCI (38.3% of all TSCIs) followed by thoracic spine fractures (27.4% of all TSCIs). Also thoracic and cervical spine fractures were mostly associated with mortality compared with other sites of spine fractures (47.6% and 38.1% of all mortalities, respectively). Conclusion: In our study, most cases (83.4%) were injured by road accidents which indicates the low safety of vehicles and roads in Iran. Epidemiological features of spinal column injuries and TSCI vary among different societies due to different causes. So far, this study is the first one to evaluate different spine fractures and TSCI and other associated factors in the Iranian population.The results indicate a high incidence of thoracic and lumbar fractures and a higher mortality rate in thoracic and cervical fractures.

The Management of Traumatic Spinal Cord Injury

2018 ◽  
pp. 97-104
Author(s):  
David M. Panczykowski ◽  
Jeremy G. Stone ◽  
David O. Okonkwo
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Column ◽  
Primary Objective ◽  
Helical Computed Tomography ◽  
Pulmonary Insufficiency ◽  
Radiographic Evaluation ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury ◽  
Important Means

The management of traumatic spinal cord injury (SCI) requires thorough neurologic assessment and injury classification to guide treatment as well as inform prognosis. Initial radiographic evaluation is aimed at efficiently determining spinal column stability and should begin with high-quality multislice helical computed tomography imaging, including coronal and sagittal reconstructions. The primary objective of clinical SCI management is to prevent or ameliorate secondary injury caused by cardiovascular instability and/or pulmonary insufficiency, in addition to other comorbid processes common to this disease. Vigilant monitoring and treatment in the critical care setting is one of the most important means of reducing morbidity and mortality following SCI.

Neurological Recovery in Traumatic Spinal Cord Injury Patient with Delayed Surgical Intervention

2018 ◽  
Vol 1 (2) ◽  
pp. 34
Author(s):  
Mochamad Targib Alatas
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Surgical Intervention ◽  
Case Series ◽  
Spinal Cord Injury Patient ◽  
Traumatic Spinal Cord Injury ◽  
Best Interest ◽  
Score Improvement ◽  
Cord Injury ◽  
Injury Patient

Early surgical treatment for traumatic spinal cord injury (SCI) patients has been proven to yield better improvement on neurological state, and widely practiced among surgeons in this field. However, it is not always affordable in every clinical setting. It is undeniable that surgery for chronic SCI has more challenges as the malunion of vertebral bones might have initiated, thus requires more complex operating techniques. In this case series, we report 7 patients with traumatic SCI whose surgical intervention is delayed due to several reasons. Initial motoric scores vary from 0 to 3, all have their interval periods supervised between outpatient clinic visits. On follow up they demonstrate significant neurological development defined by at least 2 grades motoric score improvement. Physical rehabilitation also began before surgery was conducted. These results should encourage surgeons to keep striving for the patient’s best interest, even when the injury has taken place weeks or even months before surgery is feasible because clinical improvement for these patients is not impossible. 

Epidemiology of Traumatic Spinal Cord Injury in China

2019 ◽  
Author(s):  
Dingjun Hao ◽  
Liang Yan ◽  
Baorong He ◽  
Jinpeng Du ◽  
Shicheng Yu ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury

Traumatic Spinal Cord Injury Alters Angiogenic Factors and TGF-Beta1 that may Affect Vascular Recovery

2010 ◽  
Vol 7 (4) ◽  
pp. 301-310 ◽  
Author(s):  
Marie-Francoise Ritz ◽  
Ursula Graumann ◽  
Bertha Gutierrez ◽  
Oliver Hausmann ◽  
E
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Angiogenic Factors ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury
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