Traumatic Cervical Spine Injury Pattern– A Snapshot

2012 ◽  
Vol 23 (3) ◽  
pp. 111-116
Author(s):  
M Joshi ◽  
Mahima Agrawal
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Spinal Injury ◽  
Tertiary Care ◽  
Injury Pattern ◽  
Spine Injury ◽  
Rehabilitation Centre ◽  
Cross Sectional

Abstract Study design and subjects Cross-sectional descriptive study of pattern of cervical spine injury at a tertiary care rehabilitation centre in Rajasthan. Objectives To observe the socio demographic profile and injury pattern in cervical spinal cordinjury. Methods One hundred and forty-one clients of traumatic cervical spine injury (CSI) were admitted from 1st December 2010 to 15th October 2011 at the Department of Physical Medicine and Rehabilitation, S.M.S. Medical College and Hospital, Jaipur. Detailed clinical, neurological evaluation as per American Spinal Injury Association Classification (ASIA) and radiological assessment were done along with identification of mechanism of injury, mode of evacuation and presence of associated injuries. Data analysis was done in October 2011 and results were compiled and analysed. Results Mean age in our sample was 35.87 ± 14.38 years that comprised 11 females (7.8%) and 130 males (92.2%) of whom 78 (55.3%) fell in the age group of 25 to 55 years. Majority 64 (45.4%) were illiterate, 80 (56.8%) being farmers and labourers. Greater fraction had road traffic accidents i.e., 66 (46.81%) and fall from height 56 (39.72%) as the mechanism of trauma. Only 69 (49.8%) could arrange an ambulance for transport. Majority of the injured i.e., 84 (59.57%) presented with neurologically complete picture as per ASIA classification and the most common involvement being of 5th and 6th cervical segments i.e., 103 (73.15%). Conclusion This study evaluated the demographic variables of cervical spine injury for better understanding of impact that it has and further for better allocation of our health resources, distribution and planning

scholarly journals SPINE TRAUMA

2018 ◽  
Vol 25 (03) ◽  
pp. 371-375
Author(s):  
Muhammad Sajid Mehmood ◽  
Muhammad Asad Javed ◽  
Muhammad Zafar Elahi ◽  
Sana Sehrish ◽  
Sultan Shah
Keyword(s):  
Lumbar Spine ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Spinal Injury ◽  
Tertiary Care ◽  
Neurological Status ◽  
Spine Injury ◽  
Care Hospital ◽  
Spine Trauma ◽  
Cross Sectional

Objectives: To determine the etiology and level of spine trauma in patientspresenting in tertiary care hospital of Pakistan. Study Design: Descriptive, cross-sectional study.Setting: This study was conducted at the Department of Neurosurgery, Pakistan Institute ofMedical Sciences (PIMS), Islamabad, from September 20th, 2014 to March 20th, 2015. Subjects:The patients in the study were of both genders, between 15 to 80 years of age (N=315, meanage 38.17 years, SD 17.31). Materials and Methods: All 315patientsbetween 15 to 80 yearsof age with spine trauma presenting to the Neurosurgery department of PIMS, Islamabadconsented to participate in the study. All these patients had underwent thorough history andphysical examination after stabilization and initial emergency management. X-ray spine wascarefully reviewed and patient details, bio-data, etiology of trauma, spinal injury type, level,neurological status and diagnosis were recorded. Results: The most frequently affected agegroup presenting with spine trauma were young and between 15 to 30 years of age (17.1%).The most frequent etiologies seen for spine injury were falls; 158 (50.2%) followed by RTA’s;129 (41%). The most common level of spine trauma presentation was at the lumbar spine;142 (45.1%) followed by thoracic spine fractures; 80 (25.4%). Conclusion: Lumbar spine andyounger male people are more prone to spinal injuries in Pakistan. The most frequent reasonfor the trauma was due to falls followed by road traffic accidents.

scholarly journals Determination of Early Neurological Outcome by ASIA score following Delayed Anterior Decompression and Stabilization of Lower Cervical Spine Injury

2018 ◽  
Vol 4 (2) ◽  
pp. 82-86
Author(s):  
Mohammed Ashraful Haque ◽  
SK Sader Hossain ◽  
Md Mahfuzur Rahman ◽  
Md Rafiqul Islam ◽  
Sadika Kadir ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Neurological Outcome ◽  
Cervical Spine Injury ◽  
Spinal Injury ◽  
Donor Site ◽  
Csf Leak ◽  
Spine Injury ◽  
Lower Cervical Spine ◽  
Anterior Decompression ◽  
Cross Sectional

Background: Surgical management of lower cervical spine injury is a very important issue among these patients. Objective: The purpose of the present study was todetermine the early neurological outcome of delayed anterior decompression and stabilization of lower cervical spine injury. Methodology: This cross sectional study was carried out in the Department of Neurosurgery at Dhaka Medical College and Hospital, Dhaka, Bangladesh within the period of January 2010 to July 2011 for a period of one year and 6 months. Neurological outcome following anterior decompression and stabilization of lower cervical spine injury was observe. Patients presented with lower cervical spine injury were included in this prospective study. Quantification of neurologic deficit in lower cervical spine injury patients were carried out by following The American Spinal Injury Association (ASIA) impairment scale. Early neurological outcome was also assessed after operation by using ASIA impairment scale in the follow up period at one, three and six months interval. Result: A total of 31 patients were included in this study. Based on the ASIA impairment scale, preoperatively, 6.4 5% of the injuries were grade A, 16.13 % of the injuries were Grade B, 16.13% of the injuries were Grade C and 35.48 % of the injuries were Grade D. early post-operative complications include dysphagia in 3 5.48% cases, donor site infection in 9.67% cases, CSF leak in 3.22%; catheter related urinary tract infection 9.67% and bed sore occurred in 6.45% cases. Conclusion: In conclusion significant neurological recovery can be expected following delayed anterior decompression and stabilization of lower cervical spine in lower cervical spine injury patient. Journal of National Institute of Neurosciences Bangladesh, 2018;4(2): 82-86

Neurotrauma at the All India Institute of Medical Sciences Bhubaneswar: An Overview

2019 ◽  
Vol 16 (02/03) ◽  
pp. 113-116
Author(s):  
Chinmaya Dash ◽  
Ayusman Satapathy ◽  
Sumit Bansal ◽  
Rabi Narayan Sahu
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
India Institute ◽  
Spine Injury ◽  
Road Traffic Accidents ◽  
Medical Sciences ◽  
The Future ◽  
Severe Tbi

Abstract Background The All India Institute of Medical Sciences (AIIMS) Bhubaneswar was established as an Institution of National Importance through the All India Institute of Medical Sciences (Amendment) Ordinance passed on July 16, 2012. It is estimated that road traffic accidents lead to economic loss to the tune of approximately 3% of gross domestic product. Centers of excellence for neurotrauma are the need of the hour, and the Indian Government is focusing on preventive and curative aspects of road traffic accidents to a great extent in the recent years. In this article, we would like to highlight the resources (manpower, infrastructure, etc.) available for neurotrauma, challenges ahead, and vision for the future. Trauma Audit A retrospective analysis of all the admitted patients of traumatic brain injury (TBI) was performed from November 2018 to October 2019. A total of 149 patients were admitted during this period. Of the 149 admitted patients, 88 had mild TBI, 39 had moderate TBI, and 22 had severe TBI. The mortality was highest in patients with severe TBI, with 45.45% mortality. A total of 29 patients with traumatic spine injury were admitted during this period. Of the 29 patients, 10 had cervical spine injury, 10 had dorsal spine injury, and 9 had lumbar spine injury. Of all these patients, two patients with cervical spine injury died of refractory shock. Perceived Limitations and Challenges Lack of dedicated round-the-clock emergency operating rooms (ORs) for neurosurgical procedures, adequate number of intensive care unit (ICU) beds, various gadgets in the ICU for neurocritical care, lack of rehabilitation facilities/center, lack of various OR gadgets, and lack of manpower, especially trained nursing staff, are the limitations perceived by us. Vision for the Future A trauma block has been approved, and work on it has begun. This shall greatly help in upgrading facilities for neurotrauma at AIIMS, Bhubaneswar. Conclusion Facilities for neurotrauma at AIIMS Bhubaneswar are gradually being upgraded. With a core team, the services are improving gradually. However, the institution is in its early years, and a lot more needs to be done in terms of manpower, gadgets, and infrastructure to further improve neurotrauma care at AIIMS, Bhubaneswar. This article may help in formulating guidelines for strengthening neurotrauma facilities in AIIMS, Bhubaneswar and all the new AIIMS established in India.

scholarly journals Traumatic Thoracolumbar Spine Injury –A Demographic Study

2015 ◽  
Vol 26 (2) ◽  
pp. 27-30
Author(s):  
RN Srivastava ◽  
Dileep Kumar ◽  
Anil Kumar Gupta ◽  
VP Sharma ◽  
Javed Ahmed ◽  
...  
Keyword(s):  
Trauma Care ◽  
Rural Areas ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Thoracolumbar Spine ◽  
Spine Injury ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Tertiary Center

Abstract Study design and subjects Cross-sectional descriptive analysis of data of patients with thoracolumbar SCI admitted for rehabilitation at a tertiary care centre from January 2011 to September 2014. Objectives To identify the demographic pattern of TLSCI admitted to this centre. Setting Department of PM&R, King George's Medical University, Lucknow. Methods One hundred and thirty-three consecutive patients of traumatic TLSCI admitted for rehabilitation were included in the study. Detailed demographic, clinical, neurological evaluation as per ASIA scale and radiological assessment done and analyzed. Results Mean age of our sample was 29.62±5 years. There were 21.05% females and 78.95% males. A significant percentage (36.84%) was farmers/labourers, followed by students 26.31%. Majority (67.67%) had fall from height followed by road traffic accidents (21%). Only 3.76% received ambulance for transport and majority (87.22%) of the cases transported by hired four wheelers. Only 18.78% cases came to tertiary center within 2 hours and majority (70%) came after 8 hours of injury. Ratio of complete and incomplete injuries being 1.7:1. Most common vertebral involvement in 58.64% cases were of T12 and L1. Conclusions Majority of Indian population live in rural areas which have minimal accessibility to even primary care. This disparity should be removed by even distribution of specialty hospital and trauma care centres in rural areas with better transportation with trained staff for trauma care. A national SCI registry system is needed and SCI case should be reported from all hospitals so that rehabilitation programme planning can be done accordingly.

scholarly journals Epidemiological study of cervical spine injury in a tertiary care center in South India

2020 ◽  
Vol 7 (9) ◽  
pp. 2895
Author(s):  
Prasanth Asher ◽  
Jijo Joseph Joseph ◽  
Varun Singh Pendro ◽  
Anilkumar Peethambaran ◽  
Rajmohan Bhanu Prabhakar
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Cervical Spine Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Spine Injury ◽  
Mechanism Of Injury ◽  
Road Traffic Accidents ◽  
Cervical Spine Injuries ◽  
Spine Injuries

Background: Cervical spine injuries, according to severity can leave victims with long standing neck pain or varying degrees of weaknesses. The purpose of this study is to determine the epidemiological pattern of cervical spine injury in our hospital so that comparison may be made with other institutions and guidance regarding management may be formulated for the betterment of patients.Methods: This cross-sectional longitudinal study was conducted in Government Medical College, Thiruvananthapuram and included all patients admitted with clinical or radiological evidence of cervical spine injury, over a period of three months.  Semi-structured questionnaire was used to collect socio demographic data and details regarding mechanism of injury. Data was analyzed using SPSS.Results: Out of 452 patients enrolled, 69.7% were males and 30.3% were females. Patients were the most commonly between 30-60 years of age (52.4%). Majority (56.1%) had hospital stays lasting less than 10 days. Most common mechanism of injury was road traffic accidents (46.6%). Neck pain was the most common symptom and cervical spine straightening was the most common radiological abnormality. The severity of injuries was more severe in patients who were not restrained by seat belt or using a helmet.Conclusion: Road traffic accidents are the most common cause for cervical spine injuries and majority of patients required only symptomatic care.

scholarly journals A record based study of frequency and pattern of medico-legal cases reported at a tertiary care hospital in Miraj

2017 ◽  
Vol 4 (4) ◽  
pp. 1348 ◽  
Author(s):  
Tanuja R. Brahmankar ◽  
Sachin K. Sharma
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Road Traffic Accidents ◽  
Cross Sectional ◽  
Legal Cases ◽  
Legal Case

Background: Medico-legal case (MLC) can be defined as a case of injury or ailment, etc., in which investigations by the law-enforcing agencies are essential to fix the responsibility regarding the causation of the said injury or ailment. Medico-legal cases are an integral part of medical practice that is frequently encountered by medical officers working in casualty. Hence the present study is carried out to find out the frequency and pattern of medico-legal cases reported at a tertiary care hospital and to highlight the vulnerable gender, age, residence and the cause. Methods: It is a record based cross sectional study in which all the MLC cases registered in MLC record book during a period of 6 months (January 13– June 13) were included. Cases found non medico-legal were excluded. Variables considered were gender, age, residence and cause. Findings were expressed in numbers and percentages. Results: Total cases were 2350, of which 1866 (79.4%) were males and 484 (20.6%) were females. Maximum cases were from the age group of 21-30 years i.e., 828 (35.2%). 1440 (61.27%) were residents of urban area. Most of the medico-legal cases registered were due to assault (27.2%) followed by medical examination of prisoners(25.9%), road traffic accidents (19.7%), fall (6.9%), snake bite (6.6%), poisoning (4.3%), domestic injuries (4.3%), unknown bite (2.2%), unknown found at railway station (1.6%), brought dead (0.6%), burn (0.2%) & others (0.5%). Conclusions: Majority of the victims were males, young adults and urban inhabitants. Most common indication for medico-legal cases was assault followed by medical check-up of prisoners and road traffic accidents. 

scholarly journals The Subaxial Cervical AO Spine Injury Score

2020 ◽  
pp. 219256822097433
Author(s):  
Jose A. Canseco ◽  
Gregory D. Schroeder ◽  
Taylor M. Paziuk ◽  
Brian A. Karamian ◽  
Frank Kandziora ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Classification System ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Cross Sectional Survey ◽  
Injury Score ◽  
Cross Sectional ◽  
Severity Rating ◽  
Subaxial Cervical Spine ◽  
Injury Classification

Study Design: Global cross-sectional survey. Objective: To develop an injury score for the AO Spine Subaxial Cervical Spine Injury Classification System. Methods: Respondents numerically graded each variable within the classification system for severity. Based on the results, and with input from the AO Spine Trauma Knowledge Forum, the Subaxial Cervical AO Spine Injury Score was developed. Results: An A0 injury was assigned an injury score of 0, A1 a score of 1, and A2 a score of 2. Given the significant increase in severity, A3 was given a score of 4. Based on equal severity assessment, A4 and B1 were both assigned a score of 5. B2 and B3 injuries were assigned a score of 6. Unstable C-type injuries were given a score of 7. Stable F1 injuries were assigned a score of 2, with a 2-point increase for F2 injuries. Likewise, F3 injuries received a score of 5, whereas more unstable F4 injuries a score of 7. Neurologic status severity rating scores increased stepwise, with scores of 0 for N0, 1 for N1, and 2 for N2. Consistent with the Thoracolumbar AO Spine Injury Score, N3 (incomplete) and N4 (complete) injuries were given a score of 4. Finally, case-specific modifiers M1 (PLC injury) received a score of 1, while M2 (critical disc herniation) and M3 (spine stiffening disease) received a score of 4. Conclusions: The Subaxial Cervical AO Spine Injury Score is an easy-to-use metric that can help develop a surgical algorithm to supplement the AO Spine Subaxial Cervical Spine Injury Classification System.

scholarly journals Prevalence of Head Injury of Patients Arriving in a Tertiary Care Center

2020 ◽  
Vol 2 (1) ◽  
pp. 38-41
Author(s):  
Arbindra Kumar Yadav ◽  
Jagat Narayan Rajbanshi ◽  
Saroj Kumar Kushwaha ◽  
Pankaj Raj Nepal
Keyword(s):  
Head Injury ◽  
Severe Head Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Care Center ◽  
Tertiary Care ◽  
Emergency Admission ◽  
P Value ◽  
Cross Sectional ◽  
Severity Of Injury

Background and purpose: The prevalence of head injury is increasing with increasing number of automobiles, especially motorbike. With the objective to evaluate the prevalence of head injury and factors that could affect the severity of head injury, this study was performed in a tertiary hospital at far- eastern Nepal. Methodology: This is a cross-sectional study over the duration of one year. Association of age, gender, and mode of injury was checked with severity of injury using Chi-square test where P-value was kept significant at <0.01. Result: Total numbers of patient admitted through the emergency department, during the study period, were 832. Mean age of patient in the study group was 34.59 (SD 18.92) years. Majority of them falls in the category of 20-29 years. Among the different categories of head injuries, mild head injury (76%) was the most common presentation followed by moderate head injury and severe head injury, which were 14% and 10% respectively.  Conclusion: Head injury seems to be the major cause of emergency admission in for eastern part of Nepal. Among them road traffic accidents seems to be the major burden which is more common in young gentlemen with significant number of severe head injury.

scholarly journals Prevalence of Neurologic Deficits in Combined Facial and Cervical Spine Injuries: A Retrospective Analysis

2020 ◽  
pp. 194338752094018
Author(s):  
Manju Roby Philip ◽  
C. S. Soumithran
Keyword(s):  
Cervical Spine ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Maxillofacial Trauma ◽  
Spine Injury ◽  
Trauma Patients ◽  
Cervical Spine Injuries ◽  
Neurologic Deficits ◽  
Retrospective Data Analysis ◽  
Spine Injuries

Study design: A retrospective data analysis of maxillofacial trauma patients with combined cervical spine injuries. Objective: This study is based on investigating the importance of timely diagnosis of patients who suffer with cervical spine injuries along with maxillofacial trauma by estimating the prevalence of neurologic deficits and its relation with etiology. Methods: A database of 4460 patients suffering from maxillofacial injuries and admitted in specialized environment surgery of Government Medical College, Trivandrum, Kerala was taken under consideration. The prevalence and types of neurologic deficits and its relation with etiology were assessed in patients with combined facial and cervical spine injuries. Results: Of 4460 patients, 48 were having cervical spine injury along with facial damage with the prevalence of 0.01%. Neurologic deficits were seen highest with etiology of road traffic accidents followed by falls from height. Most of the accidents occurred in bike riders and helmets were absent. Conclusions: It was concluded that most of the accidents engage bike riders and drivers, due to unethical and unsafe driving. There was no significant correlation found between facial and cervical spine injuries.

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