Incidence of Co Morbid Injuries in case of Patients Presenting with Injuries of Spinal Cord

Haseeb Elahi, Muhammad Zubair, Hafiz Rizwan Ul Haq, Ibad Ur Rehman

Abstract


Abstract:

Objective: The main aim of this study was to find the incidence of co morbid injuries in case of patients presenting with injuries of spinal cord.

Type of study: It is a retrospective type of study.

Place and duration of study: This study was carried in a duration of 9 months from February 2018 to October 2018 in Mayo Hospital Lahore.

Materials and Methods: A total of 375 patients with spinal cord injuries were selected and checked for associated injuries. Associated injuries were seen in 150 (40%) of the selected cases. These patients were assessed to find the severity, nature and etiology of the associated injuries. A pre designed proforma was used to collect the data like age, gender, occupation mechanism of injury, degree of spinal injury and associated injuries. Head, neck, chest, limbs, pelvis, long bones, neurovascular bundles and ligaments were assessed to look for associated injuries. These were classified using anatomical sites as references and mechanism of injury was categorized as suicidal injury, RTA, sports injuries or injuries due to fall.

X-rays, CT scan and MRI were used to assess the levels of injuries. Dislocation of a bone from its original position with or without fracture or a fracture only was labeled as bone injury. Neurological impairment following spinal injury was classified using (ASIA) American spinal cord association which has five grades from A to E with A having maximum disability below spinal injury level and E represents normal functions.

Results: The incidence of co morbid injuries in case of patients presenting with injuries of spinal cord injuries was 40%. The most common cause of trauma causing injury was road traffic accidents. C5-C6 level injuries were the most common in patients and other common associated injuries included limb (21.3%), abdomen (22.7%), chest (24%), head (16.7%) and face (15.3%).

Conclusion: The incidence of co morbid injuries in case of patients presenting with injuries of spinal cord is high and these associated injuries can lead to increased morbidity and mortality.


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References


Rajasekaran S, Kanna RM, Shetty AP. Management of thoracolumbar spine trauma: An overview. Indian journal of orthopaedics. 2015 Jan;49(1):72.

Chu D, Lee YH, Lin CH, Chou P, Yang NP. Prevalence of associated injuries of spinal trauma and their effect on medical utilization among hospitalized adult subjects–a nationwide data-based study. BMC health services research. 2009 Dec;9(1):137.

Anwar F. Multiple trauma associated with spinal injury. Rawal Med J. 2011;36:18-21.

Thietje R, Pouw MH, Schulz AP, Kienast B, Hirschfeld S. Mortality in patients with traumatic spinal cord injury: descriptive analysis of 62 deceased subjects. The journal of spinal cord medicine. 2011 Sep 1;34(5):482-7.

Garfin SR, Shackford SR, Marshall LF, Drummond JC. Care of the multiply injured patient with cervical spine injury. Clinical Orthopaedics and Related Research®. 1989 Feb 1;239:19-29.

Chu D, Lee YH, Lin CH, Chou P, Yang NP. Prevalence of associated injuries of spinal trauma and their effect on medical utilization among hospitilized adult subjects: a nationwide data-based study. BMC Health Services Res 2009;9:137.

Saboe LA, Reid DC, Davis LA, Warren SA, Grace MG. Spinal trauma and associated injuries. J Trauma 1991;31:43-48.

Iida H, Tachibana S, Kitahara T, Horiike S, Ohwada T, Fujii L. Association of Head Trauma with Cervical Spine injury, Spinal Cord Injury or Both. J Trauma 1999;46:450-52.

Robertson A, Branfoot T, Barlow IF, Giannoudis PV. Spinal injury patterns resulting from car and motorcycle accidents. Spine 2002;27:2825-30.

Robertson A, Glannoudis PV, Branfoot T, Barlow I, Mathew SJ, Smith RM. Spinal

Injuries in motorcycle crashes: patterns and outcomes. J Trauma 2002;53:5-8.

Rabinovici R, Ovadia P, Mathiak G, Abdullah F. Abdominal injuries associated with lumbar spine fractures in blunt trauma. Injury 1999;30:471-74.

Joosten C, Katscher S. Radiologische Diagnostik bei Wirbelsäu- lenverletzungen. Akt Traumatol 2003;33:157-64.

Brown CV, Antevil JL, Sise MJ, Sack DI. Spiral computed tomography for the diagnosis of cervical, thoracic, and lumbar spine fractures: its time has come. J Trauma 2005;58:890-5.

Hauser CJ, Visvikis G, Hinrichs C, Eber CD, Cho K, Lavery RF, et al. Prospective validation of computed tomographic screening of the thoracolumbar spine in trauma. J Trauma 2003;55:228-34.

Holly LT, Kelly DF, Counelis GJ, Blinman T, McArthur DL, Cryer HG. Cervical spine trauma associated with moderate and severe head injury: incidence risk factors and injury characteristics. J Neurosurg 2002;96:285-91.


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