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