Traumatic Thoracolumbar Spine Injury –A Demographic Study

JOURNAL TITLE: Indian Journal of Physical Medicine and Rehabilitation

Author
1. Sanjai Singh
2. Dileep Kumar
3. Anil Kumar Gupta
4. VP Sharma
5. RN Srivastava
6. Javed Ahmed
ISSN
0973-2209
DOI
10.5005/ijopmr-26-2-27
Volume
26
Issue
2
Publishing Year
2015
Pages
4
Author Affiliations
    1. Apollo Indraprastha Hospital, New Delhi
    2. 487 Mandakini Enclave, Alaknanda, New Delhi, Email: rnsri@vsnl.net
    3. GAIL (India) Limited, 16, Bhikaji Cama Place, New Delhi
    4. Indian CANCL (Child Abuse and Child Labour) Group; All India Institute of Medical Sciences, New Delhi, India
    5. Apollo Indraprastha Hospitals, New Delhi, 487, Mandakini Enclave, Alaknanda, New Delhi 110019
    6. Indian Child Abuse Neglect and Child Labour (ICANCL) Group; Indian Academy of Pediatrics (IAP)
    7. Apollo Indraprastha Hospital, New Delhi, India
    8. Apollo Indraprastha Hospitals, New Delhi
    1. Dept of PMR, CSM Medical University, Lucknow
    1. Dept of PMR, CSM Medical University (Ernst KGMU), Lucknow
    1. Dept of PMR, RALC Campus, Nazibullah Road, King George's Medical University, Lucknow, UP
    1. Dept of PMR, RALC Campus, Nazibullah Road, King George's Medical University, Lucknow, UP
    1. Dept of PMR, RALC Campus, Nazibullah Road, King George's Medical University, Lucknow, UP
  • Article keywords

    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.

    © 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved