Indian Journal of Physical Medicine and Rehabilitation

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VOLUME 26 , ISSUE 2 ( June, 2015 ) > List of Articles

RESEARCH ARTICLE

Traumatic Thoracolumbar Spine Injury –A Demographic Study

RN Srivastava, Dileep Kumar, Anil Kumar Gupta, VP Sharma, Javed Ahmed, Sanjai Singh

Citation Information : Srivastava R, Kumar D, Gupta AK, Sharma V, Ahmed J, Singh S. Traumatic Thoracolumbar Spine Injury –A Demographic Study. Indian J Phy Med Rehab 2015; 26 (2):27-30.

DOI: 10.5005/ijopmr-26-2-27

Published Online: 00-06-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


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.


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