Abstract

Background:TraumaticSpinalCordInjury(TSCI)isserioushealthproblemamongadults.It leads to significant morbidity, mortality, permanent disability and socio-economic effect. The present study was conducted in Narayana Medical College, Nellore State Andhra Pradesh. Aims and Objectives: ToknowthecommonagegroupthatismostlypronetoTSCI,sex difference of TSCI,the area of distribution of TSCI cases, mode of injury, various management modalities like Surgical, ICU stay etc and their role in the prognosis of patients with TSCI,the site of injury commonly involved and GCS of patients admitted due to TSC.To know the mortality rate among TSCI patients. Type of study: This is a two years retrospective and oneyear prospective study. Place of study:Spinal cord injuries admitted in Narayana Medical College & Hospital – Nellore, during the years 1st October 2010 to 30th September 2013. Material and Methods: All patients admitted and managed for traumatic spinal cord injury were retrieved and data collected in a pre-designed proforma. Patient characteristics, details of etiology, mechanism of injury, level of injury, extent of neurological deficits, details of investigations, details of management and immediate outcome were recorded. Observations and Discussion: Themaximumcases40wereintheagegroupof41-50(26.31%). Themeanageis38.45+14.56.SCIcasesweremorecommonamongmales115(75.66%),thanin females37(24.34%)andalsothemostcommonagegroupwasbetween41-50years33(21.71%) followed by 21-30 years 30(19.73%). Male to female ratio was 4.18: 1.It was observed that maximum cases were in rural area 132(86.80%), followed by urban area 20(13.20%). It was observedthatmostcommoncausewasfallfromheight93(61.20%),followedbyroadtraffic accidents52(34.20%).Itwasobservedthatmostcommonsiteofinjurywascervical67(44.10%), followedbylumbar54(35.50%),thoracic29(19.10%),thoracolumbar2(1.30%). Conclusion: Traumatic spinal cord injuries affect young population and can leave these persons with significant functional and physical morbidity. Male persons are more commonly injured than females.

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