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Indian Journal of Forensic Medicine and Pathology

Volume  14, Issue 1, JAN-MARCH 2021, Pages 17-26
 

Original Article

Traumatic Spinal Cord Injuries in South Costal Region of Andhra Pradesh

Kathi Aswani Kishore1, Niranjan Kumar Gunjan2

1Assistant Professor, Department of Forensic Medicine and Toxicology, Narayana Medical college, Chinthareddy Palem, Nellore, Andhra Pradesh 524003, India. 2Assistant Professor, Department of Forensic Medicine and Toxicology, Mata Gujri Memorial Medical College, Kishanganj, Bihar 855107, India.

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DOI: http://dx.doi.org/10.21088/ijfmp.0974.3383.14121.2

Abstract

Background: Traumatic Spinal Cord Injury (TSCI) is serious health problem among adults. 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: To know the common age group that is mostly prone to TSCI, 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: The maximum cases 40 were in the age group of 41-50(26.31%). The mean age is 38.45 + 14.56.SCI cases were more common among males 115(75.66%), than in females 37(24.34%) and also the most common age group was between 41- 50 years 33(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 observed that most common cause was fall from height 93(61.20%), followed by road traffic accidents 52(34.20%). It was observed that most common site of injury was cervical 67(44.10%), followed by lumbar 54(35.50%), thoracic 29(19.10%), thoracolumbar 2(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. Key words: Spinal cord injury; Spinal injuries; Spinal trauma.


Corresponding Author : Niranjan Kumar Gunjan