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Research Paper | Medical Science | India | Volume 13 Issue 5, May 2024 | Rating: 5.2 / 10
Dissection of the Demographic and Clinical Profile of Patients with Traumatic Spinal Cord Injury in Central India: A Retrospective Observational Study
Dr. Somok Banerjee, Dr. Bikram K Kar, Dr. Alok C Agrawal, Dr. Sudarshan Behera, Dr. Harshal Sakale
Abstract: Traumatic spinal cord injury is one of the leading causes of morbidity and mortality worldwide. The objective of this study was to establish the clinico-demographic profile of patients with TSCI. Between 25th July, 2020 and 24th July, 2022 218 patients with TSCI who presented to the trauma and emergency department of a level 1 trauma centre in central India were included in a retrospective cross-sectional study. Information on Demographic data, mode of injury, fracture morphology, neurological grading, treatment details were obtained. Correlation among neurological injury as per American Spinal Injury Association (ASIA) score, injury severity score (ISS), morphological patterns as per AO classification and final outcome was ascertained. The median age was 35 years, and the gender ratio was 2.6:1. Road traffic accident (54.1%) was the most common MOI. The median ISS was 19.4, and the percentage of patients with poly-trauma was 73.4% (ISS > 17). Cord contusion was present in 53.3% patients. Single level injury (83.5%) was the predominant pattern of injury with the Commonest vertebral level injured being Lumbar (37.7%) followed by Cervical (28.4%) and Thoracic (17.4%). Nearly one in every six patients (16.5%) had multiple level injury. The most common type of vertebra fracture as per AO Classification was AO Type A fractures (74.3%) followed by AO type C (11.0%) and AO type B injuries (8.2%) most patients had ASIA A neurology at the time of presentation (31.2%) followed by ASIA E (21.1%), ASIA B (20.2%), ASIA D (14.7%) and ASIA C (12.8%) which accounted for most patients with non-usable muscle power (ASIA A, B and C) at the time of presentation (64.2%) with only 35.8% patients having usable muscle power (ASIA D and ASIA E). The correlation between ISS and ASIA scores (Spearman?s = 0.581, P < 0.001) and between morphology type and ASIA score (Pearson?s ?2 = 68.9, P < 0.001) was statistically significant.
Keywords: Traumatic Spinal Cord Injury TSCI, clinico-demographic profile, neurological grading ASIA score, injury severity score ISS, AO classification
Edition: Volume 13 Issue 5, May 2024
Pages: 658 - 663