A Prospective Epidemiological Study of Subaxial Cervical Spine Injury in a Tertiary Care Centre In South India
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 5
Abstract
Introduction: Injuries to the cervical spine occur in only 2 to 3% of all patients with CNS injuries, because of their associated mortality and morbidity to the patient, socioeconomic impact over the family of the injured patients, they are highly significant. Aim: The aim of this study was to record the incidence of subaxial spine injury patients in a neuro surgical unit in our institution. Material and Methods: Spine injury cases referred to Neuro surgery unit were included in the study. Anatomical level of injury, number of cervical levels injured, trauma mechanism involved in fall injuries, associated head injury, neurological deficit at the time of diagnosis were recorded. Results: About 36% of the patients has fractures at more than one cervical level. 2 patients had high cervical and subaxial fractures among the 36 patients. The modes of injury were motor vehicle accidents 76%, fall from height 18%, swimming related injuries 6%. The relative incidence of subaxial cervical spine injury increased significantly with age. Conclusion: RTA is the majority to cause subaxial injury. Male predominance was observed and the incidence increased with age.A proper uniform referral system to tertiary center and further study with longer duration is essential.
Authors and Affiliations
R Selvaraj, G. Lakshmipathy, D. Balasubramanian, Heber Anandan
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