Epidemiology of Distribution and Patterns of Blunt Traumatic Cervical Spine Injury: A Retrospective Cross-sectional Observational Study
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 12
Abstract
Introduction: Quadriplegia due to spinal cord injury is a devastating consequence of trauma to the cervical spine, involving numerous functional, psychosocial, and economic ramifications. Identification of unstable CSI is therefore an essential aspect of the trauma evaluation in preventing subsequent neurological damage. We retrospectively analysed the cases presented with cervical spine injury. In this study, we evaluated the frequency and risk factors for different types of cervical spine injury. Material and Methods: We retrospectively analysed the data of trauma patients admitted in the emergency room (ER) of S.C.B Medical College and Hospital, Cuttack and Govt. Medical College and Hospital, Balasore, Odisha, India, during the period from July 2017 to June 2018. The primary outcome was Cervical Spine fracture (CSfx) and dislocations, or cervical SCI. Results: Among the polytrauma patients undergone cervical CT, 68 (10.6%) cases have cervical spine fracture. Incidence of cervical spine fracture is significantly more in male patients in compare to females (69.1% vs 30.9%, 2.2:1). There is a steady increase in incidence of cervical spine fracture across the age from 15 to 60 yr old. Most common type of neurological injury observed was incomplete SCI in 7 (10.3%) cases. Road traffic accident was the most common mode of trauma causing cervical spine fracture seen in 39 (57.3%) cases Conclusion: This retrospective study demonstrated that most victims of cervical spine injury in our region are 46 to 90 years old and the incidence increases with rising age with male predominance and road traffic accidents being the most frequent mechanism leading to cervical spine injury,
Authors and Affiliations
Lalatendu Swain, Prabhat Nalini Rautray, Mamata Singh
Keywords
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