Journal of Research in Orthopedic Science

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Showing 2 results for Spinal Cord Injury

Different Traumatic Spinal Column Fractures and Traumatic Spinal Cord Injury: An Epidemiologic Study

Ali Andalib, Hossein Akbari Aghdam, Emran Ahmadi,
Volume 7, Issue 2 (5-2020)

Abstract

Background: Trauma and traumatic injuries are the most common causes of disabilities among the young population in developing countries. Besides morbidity and mortality, traumatic injuries can significantly decrease the quality of life and life expectancy of the victims.
Objectives: Traumatic Spinal Cord Injury (TSCI) is an acute, traumatic lesion of the spinal cord. It usually produces economic problems that can emotionally and psychologically affect the patients. This study aims to evaluate spinal column fractures and TSCI in Iran.
Methods: In this study, we evaluated all of the cases diagnosed with TSCIs between 2012 and 2018. A total of 1014 patients were included in our study. Prevalence of spinal column fractures was evaluated and the percentage of each type of fractures was extracted. The need for surgery and the percentage of TSCI were also evaluated.
Results: The most common cause of trauma was vehicle and road accidents (83.4%) followed by falling (12.7%). A total of 21 patients (2.1%) died due to injuries. The incidence of TSCI among patients with traumatic spinal column fractures were 62 cases (6.1%). Also, 67.7% of patients with TSCI underwent surgery. Furthermore, we found that the lumbar area received the highest incidence of TSCI (38.3% of all TSCIs) followed by thoracic spine fractures (27.4% of all TSCIs). Also thoracic and cervical spine fractures were mostly associated with mortality compared with other sites of spine fractures (47.6% and 38.1% of all mortalities, respectively).
Conclusion: In our study, most cases (83.4%) were injured by road accidents which indicates the low safety of vehicles and roads in Iran. Epidemiological features of spinal column injuries and TSCI vary among different societies due to different causes. So far, this study is the first one to evaluate different spine fractures and TSCI and other associated factors in the Iranian population.The results indicate a high incidence of thoracic and lumbar fractures and a higher mortality rate in thoracic and cervical fractures.

Predictors of Neurological Recovery in Traumatic Spinal Cord Injury Patients: A Multicenter Cohort Study

Omid Momen, Habib Gorgani Firouzjah, Afshin Sahebjamei, Mansoor Paryab, Mahsa Arab, Hasan Ghandhari,
Volume 10, Issue 2 (5-2023)

Abstract

Background: Traumatic spinal cord injury (TSCI) is a recognized health challenge worldwide that may lead to physical and neurological disorders. Neurological recovery following TSCI depends on several factors.
Objectives: This study aims to investigate predictors of neurological recovery in patients with TSCI.
Methods: In this multicenter cohort study, the medical profile of 120 TSCI patients referred to the emergency room of two educational centers affiliated with Golestan University of Medical Sciences between 2014 and 2018 were examined. A definitive diagnosis of TSCI was made based on neurological examination and radiographic results. Patient information was collected using a two-part checklist that included demographic characteristics and clinical results. TSCI severity was assessed using the American spinal cord injury scale (ASIA) 12 months after surgery. Multivariate logistic regression analysis was used to investigate predictors of improvement in neurological recovery.
Results: The average age was 35.16±13.61 years. A total of 96 people (80%) were men. The average duration of surgical injury in TSCI patients was 5.3±2.3 days. The results of multivariate analysis showed that age >30 years (odds ratio (OR) adj=1.44; 95% confidence interval (CI), 1.03−1.85; P=0.04), female gender (OR adj=1.54; 95% CI, 1.09%, 2.08%; P=0.032), body mass index (BMI) >26 kg/m2 (OR adj=1.41; 95% CI, 1.02%, 1.88%; P=0.006), duration of injury to surgery >4 days (OR adj=1.62; 95% CI, 1.11%, 2.12%; P=0.04) and the severity of the initial injury (A and B vs C and D) (OR adj=1.81; 95% CI, 1.12%, 254%; P=0.001), were significantly related to neurological recovery.
Conclusion: Our study showed that neurological recovery was higher in men younger than 30 years with a standard BMI. Delayed treatment and the severity of the initial injury were significantly associated with decreased neurological recovery.

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