Traumatic Thoracic and Lumbar Spine Injury in Adult Population Presenting to a Tertiary Care Hospital
Background: Epidemiology of traumatic thoracolumbar spine injury is a less explored subject in developing/ underdeveloped countries. The number of available studies in Nepal is even smaller. This study aims to establish the epidemiological characteristics of patients with thoracic and lumbar spine...
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| Format: | Article |
| Language: | English |
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Nepal Health Research Council
2022-11-01
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| Series: | Journal of Nepal Health Research Council |
| Online Access: | http://www.jnhrc.com.np/index.php/jnhrc/article/view/3984 |
| _version_ | 1797990150212419584 |
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| author | Bikash Parajuli Sabik Kayastha Jagadish Thapa Dipak Shrestha |
| author_facet | Bikash Parajuli Sabik Kayastha Jagadish Thapa Dipak Shrestha |
| author_sort | Bikash Parajuli |
| collection | DOAJ |
| description |
Background: Epidemiology of traumatic thoracolumbar spine injury is a less explored subject in developing/ underdeveloped countries. The number of available studies in Nepal is even smaller. This study aims to establish the epidemiological characteristics of patients with thoracic and lumbar spine injuries presenting to Dhulikhel Hospital, Kathmandu University Hospital in Nepal.
Methods: This is a single-center retrospective observational study. Patients with traumatic thoracolumbar spine injuries admitted to to Dhulikhel Hospital, Kathmandu University Hospital from 2015 January to 2019 December were included. International Spinal Cord Injury core data set (version 2) and International Spinal Cord Injury Spinal Column Injury Basic Data Set (version 1.0) were used for data collection.
Results: Three hundred and seventeen patients were included, of which, 50.2% were male and the mean age was 45.5 ± 17 years. Fall was the most common etiology of injury (69.1%). The most common level of injury was L1 (32.5%). Thirty-seven patients (11.7%) had ASIA A neurology. One hundred and seventy-three (54.6%) patients underwent surgical intervention. The median hospital stay of the patients was 7 days (IQR: 3-11) with no recorded in-hospital mortality.
Conclusions: Males and females are equally vulnerable to thoracic and lumbar spinal injuries, with the majority of patients in 46-60 age groups. More than 1/3rd neurologically impaired patients are with ASIA A neurology. The findings of this study can contribute to traumatic thoracic and lumbar spine injury prevention and rehabilitation.
Keywords: Epidemiology; injury; lumbar spine; thoracic spine
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| first_indexed | 2024-04-11T08:31:56Z |
| format | Article |
| id | doaj.art-193f09df1cc447fba940eb69c9b8bb45 |
| institution | Directory Open Access Journal |
| issn | 1727-5482 1999-6217 |
| language | English |
| last_indexed | 2024-04-11T08:31:56Z |
| publishDate | 2022-11-01 |
| publisher | Nepal Health Research Council |
| record_format | Article |
| series | Journal of Nepal Health Research Council |
| spelling | doaj.art-193f09df1cc447fba940eb69c9b8bb452022-12-22T04:34:27ZengNepal Health Research CouncilJournal of Nepal Health Research Council1727-54821999-62172022-11-01200210.33314/jnhrc.v20i02.3984Traumatic Thoracic and Lumbar Spine Injury in Adult Population Presenting to a Tertiary Care HospitalBikash Parajuli0Sabik Kayastha1Jagadish Thapa2Dipak Shrestha3Department of Orthopedics and Traumatology, Dhulikhel Hospital/ Kathmandu University Hospital, Kavre, NepalDepartment of Orthopedics and Traumatology, Dhulikhel Hospital/ Kathmandu University Hospital, Kavre, NepalDepartment of Orthopedics and Traumatology, Dhulikhel Hospital/ Kathmandu University Hospital, Kavre, NepalDepartment of Orthopedics and Traumatology, Dhulikhel Hospital/ Kathmandu University Hospital, Kavre, Nepal Background: Epidemiology of traumatic thoracolumbar spine injury is a less explored subject in developing/ underdeveloped countries. The number of available studies in Nepal is even smaller. This study aims to establish the epidemiological characteristics of patients with thoracic and lumbar spine injuries presenting to Dhulikhel Hospital, Kathmandu University Hospital in Nepal. Methods: This is a single-center retrospective observational study. Patients with traumatic thoracolumbar spine injuries admitted to to Dhulikhel Hospital, Kathmandu University Hospital from 2015 January to 2019 December were included. International Spinal Cord Injury core data set (version 2) and International Spinal Cord Injury Spinal Column Injury Basic Data Set (version 1.0) were used for data collection. Results: Three hundred and seventeen patients were included, of which, 50.2% were male and the mean age was 45.5 ± 17 years. Fall was the most common etiology of injury (69.1%). The most common level of injury was L1 (32.5%). Thirty-seven patients (11.7%) had ASIA A neurology. One hundred and seventy-three (54.6%) patients underwent surgical intervention. The median hospital stay of the patients was 7 days (IQR: 3-11) with no recorded in-hospital mortality. Conclusions: Males and females are equally vulnerable to thoracic and lumbar spinal injuries, with the majority of patients in 46-60 age groups. More than 1/3rd neurologically impaired patients are with ASIA A neurology. The findings of this study can contribute to traumatic thoracic and lumbar spine injury prevention and rehabilitation. Keywords: Epidemiology; injury; lumbar spine; thoracic spine http://www.jnhrc.com.np/index.php/jnhrc/article/view/3984 |
| spellingShingle | Bikash Parajuli Sabik Kayastha Jagadish Thapa Dipak Shrestha Traumatic Thoracic and Lumbar Spine Injury in Adult Population Presenting to a Tertiary Care Hospital Journal of Nepal Health Research Council |
| title | Traumatic Thoracic and Lumbar Spine Injury in Adult Population Presenting to a Tertiary Care Hospital |
| title_full | Traumatic Thoracic and Lumbar Spine Injury in Adult Population Presenting to a Tertiary Care Hospital |
| title_fullStr | Traumatic Thoracic and Lumbar Spine Injury in Adult Population Presenting to a Tertiary Care Hospital |
| title_full_unstemmed | Traumatic Thoracic and Lumbar Spine Injury in Adult Population Presenting to a Tertiary Care Hospital |
| title_short | Traumatic Thoracic and Lumbar Spine Injury in Adult Population Presenting to a Tertiary Care Hospital |
| title_sort | traumatic thoracic and lumbar spine injury in adult population presenting to a tertiary care hospital |
| url | http://www.jnhrc.com.np/index.php/jnhrc/article/view/3984 |
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