Neglected Thoraco Lumbar Traumatic Spine Injuries.
10.4184/asj.2016.10.4.678
- Author:
Kavin KHATRI
1
;
Kamran FAROOQUE
;
Vijay SHARMA
;
Babita GUPTA
;
Shivanand GAMANAGATTI
Author Information
1. Department of Orthopaedics, GGS Medical College, Faridkot, India.
- Publication Type:Original Article
- Keywords:
Thoracolumbar spine;
Cord injury;
Fracture;
Spine;
Trauma;
Spinal cord injuries;
Spinal fractures;
Neglected diseases
- MeSH:
Back Pain;
Congenital Abnormalities;
Developing Countries;
Diagnosis;
Humans;
Neglected Diseases;
Pressure Ulcer;
Retrospective Studies;
Spinal Cord;
Spinal Cord Injuries;
Spinal Fractures;
Spinal Injuries;
Spine*;
Surgical Procedures, Operative;
Urinary Tract Infections
- From:Asian Spine Journal
2016;10(4):678-684
- CountryRepublic of Korea
- Language:English
-
Abstract:
STUDY DESIGN: Retrospective study. PURPOSE: To outline the etiology, complications and management difficulties encountered in the management of neglected thoracolumbar spine injuries. OVERVIEW OF LITERATURE: The English literature describes overlooked diagnosis as the most common cause of neglected spine injuries. However, the reasons differ in developing or under-developed nations. Moreover, there is scarcity of literature about the neglected spinal injuries. METHODS: Patients presenting with thoracolumbar traumatic injuries who had not received any form of treatment for more than three weeks were included in the study. The demographic details, operative procedure performed and complications encountered, along with American Spinal Injury Association grade and spinal cord independence measure score recorded on the history sheets were noted. The data were analyzed. RESULTS: Forty patients were included in the study. Inadequate treatment at the first contact hospital (45%) followed by late presentation (38%) and missed injury (17%) were the major etiological factors for the neglected traumatic injuries in the thoracolumbar spine. The most common complications seen in the management of these cases were pressure sores (58%), back pain (57%), urinary tract infection (42%) and residual kyphotic deformity (42%). CONCLUSIONS: Management of neglected thoracolumbar injuries is challenging. The delay in presentation should not prevent spine surgeon in proceeding with operative intervention as good results can be expected.
