ABSTRACT
Study Design: Retrospective study. Objective: To describe the evolution of care and risk factors for poor outcome in patients with cervical spine injury (CSI) treated at three centers in southeast Nigeria. Setting: Nigeria; southeast. Materials and Methods: A 10-year retrospective multicenter analysis of patients with CSI; managed at three centers in southeast Nigeria; from January 2003 to December 2012. Results: Two hundred and seven patients (55) had CSI out of 377 spinal injury cases in the three study centers; but 195 cases had complete records and were studied. There were 148 males and 47 females. The age range was 3-74 years with a mean of 32.6 (?1.9) years 95) cases One hundred and seventeen patients (60 CI. Most injuries (149 cases) resulted from motor vehicular accidents (MVA). The C5 spinal level was involved in 75 (38) presented with American Spinal Injury Association A (ASIA A) injury. CSI care evolved from the application of a Minerva jacket or cervical traction only to cervical traction and spinal fusion resulting in a reduction in hospital stay (F = 52.5; DF (2; 3) P 0.05). When compared to 51 patients with incomplete injuries; who improved in neurologic al status at discharge; only three patients with ASIA grade A experienced some improvement. The mortality rate from our series is 16 (32 patients). Those who died were more likely to have a complete injury (25 patients) or a high cervical injury (X 2
Subject(s)
Multicenter Study , Risk FactorsABSTRACT
A case study of 20 primary osteosarcoma seen at National Orthopaedic Hospital; Enugu for a period of ten years (June 1; 1978 to June 1; 1988) was done. The tumor was found to be the commonest bone tumor constituting 40of the malignant bone tumors seen at the hospital. Ninety per cent of the tumors occurred in the long bones; with 60occurring in the region of the knee. 15occurred in the upper limb while 85in the lower limb. Greater percentage of patients seen were lost to follow-up after one year and only six deaths were recorded. Treatment mostly was ablative surgery and adjuvant chemo-therapy
Subject(s)
OsteosarcomaABSTRACT
Femoral fracture is quite a disabling injury and one of the most difficult to treat. Developing countries like ours have their own logistic problems that might affect the ultimate results. Ignorance and poverty have resulted in late presentations with resultant complications. Large series of femoral fractures treated over a ten year period at National Orthopaedic Hospital; Enugu has been reviewed. Of the two hundred cases seen 48.5was due to Road Traffic Accidents which mainly occurred during period of festivities. 41.5of the patients had already been to the traditional bone setters