Assessment Of Clinical Profile And Outcome Of Cervical Spinal Cord Injuries With Or Without Bony Injuries

ABSTRACT

Objective: The present study was design to investigate the clinical profile and outcome in patients of cervical spinal cord injury with or without bony injury. Material and Method: All patients of cervical spinal cord injury with or without evidence of bony injury on X–ray were included in this study. In addition to X–ray finding, patient age, sex and MRI cervical spine were also recorded at the time of admission. Clinical profile and outcome was assess with Benzel–Larson Grade included one to seven grades. Results: Total 87 patients of cervical spine injury were included in study, 25 patients were included in SCIWORA group while 62 patients were having associated with bony injuries. Both SCIWORA and SCI with bony injury ware more commonly due to fall from height and more common in males. Neurological recovery was more in SCIWORA than bony injury patients. Conclusion: cervical spine cord injury is commonly seen in children, while associated bony injury is common in adult population. Early diagnosis and proper management for SCIWORA can improve neurological outcome in selected group of patients.