Neglected Thoraco Lumbar Traumatic Spine Injuries
Asian Spine Journal
; : 678-684, 2016.
Article
em En
| WPRIM
| ID: wpr-148230
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Medula Espinal
/
Traumatismos da Medula Espinal
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Traumatismos da Coluna Vertebral
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Coluna Vertebral
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Procedimentos Cirúrgicos Operatórios
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Anormalidades Congênitas
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Infecções Urinárias
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Estudos Retrospectivos
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Fraturas da Coluna Vertebral
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Dor nas Costas
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Humans
Idioma:
En
Revista:
Asian Spine Journal
Ano de publicação:
2016
Tipo de documento:
Article