Keshkar Sanjay, Kumar Ratnesh, Bharti Bharat Bhushan
Department of Orthopaedic Surgery, ESIC Medical College, ESI-PGIMSR & ESIC Hospital, Joka, Kolkata, 700104, India,
Int Orthop. 2014 Oct;38(10):2143-7. doi: 10.1007/s00264-014-2431-x. Epub 2014 Jul 4.
The Kashmir earthquake, also known as the South Asia earthquake, hit Jammu and Kashmir (India) on 8th October 2005 (registered as 7.6 on Richter scale) and was quite devastating, with the official toll being 1,360 (some estimates being around 1,800). The injured registered around 6,300. In such an enormous disaster, rescue operations, relief and rehabilitation is a great challenge. One week after the Kashmir earthquake (2005), a multidisciplinary rehabilitation team headed by the corresponding author went to Srinagar (Kashmir). The purpose was to tackle the medical rehabilitation issues of the victims of the earthquake and later study the epidemiology of various injuries, especially the spinal injuries, so as to improve the future rehabilitation strategies in similar scenarios.
This is a single-phase, hospital-based study of spinal injury patients of the Kashmir earthquake (October 2005) admitted in various hospitals of Srinagar (the capital city of Kashmir, India) and around it. This was conducted one week after the Kashmir earthquake (October 2005). Detailed history of patients, clinical and radiological evaluation was done. In consultation with neurosurgeons and spine surgeons, issues of rehabilitation were noted, and need based on early rehabilitation care was provided by means of rehabilitation orthoses (aids/appliances), physiotherapy, psychotherapy, etc.
Out of 2,621 cases who received various injuries (as per records of different hospitals and health institutions), 1,366 (52.11%) were referred to different health institutions of Kashmir valley, of which 429 (31.40%) cases were admitted for orthopaedic intervention at different referral hospitals of Srinagar and Baramula. Out of 429 admitted patients of different hospitals, we covered 266 patients of four major hospitals, of which 38 (12.33%) cases were spinal injuries, 20 cases (52.7%) had dorsolumber segment involvement with 12 cases (31.5%) having cervical and six cases (15.8%) sacrococcigeal injury.
In a massive natural calamity like the Kashmir (India) earthquake of 2005, a collective effort by a rehabilitation team for providing supportive/assistive devices along with physiotherapy and psychotherapy has significantly helped in recovery of functional and psychological status of the spinal trauma victims. No doubt that the life saving operations and definitive surgery are important to combat major catastrophe in such disasters but early medical rehabilitation is equally important to reduce injury-related disability.
克什米尔地震，又称南亚地震，于2005年10月8日袭击了查谟和克什米尔（印度）（里氏震级登记为7.6级），破坏性极大，官方死亡人数为1360人（一些估计约为1800人）。受伤人数约为6300人。在如此巨大的灾难中，救援行动、救济和恢复工作是一项巨大的挑战。克什米尔地震（2005年）一周后，由通讯作者率领的多学科康复团队前往斯利那加（克什米尔）。目的是解决地震受害者的医学康复问题，并随后研究各种损伤的流行病学，尤其是脊柱损伤，以便改进类似情况下未来的康复策略。
这是一项基于医院的单相研究，研究对象为2005年10月克什米尔地震后入住斯利那加（印度克什米尔首府）及其周边各医院的脊柱损伤患者。该研究在克什米尔地震（2005年10月）一周后进行。对患者进行了详细的病史询问、临床和放射学评估。与神经外科医生和脊柱外科医生协商后，记录了康复问题，并通过康复矫形器（辅助器具）、物理治疗、心理治疗等方式提供了基于早期康复护理的需求。
在2621例受到各种损伤的病例中（根据不同医院和卫生机构的记录），1366例（52.11%）被转诊至克什米尔山谷的不同卫生机构，其中429例（31.40%）在斯利那加和巴拉穆拉的不同转诊医院接受了骨科干预。在不同医院收治的429例患者中，我们涵盖了四家主要医院的266例患者，其中38例（12.33%）为脊柱损伤，20例（52.7%）累及胸腰段，12例（31.5%）为颈椎损伤，6例（15.8%）为骶尾损伤。
在2005年印度克什米尔地震这样的大规模自然灾害中，康复团队共同努力提供支持性/辅助性设备以及物理治疗和心理治疗，对脊柱创伤受害者的功能和心理状态恢复有显著帮助。毫无疑问，在这类灾难中，挽救生命的手术和确定性手术对于应对重大灾难很重要，但早期医学康复对于减少与损伤相关的残疾同样重要。
