Shrestha P, Shrestha S, Shrestha R K
Nepal Med Coll J. 2014 Dec;16(2-4):169-72.
Spinal cord injury is a serious problem that affects many facets of an individual's life. This was a retrospective study which included data from all patients admitted to the Spinal Injury Rehabilitation Center (SIRC), Sanga with spinal injuries over a 4 year period between January 2008 and January 2011. The overall objective of the study was to determine the epidemiology of spinal injury patients admitted at the center. Socio-demographic details, mechanism of injury, level of injury, ASIA score and length of hospital stay of the subjects were recorded and analyzed. An incremental pattern was observed in the number of spinal injury patients attending SIRC. In the year 2008, 81 patients of spinal injury were recorded which increased to 122 in 2011. A total of 381 spinal injury patients were included in the study out of which a majority, 73.50% were male, 30.45% belonged to the 21-30 years age group and 23.10% belonged to the 31-40 years age group. A majority of Spinal injury patients, 189 (49.60%), were from the Central region followed by 89 (23.36%) from the Western region. Fall from height (68.24%) was the predominant cause of spinal injury followed by road traffic accident (18.63%). In the study, 213 subjects (55.91%) had ASIA A scoring and thoracic injury (49.34%) was most common followed by lumbar injury (29.66%), cervical injury (17.84%) and sacral injury (3.15%). About Two-fifths (40.42%) of the spinal injury patients were conservatively managed whereas three-fifths (59.58%) underwent surgery and length of stay of patients ranged from 2 to 305 days. This study shows that the young adults, predominantly males in their most productive years of life, are prone to traumatic spinal cord injury which results in personal and family tragedies along with socioeconomic burden to the nation. Thus, recognizing the pattern of traumatic spinal cord injuries, relevant etiological factors and identification of high-risk groups is necessary in designing better methods of prevention.
脊髓损伤是一个严重的问题，会影响个人生活的许多方面。这是一项回顾性研究，纳入了2008年1月至2011年1月期间在桑加脊髓损伤康复中心（SIRC）收治的所有脊髓损伤患者的数据。该研究的总体目标是确定该中心收治的脊髓损伤患者的流行病学情况。记录并分析了受试者的社会人口学细节、损伤机制、损伤水平、美国脊髓损伤协会（ASIA）评分和住院时间。观察到前往SIRC就诊的脊髓损伤患者数量呈递增趋势。2008年记录了81例脊髓损伤患者，2011年增至122例。该研究共纳入381例脊髓损伤患者，其中大多数（73.50%）为男性，30.45%属于21 - 30岁年龄组，23.10%属于31 - 40岁年龄组。大多数脊髓损伤患者（189例，49.60%）来自中部地区，其次是西部地区的89例（23.36%）。高处坠落（68.24%）是脊髓损伤的主要原因，其次是道路交通事故（18.63%）。在该研究中，213名受试者（占55.91%）ASIA评分为A，最常见的损伤部位是胸椎损伤（49.34%），其次是腰椎损伤（29.66%）、颈椎损伤（17.84%）和骶椎损伤（3.15%）。约五分之二（40.42%）的脊髓损伤患者接受保守治疗，五分之三（59.58%）接受了手术，患者住院时间为2至305天。这项研究表明，年轻人，尤其是处于人生最具生产力年龄段的男性，容易发生创伤性脊髓损伤，这会导致个人和家庭悲剧，同时给国家带来社会经济负担。因此，在设计更好的预防方法时，认识创伤性脊髓损伤的模式、相关病因以及识别高危人群是必要的。
