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印度东北部脊柱损伤的流行病学:一项回顾性研究。

Epidemiology of Spinal Injury in North East India: A Retrospective Study.

作者信息

Birua Gyani Jail Singh, Munda Vishnu Singh, Murmu Nagendra Nath

机构信息

Department of Neurosurgery, SMIMS and CRH, Gangtok, Sikkim, India.

Department of General Surgery, SMIMS and CRH, Gangtok, Sikkim, India.

出版信息

Asian J Neurosurg. 2018 Oct-Dec;13(4):1084-1086. doi: 10.4103/ajns.AJNS_196_17.

Abstract

AIM

To find out the epidemiology of spinal injury in North East India.

MATERIAL AND METHODS

This study is a retrospective hospital-based analysis of spine injury patients admitted to Central Referral Hospital, Sikkim Manipal University from July 2013 to June 2017July 2013 to June 2017.

RESULTS

During the study period 57 patients with spinal injury were admitted and treated. Out of the 57 patients, 46 (81%) were male and 11 (19%) were female. The most common mode of injury was fall from height (59.64%) followed by RTA (35.08%). Most common affected age group in this study was 20-39 years followed by 50-59 years age group. Cervical spine injury was the most common (52.63%) followed by thoracic (19.29%) spine. Most common injury found was fracture dislocation of C5-C6 level. Most common associated injury is head trauma (10.52 %) followed by chest injury and 82.45% cases had no associated trauma. Average period of hospital stay was 22.83 days with maximum period of stay was 111 days. During treatment period one patient died due to respiratory complications.

CONCLUSION

The epidemiology of spinal injuries in Sikkim & North Eastern India is different from rest of the India and other developing countries. In present study most common cause of spine injury was fall from height followed by motor vehicle accidents. RTA was the main cause in younger age group and fall from height was more common in elderly group.

摘要

目的

了解印度东北部脊柱损伤的流行病学情况。

材料与方法

本研究是一项基于医院的回顾性分析,研究对象为2013年7月至2017年6月期间入住锡金马尼帕尔大学中央转诊医院的脊柱损伤患者。

结果

在研究期间,共收治57例脊柱损伤患者并进行治疗。57例患者中,男性46例(81%),女性11例(19%)。最常见的损伤方式是高处坠落(59.64%),其次是道路交通事故(RTA,35.08%)。本研究中最常见的受影响年龄组为20 - 39岁,其次是50 - 59岁年龄组。颈椎损伤最为常见(52.63%),其次是胸椎损伤(19.29%)。最常见的损伤是C5 - C6水平的骨折脱位。最常见的合并损伤是头部外伤(10.52%),其次是胸部损伤,82.45%的病例无合并外伤。平均住院时间为22.83天,最长住院时间为111天。治疗期间有1例患者因呼吸并发症死亡。

结论

锡金及印度东北部脊柱损伤的流行病学情况与印度其他地区及其他发展中国家不同。在本研究中,脊柱损伤最常见的原因是高处坠落,其次是机动车事故。道路交通事故是年轻年龄组的主要原因,而高处坠落在老年组中更为常见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d08d/6208230/f80c8dbd2223/AJNS-13-1084-g003.jpg

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