An epidemiological study from a tertiary care hospital in Asian subcontinent on Traumatic cervical injuries: How is the injury pattern and what are the implications?

Volume 1 | Issue 2 | Sep – Dec 2016 | Page 44-48 | Dhiraj Vithal Sonawane, Ganesh Yeotiwad, Ajay Chandanwale, Swapnil Keny, Abhijeet Salunke, Ambarish Mathesul, Eknath Pawar

Authors : Dhiraj Vithal Sonawane [1], Ganesh Yeotiwad [1], Ajay Chandanwale [3], Swapnil Keny [1], Abhijeet Salunke [4], Ambarish Mathesul [3], Eknath Pawar [2]

[1] Department of Orthopaedics, Grant Medical college, & Gokuldas Tejpal Hospital, Mumbai
[2] Department Of Orthopaedics, Grant medical college, Mumbai.
[3] Sasoon Hospital & BJMC, Pune
[4] Gujarat Cancer Research Institute

Address of Correspondence
Dr. Dhiraj V. Sonawane
Grant Medical college, & Gokuldas
Tejpal Hospital, Mumbai


Objective: The aim of the current study was to document the demographic pattern, mode of injury, level of cervical spine injury in patients so that it can be extrapolated for formulating guidelines in developing nations for proper management of this life threatening injury.
Methods: This study comprised of 275 patients of cervical spine injury admitted in a tertiary care centre from January 2006 to October 2015.
Results: The mean age was (3 to 95) and male to female ratio was 11.5: 1. Majority (30 %) of cases were of third and fourth decade. 60 % of patient fall from height as mechanism of injury. The urban to rural ratio of patients was 3:1 and 184 patients (67%) belonged to the rural areas. The most common mode of injury in the present study was fall from height, 166 cases (60%) of which most of them occurred while working and fall from tree. Dislocation at C 5-6 vertebral level was commonest and a C 5 vertebra was most commonly fractured. Incomplete cord injury of ASIA grade C scale was the commonest pattern seen in 156 cases. Head injury was commonest associated injury with cervical spine injury.
Conclusion: Identification of demographic data and mechanism of injury pattern helps to identify the preventable risk factors for controlling them. Proper education and training of paramedical staff in rural areas of initial aid and transportation of patients having spinal cord injuries can reduce the frequency and morbidity of spine injuries
Keywords: Cervical spine, Injury, Epidemiology, demographic study, Spinal cord, Mechanism of injury


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How to Cite this Article: Sonawane D V, Yeotiwad G, Chandanwale A, Keny S, Salunke A, Mathesul A, Pawar E.An epidemiological study from a tertiary care hospital in Asian subcontinent on Traumatic cervical injuries: How is the injury pattern and what are the implications?. International Journal of Spine Sep-Dec 2016; 1(2): 44-48.

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