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  4. Consequences of neglected traumatic spinal cord injuries

Consequences of neglected traumatic spinal cord injuries

Journal of Taibah University Medical Sciences, 2023 · DOI: https://doi.org/10.1016/j.jtumed.2022.09.017 · Published: October 10, 2022

Spinal Cord InjurySurgeryTrauma

Simple Explanation

Traumatic spinal cord injuries (TSCIs) can lead to significant disabilities and are often caused by motor vehicle accidents (MVAs). When these injuries are not promptly treated, they can result in complications and poor outcomes. This study looked at the causes and consequences of neglected TSCIs, defining them as injuries requiring surgical intervention more than 14 days after the initial trauma. The research found that delayed referral to specialized centers was a major reason for neglect, leading to complications like bed sores and deep vein thrombosis. Early referral and intervention are crucial for preventing these issues.

Study Duration
5 Years
Participants
18 patients with neglected high-energy TSCI with neurological deficit
Evidence Level
Not specified

Key Findings

  • 1
    Delayed referral to a tertiary hospital was the most common cause of neglect in the studied patients.
  • 2
    A significant percentage of patients developed bed sores and deep vein thrombosis due to the delayed treatment.
  • 3
    Most patients did not receive specialized spinal cord injury rehabilitation postoperatively, which may have impacted their recovery.

Research Summary

This study investigated the causes and consequences of neglected traumatic spinal cord injuries (TSCIs) in 18 patients who underwent surgical treatment more than 14 days after injury. The results showed that delayed referral to a tertiary center was the most common reason for neglect, leading to complications such as bed sores and deep vein thrombosis. Most patients also did not receive specialized rehabilitation postoperatively. The study concludes that early referral of patients with TSCIs is crucial to prevent short- and long-term complications and emphasizes the need for improved systems for timely transfer and qualified personnel.

Practical Implications

Improve Referral Systems

Establish efficient referral systems to ensure timely transfer of patients with TSCIs to specialized centers.

Increase Awareness

Raise public awareness about the importance of early management of TSCIs to reduce delays in seeking treatment.

Enhance Rehabilitation Access

Ensure that patients receive specialized spinal cord injury rehabilitation postoperatively to improve functional outcomes.

Study Limitations

  • 1
    Small sample size
  • 2
    Short duration of follow-up
  • 3
    Retrospective study design

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