Prospective observational research on the clinical profile and outcome analysis among a cohort of patients sustaining traumatic cervical spine and cord injury in a peripheral tertiary spine care centre in Nepal

F1000Research, 2017 · DOI: 10.12688/f1000research.12911.1 · Published: November 6, 2017

Simple Explanation

This study examines cervical spine and cord injuries in Nepal, where such injuries can significantly impact patients and their families. Access to care and rehabilitation is limited in Nepal. The study aims to understand the patterns of injury, affected age groups, and the effectiveness of managing cervical spine and cord injuries in a specific spine unit. The research suggests that even with limited resources, effective management of these injuries is possible in centers outside the capital city.

Study Duration

3 years

Participants

163 patients with traumatic injury to the cervical spine or its cord

Evidence Level

Prospective observational cohort study

Key Findings

1
Road traffic accidents accounted for 51% of cervical spine injuries, with 65% of patients being in the 30-39 age group.
2
Traumatic subluxation was common, especially at the C4/5 region (28.76%).
3
Patients with ASIA 'C' and 'D' classifications showed good improvement, with 55% improving from 'C' to 'D' and 95% from 'D' to 'E' after one year.

Research Summary

The study investigates the clinical profile and outcomes of patients with traumatic cervical spine and cord injuries in a peripheral tertiary spine care center in Nepal. Road traffic accidents were the leading cause of injury, and a significant proportion of patients were in the 30-39 age group. Traumatic subluxation was a common pathology. The study concludes that effective management of cervical spine injuries is possible even in resource-limited settings outside the capital city of Nepal.

Practical Implications

Improved Resource Allocation

The findings support decentralizing healthcare and equipping centers outside the capital city to provide effective spinal rehabilitation.

Preventive Measures

Emphasis on legislation, seat belt use, and safe traffic behavior is crucial to minimize road traffic accidents, a major cause of these injuries.

Early Intervention

Raising awareness about the importance of neck immobilization during patient transport can prevent secondary complications.

Study Limitations

1
The study is limited by being a single-center study.
2
The study has a limited follow-up duration for some patients.
3
The study acknowledges financial constraints impacted treatment options for some patients.

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