Epidemiology of spinal lesions and pattern of spinal cord levels involved in Paraplegic and Quadriplegic patients admitted in Paraplegic Center, Peshawar Pakistan in the year 2012
Abstract
INTRODUCTION: Each year a number of people become either completely or incompletely paralyzed due to paraplegia and quadriplegia as a result of various accidental cases and neurological disorders. Therefore the current study was conducted to investigate involvement of various spinal cord segments along with their causes and association with age and gender.
OBJECTIVE: To find the pattern of involvement of spinal cord segments following traumatic spinal cord injury and non-trumaticc spinal cord injury resulting in paraplegia and quadriplegia.
METHODOLOGY: A descriptive study was conducted at the Paraplegic Center, hayatabad, Peshawar from the official register for the year 2012. Study duration was one month and ethical consideration of the patients was taken into account.
RESULTS: Showed that total 254 patients including 197 male and 57 female were admitted in year 2012. Thoracic segment was found to be most frequently involved with a total of 124 (M;94/ F;30) patients followed by Thoraco-Lumbar segment (47 cases), then Cervical Segment (45 cases), next was Cervico-thoracic (6 cases). No involvement of sacral segment was found. Regarding individual segment involvement, T9/T1o had maximum cases followed by T12/L1, then C5/C6 and L1/L2 and C8/T1. Out of 254 patients, 206 were paraplegic (Complete; 192 and Incomplete; 26) and 48 were quadriplegic (Complete; 38 and Incomplete 10). Among 48 cases of quadriplegia, 43 cases were due to involvement of cervical segments. Regarding association with age considering all segments of spinal cord, patient belonging to age group 20-35 years had maximum proportion.
CONCLUSION: Leading causes of Spinal Cord injuries were Fractures followed by compression and foreign body involvement.
KEY WORDS: Spinal Cord Injury, Traumatic & non Traumatic Spinal Cord Injury, Paraplegia, Quadriplegia
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