Demographics of Traumatic Spinal Fractures in Indian Population Presenting to Tertiary Care Centre
Nitin Kimmatkar1* and Kantharaju H2
1Associate professor, level 1 trauma center, Government Medical College, Nagpur, Maharashtra, India
2Assistant professor, Department of Orthopaedics, Shridevi institute of medical sciences and research hospital, India.
*Corresponding Author: Dr. Nitin Kimmatkar, Associate professor, level 1 trauma center, Government Medical College, Nagpur, Maharashtra, India.
Received: July 03, 2022 Published: July 25, 2022
Abstract
Background: In Indian state even after significant improvement in spinal fracture management, the epidemiology of these fractures was very little known due to its geographical, social, rural-urban and cultural variances.
Methods: Study was conducted during the period of June 2015 to December 2020. Total 252 traumatic spinal fracture patient’s data was analysed by reviewing the medical records, the initial radiographs and CT-scans. Data was analysed to know demographic details, segmental distribution of fracture and type (OTA/AO classification), associated trauma and neurological deficit (America Spinal Injury Association Impairment Scale/ Frankel grade).
Results: Most of the patients were young age with an overall male to female ratio of 2.5:1. Fall from height (64.3%) is the most common injury mechanism followed by road traffic accidents (29.8%). Fracture in the cervical spine region (38.1%) were common, followed by lumbar (33.9%) and thoracic (27.79%). According to AO classification; 145 (50.7%) patients had type A fractures, 78(27.2%) type B fractures, and 63(22%) type C fractures. Total of (25.4%) patients had associated non-spinal injuries and 73.8% of spinal fracture patients had some type of neurological deficit.
Conclusion: Young working population are high risk group. Factors like illiteracy, lack of safety measures, low socio-economic condition, transportation problem and unstructured health care system majorly influence the epidemiological distribution of these fractures. There is need of multicentre large scale prospective study and national registry for better understanding of these fractures and in preventive measures implementation.
Keywords: epidemiology, traumatic spine fracture, neurological deficit.
Citation: Kimmatkar N, Kantharaju H. “Demographics of Traumatic Spinal Fractures in Indian Population Presenting to Tertiary Care Centre”. SVOA Orthopaedics 2022, 2:4, 83-88.