THORACO-LUMBAR INJURY WITH COMPLETE OR INCOMPLETE PARAPLEGIA
| Autor: | Rohin Bhatia, Aman Agarwal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Journal of Evidence Based Medicine and Healthcare, Vol 6, Iss 29, Pp 1944-1948 (2019) |
| ISSN: | 2349-2570 2349-2562 |
| Popis: | BACKGROUND Thoraco-lumbar fractures can result in instability or compression of neural structures and may be associated with disruption of the ligamentous complexes. The aim of the study was to check the surgical outcome as per the Frankel scoring. METHODS This is a prospective study conducted in Mahatma Gandhi Institute of Medical Science, Jaipur. The duration of the study was December 2016 to December 2017. Patients were selected among those reported to the outpatient and emergency of neurosurgery department. Total 42 cases were selected, out of which 2 cases were lost in follow up. A minimum of 6-months post-operative follow up was done. The pre- and post-operative Frankel scoring was done for various functions like motor, sensory, bowel and bladder syndrome. The collected data included patient demographic data, initial and post neurological status as per Frankel score, MRI findings, surgery performed and postoperative follow up. Patients who did not turn up for follow up are not included in the study for the outcome analysis. RESULTS 1st week decompression in incomplete paraplegic patients reported 78% cases with return of Grade 3 power while in complete paraplegic patients about 14% showed return of grade 3 power and showed no recovery when decompression done in 3rd week. CONCLUSIONS Earlier the surgical decompression done better is the recovery of neurological and bladder/bowel function in both complete and incomplete paraplegia. Also, we found that the motor recovery continues for over 6 months after decompression. |
| Databáze: | OpenAIRE |
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