Characteristics of Patients with Spinal Cord Injury Caused by Accident in Denpasar during 2020–2022

Abstract

Background: Spinal cord injury (SCI) is an injury located on the medulla spinalis, which could cause damage to the motor and sensory system. There are four mechanisms of accidents, which are traffic accidents, falls from height, sports accidents, and occupation-related accidents. Research regarding SCI caused by accident in Denpasar is still limited; therefore, to understand patients’ demography and clinical characteristics, further research is needed. Subjects and Methods: This research was a descriptive, cross-sectional research using total sampling and a prospective approach taken from the medical records of patients who are referred to the neurosurgeon department at Prof. Ngoerah General Hospital. Results: Based on the research results, most patients who are suffering from SCIs are male (73.5%), within the age range of 50–59 years old (22.1%), with falling from heights as the most common mechanism of accident, majority of it are classified as Grade A classification (33.8%). Most cases appeared with fractures (77.9%), and most were found in the cervical region (66%). As for the treatment, surgery interventions are more common (63.2%). Conclusions: Patients with SCI due to accidents are dominated by men, with the largest age group being 50–59 years old. The most common mechanism of accident is falling from height, and the majority of the cases are classified into Grade A using the American Spinal Injury Associaton classification. The majority of the cases are accompanied by fractures, especially in the cervical. Most of the cases are carried out by surgery interventions.