Abstract
BACKGROUND: To do epidemiological analysis of the patients with injuries of the spine involving dorsal vertebrae fractures including D1-D9 across western India. This is a cross sectional retrospective analysis of patient with spinal injuries who had D1-D9 level in Civil hospital from January 2018 to December 2019. Our study included 83 patients with detailed history and medical records were analyzed. RESULTS: 83 patients out of which 6:1 M:F ratio & max patients from 30-40 year age group, 53% injured from fall from height, RTA (38%),average injury to hospital delay was 5.7 days , 5 patients of lower limb injury , 2 of upper limb trauma 2 of chest injuries 2 with abdominal and pelvic trauma were associated injuries, average delay in surgery was 4.5 days. ASIA grade at admission was 47 (57%) grade A, 23(27%) grade B, 8(9%) from grade C, 5(7%) of grade D and 0(0%) from grade E. and 46(55%) patients managed conservatively ,37(45%) were managed surgically. The rehabilitation was taken up by 82 (97%) and status of the patient related to bedsores was no bedsores developed in 48 patients (58%) while <10 cm bedsore developed in 19 patients((22%) and >10cm bedsore developed in 16 patients(20%). CONCLUSION : Dorsal spine injuries with SCI required urgent and early recognition and specialized management protocols .The infrastructure in India needs to upgrade awareness, education, patient transportation networks, increase the number of tertiary spinal trauma units spine rehabilitation services might improve spine trauma care.
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