Factors affecting long term outcome in acute cervical spinal cord injury

Abstract

Spinal cord injuries are most commonly caused by motor vehicle accidents. The next frequent causes are falls and acts of violence, Sports-related spinal cord injuries. Drastic reduction in the mortality & morbidity was noticed with the better management of pressure sores, urinary tract infections and respiratory problems with the advent of modern rehabilitative methods. To study clinical factors affecting long term outcome in acute cervical spinal cord injury patients,A 2-year study Conducted between 2015-2017, 33 patients with acute cervical SCI were included in the study, admitted in the department of Neurosurgery, Osmania General Hospital.Maximum number of patients were in ASIA grade B 11/33 (33.33%), Neurological improvement-All patients improved in ASIA grade ‘D' and none in ASIA grade 'A'. Percentage improvement in cord edema group was 52% and contusion group was 0%. Percentage of improvement in less than forty years age group was 45%: and more than forty years age group was 46.1%. Percentage of improvement in early surgery group was 60% and in the late surgery group was 33.33%.Functional improvement in transfer, self-care and mobility was seen maximum in ASIA grade C. Amongst them, the 'transfers' function scored the maximum.