Abstract
Objective: to analyze main clinical-statistical indices of spine and spinal cord injuries (SCI) and system of organization of medical aid to the victims. We conducted a cohort retrospective study of materials of medical institutions of Tashkent city. Medical records of patients and records of forensic examinations were analyzed. 242 cases of spinal cord injuries were studied. Over the last 10 years in Tashkent the frequency of SCI have been tend to increase, males and working-age people are dominated. In 60.9% of cases the injury was associated, in 36.2% - isolated, and in 2.9% - combined. Fallings from height and road traffic accidents were the main reasons for getting SCI. Lesions at cervical level registered in 45% of cases, thoracic level - 27.3%, at lumbar level - 27.7%, respectively. According to ASIA/IMSOP, full injuries were noted in 40.1% of cases, incomplete injures were in 59.9%. Overall mortality from SCI was 68.6%. Thus, for the first time this study allowed to get in detail the clinical and statistical indicators of SCI in the region.
Highlights
As Polishchuk et al (2001), Fehlings et al (2001), Kondakov et al (2003) and Grin et al (2008) writes spinal cord injury (SCI) is one of the most difficult problems of modern medicine
The number of spinal cord injuries trends to increase, and their social significance is largely determined by the young age of the injured
Knowledge of the pathogenesis of the problem, progressive development of engineering sciences bring a lot of new solutions used in medicine, but functional outcomes after treatment for SCI remain unsatisfactory (Dulaev, 1998; Fehlings et al, 2001; Hurlbert, 2006; Plotnikova et al, 2008)
Summary
As Polishchuk et al (2001), Fehlings et al (2001), Kondakov et al (2003) and Grin et al (2008) writes spinal cord injury (SCI) is one of the most difficult problems of modern medicine. The number of spinal cord injuries trends to increase, and their social significance is largely determined by the young age of the injured (more than half of them are less than 45 years). Knowledge of the pathogenesis of the problem, progressive development of engineering sciences bring a lot of new solutions used in medicine, but functional outcomes after treatment for SCI remain unsatisfactory (Dulaev, 1998; Fehlings et al, 2001; Hurlbert, 2006; Plotnikova et al, 2008). The problem of treatment of patients with SCI is urgent issue of traumatology and neurosurgery
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