Outcome in patients undergoing surgery for spinal injury in an Ethiopian hospital

Journal of Neurosurgery. Spine
Martin Andreas LehreKnut Wester

Abstract

The objective of this study was to investigate epidemiology and outcome after surgical treatment for spinal injuries in Ethiopia. Medical records of patients who underwent surgery for spine injuries at Myungsung Christian Medical Center in Addis Ababa, Ethiopia, between January 2008 and September 2012 were reviewed retrospectively. Assessment of outcome and complications was determined from patient consultations and phone interviews. A total of 146 patients were included (129 males, 17 females). Their mean age was 31.7 years (range 15-81 years). The leading cause of injury was motor vehicle accidents (54.1%), and this was followed by falls (26.7%). The most common injury sites were lumbar (41.1%) and cervical (34.2%) regions of the spine. In 21.2% of patients, no neurological deficit was present before surgery, 46.6% had incomplete spinal cord injury (American Spinal Injury Association [ASIA] Impairment Scale [AIS] Grade B-D), and 32.2% had complete spinal cord injury (AIS Grade A). Follow-up was hampered by suboptimal infrastructure, but information regarding outcome was successfully obtained for 110 patients (75.3%). At follow-up (mean 22.9 months; range 2-57 months), 25 patients (17.1%) were confirmed dead and 85 patients (5...Continue Reading

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Citations

Jan 7, 2016·World Neurosurgery·Kee B ParkRobert J Dempsey
Dec 27, 2016·World Neurosurgery·Morten Lund-JohansenKnut Wester
Apr 6, 2019·Journal of Neurosurgery. Spine·Andreas LeidingerRoger Härtl
Nov 28, 2019·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Melvin C MakhniKee B Park

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