MANAGEMENT OF THORACOLUMBAR SPINE INJURIES AT A TERTIARY CARE HOSPITAL
Abstract
Background: The purpose of descriptive case series study was to see the conservative andsurgical outcome in respect of neurological improvement, sphincter functions and early
ambulation in cases of traumatic thoracolumbar injuries in a tertiary care hospital. Methods:
This was a hospital based prospective study comprised of 50 thoracolumbar injury cases
registered during the period of 1 year from September 2005 to September 2006. All cases were
evaluated for their clinical features. During initial phase, level and degree of neurological injury
was assessed using Frankle grades. Operative and postoperative record with x-rays and MRI
were maintained. The follow-up ranged from 6 to 12 months with clinical and radiological
assessment. Results: A total of 50 cases were registered, 43 (86%) were males and 7 (14%)
were females. Fall was the most common cause of injury (92%). The most common level
involved was L1 (46%). The 2nd common site of injury was T12 (12%). The treatment given was
conservative in 42.55%, and surgery was performed on 57.44%. Three (6.38%) patients were
left against medical advice. Conclusion: Thoracolumbar injuries occur in young population and
creates socio-economic burden to the society. Patients with partial neurological deficit benefit
from surgery.
Keywords: Spinal injury, Thoracolumbar, Fall, Road Traffic Accident
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