A ccidental penetrating injury of the leg is common in the emergency room setting, and some patients have no bone injury on radiographs. We report a delayed sequel of vascular injury to the posterior tibial artery, following penetrating injury to the leg, which was later additionally e54 (1) COPYRIGHT Ó

Objective:To evaluate the usefulness of conventional spinal surgery as palliative procedure to rehabilitate dorsolumbar injuries in a rural setup.Materials and Methods:Twenty-three patients with dorsolumbar spine injury with complete paraplegia were assessed on the clinical and social rehabilitation parameters after surgical stabilization at Acharya Vinoba Bhave Rural Hospital Sawangi, Wardha, India. The study group comprised 21 male and 2 female patients. The dorsolumbar spine injury was fixed by conventional posterior instrumentation using short-segment pedicle screw system and Harrington rod system with or without fusion. Functional and neurologic outcome was recorded in the follow-up period by using Functional Independence Measure and Frankel grade, respectively. Correlation and analysis of results was established statistically.Results:Functional outcome showed statistically significant improvement. Social cognition was found intact in a significant number of patients.Conclusion:This study demonstrates the usefulness of conventional instrumentation as palliative surgical approach to stabilize and rehabilitate patients from deprived sector of rural India.

Spinal cord injury (SCI) is one of the greatest calamities in the medical world, causing high mortality and serious aftereffects. The method of the trauma, type of transportation, time taken to reach hospital, and the resource level of the place of treatment chiefly determine SCI outcome. Limited resources and access to health care are challenges for SCI patients in rural India.