Management of the spinal cord injured using a 12-week programme in which patients' relations are involved: a report of 10-year experience

Nwankwo, OE; Katchy, Amechi Uchenna

doi:10.4314/njotra.v9i1.54718

Cited by 1 publication

(8 citation statements)

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“…Motor vehicle accident (55.3%) was the most common cause of SCI, followed by falls (20%). This finding agrees with those of recent studies in our subregion, 3,4,6 whereas an earlier study 1 showed that falls, especially those from palm tree (40.2%, 29/72), were at that time the most common cause of injury. This can be explained by the times of the studies: in the 1980s, when the earlier study was conducted, tall palm trees were the common species in our region and oil palm was a good source of income, while recently, shorter species of palm replaced them 1 and palm oil production is no more a major source of income.…”

Section: Discussionsupporting

confidence: 94%

“…It also poses a significant challenge to health-care givers in terms of the burden of care. [2][3][4][5][6] Therefore, every effort to better understand and manage the disease is an effort in the right direction.…”

Section: Discussionmentioning

confidence: 99%

“…4,6,9 The male to female ratio of 4.3:1 shows a preponderance of men and is in consonance with previous studies in our area and elsewhere. 1,3,4,6,9,10 Businessmen and students (20%) were the most common groups of people involved because of their higher mobility, mostly by motor vehicles. Farmers (12.9%) were also commonly involved and this subcategory of SCI patients sustained injury mainly from MVAs in the rural setting (in 7/11 patients).…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] From ancient times, the challenges of SCI care have been well recognized by clinicians worldwide. 2,5 Despite well-documented works on epidemiological trends and treatment, [6][7][8] the disability associated with the burden of SCI, especially in southeast Nigeria, remains overwhelming, [1][2][3][4] justifying a further look into them in order to propose solutions aimed at minimizing the disease burden in our subregion.…”

Section: Introductionmentioning

confidence: 99%

“…2,3 In this study, orthopaedic and neurosurgeons were involved, surgical treatment besides skull traction was introduced, three care centres were involved and more attention was paid to the epidemiological features.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiological and treatment profiles of spinal cord injury in southeast Nigeria

Nwankwo

Uche

2013

Spinal Cord

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Study design: Retrospective study. Objective: To evaluate the epidemiology and treatment outcome of spinal cord injuries (SCIs) at three tertiary care centres within southeast Nigeria. Setting: Southeast Nigeria. Methods: Causes, seasonal variation, transportation to hospital, severity of injury, treatment and outcome of patients with SCIs treated by the authors at three study locations from September 2009 to August 2012 were studied. Results: Eighty-five patients with SCI had been admitted during that period to the three hospitals and were qualified for the study. The age range was 2-75 years with a mean of 36.13 years. The 31-45 years age group is the most frequently affected. Altogether, 69 male and 16 female individuals were involved. Motor vehicle accident (MVA) (47, 55.3%) was the most frequent cause of injury. Falls from palm trees (3.5%) were markedly reduced from what they were inferred to be (40.2%) from a similar study in our area in 1988. Injury peaks were observed during major festivities. Only three patients (0.035%) were transported to care centres with an ambulance. Forty patients were classified as being affected by ASIA grade A injury, whereas 45 patients had various ASIA grades of incomplete injury. Sixty-eight patients were managed conservatively; 23 of them improved from their grades, 35 remained the same, 1 worsened, while 9 died. Of 17 patients treated operatively, 9 improved, 5 remained the same, 2 worsened and 1 died. Conclusion: Currently, SCIs reported in the three main hospitals located in southeast Nigeria are caused mainly by MVAs. SCI affects mainly male individuals and peak frequencies are observed during festivities.

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Section: Discussionsupporting

confidence: 94%