TITLE:
Surgical Treatment of Cervical Spine Trauma in Rural Area (Low Income Country): Our Experience and Results
AUTHORS:
Daouda Wague, Mouhamet Cisse, Gaye Maguette, Ansoumane Donzo, Yakhiya Cisse, Mouhamet Faye, Maguette Mbaye, Mbaye Thioub
KEYWORDS:
Cervical, Spine, Morbidity, Trauma, Surgery
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.12 No.4,
April
22,
2022
ABSTRACT: Introduction: cervical spine trauma
remains one of the most common causes of morbidity in the world with a
significant financial burden on our society. It is a devastating event for the
patient and family. The aim of this study is to share our experience in the
surgery management of cervical spine injury in rural area. Methods: We
did retrospective and single center study for one year from August 2020 to August 2021. We included all the
patients who had undergone surgery for cervical spine injury in our hospital. Results: The study is based on 14 patients, 9 males and 5 females (sex ratio: 1.8). The average age was 34 years old and 08 (57%) were employed at time
of injury. Road traffic accident was the most common cause, it was found in 11 (78%) cases followed by falls in 2 (14%) and interpersonal
assault in 1 (7%). The Time admission ranged from 03 hours to 03 weeks. The most
associated lesion was head trauma 7 (50%) followed by chest injury in 05 (35%) and 92% of our patient had motor deficit.
Surgery was performed in all cases. Closed reduction was performed in 09 (64%) before surgery.
Different types of complications that we had encountered
were: infection 01 (07%) case, bed sores 02 (14%) cases, respiratory distress
02 (14%) cases and cervical kyphosis 01 (07%) case. After 06 months
71% of patients have progressed well with partial or complete recovery of their
deficit. 14% of death in our series were noted and 28%
of patients returned to work. Conclusion: cervical spine trauma remains
a heavy socio-professional
handicap. In rural areas, despite the lack of equipment and the difficulties of
care, our results are satisfactory. However, it is necessary to insist on
psychotherapy for these patients.