Abstract
LEVELS OF SPINAL CORD INJURY LEADING TO PARALYSIS AND ASSOCIATED ASIA SCALE

Abdul Hannan Akram*, Muhammad Areeb Iqbal, Hafiz Hasnat Asghar Makhdoom, Tooba Laeeq, Nabeel Hussain, Salman Akram, Sheikh Abdul Sami, Anam Hamid and Noman Khurshid Ahmed

ABSTRACT

Introduction: The spinal cord is a long, thin, tubular bundle of nervous tissue and supports cells that extends from the brain (the medulla oblongata specifically). The brain and spinal cord together make up the central nervous system (CNS). A spinal cord injury (SCI) refers to any injury to the spinal cord that is caused by trauma instead of disease. Depending on where the spinal cord and nerve roots are damaged, the symptoms can vary widely, from pain to paralysis to incontinence. Spinal cord injuries are described at various levels of "incomplete", which can vary from having no effect on the patient to a "complete" injury which means a total loss of function. Purpose of study: The main purpose of this study was to find the major causes, level of injury, ASIA score, most commonly affected age group and the most affected area by the traumatic spinal cord injury in Pakistan. By finding the common causes and common level of injury in specific area and age group we would be able to develop plans for the management of such injuries. With the help of this study we will also be able to set criteria for the prevention, assessment and intervention plan for the traumatic spinal cord injury patients in Pakistan. Methodology: By using descriptive cross sectional methodology a sample of 70 SCI patients was selected from August, 2019 to October, 2019. Data was collected through close ended questionnaire, MRI and physician notes. Results: The results have shown that falls are the most common case of SCI (52.9%). In more than half of the subjects (58.6%) the affected area of the spinal cord was T8-T12. The majority (77.1%) of the SCI patients lie within 20-30 years age group. 68.6% of the patients are classified as class A according to the ASIA scoring. Conclusion: The study has highlighted the most common cause, area of SCI involved and level of injury in the spinal cord injury patients. On the basis of the findings of this study further work should be done to establish measures that will ensure reduction in these injuries as well as proper handling of injured patients so that spinal cord injuries can be avoided through proper on scene treatment.

Keywords: Spinal Cord injuries, demographics, causes, ASIA scale, level of injury, Pakistan.


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