Assessment of Surgery, Complications, and Clinical Outcomes in Patients With Traumatic Spine
Background and Aim: Spinal cord injury (SCI) is one of the main causes of severe disability and mortality following trauma. Complications and outcomes of patients with spine trauma, especially those who undergo surgery, are a less divulged topic in Iran. Therefore, we designed the present study to e...
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Format: | Article |
Language: | English |
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Guilan University of Medical Sciences
2019-01-01
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Series: | Iranian Journal of Neurosurgery |
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Online Access: | http://irjns.org/article-1-169-en.html |
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Article |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sasan Andalib Zahra Mohtasham-Amiri Shahrokh Yousefzadeh-Chabok Alia Saberi Hamid Behzadnia Leila Kouchakinejad-Eramsadat Armaghan Sadeghi Hadiseh shokatjalil Sara Sayad-Fathi Samaneh Ghorbani-Shirkouhi |
spellingShingle |
Sasan Andalib Zahra Mohtasham-Amiri Shahrokh Yousefzadeh-Chabok Alia Saberi Hamid Behzadnia Leila Kouchakinejad-Eramsadat Armaghan Sadeghi Hadiseh shokatjalil Sara Sayad-Fathi Samaneh Ghorbani-Shirkouhi Assessment of Surgery, Complications, and Clinical Outcomes in Patients With Traumatic Spine Iranian Journal of Neurosurgery spine trauma spinal cord injury surgery complications glasgow outcome scale |
author_facet |
Sasan Andalib Zahra Mohtasham-Amiri Shahrokh Yousefzadeh-Chabok Alia Saberi Hamid Behzadnia Leila Kouchakinejad-Eramsadat Armaghan Sadeghi Hadiseh shokatjalil Sara Sayad-Fathi Samaneh Ghorbani-Shirkouhi |
author_sort |
Sasan Andalib |
title |
Assessment of Surgery, Complications, and Clinical Outcomes in Patients With Traumatic Spine |
title_short |
Assessment of Surgery, Complications, and Clinical Outcomes in Patients With Traumatic Spine |
title_full |
Assessment of Surgery, Complications, and Clinical Outcomes in Patients With Traumatic Spine |
title_fullStr |
Assessment of Surgery, Complications, and Clinical Outcomes in Patients With Traumatic Spine |
title_full_unstemmed |
Assessment of Surgery, Complications, and Clinical Outcomes in Patients With Traumatic Spine |
title_sort |
assessment of surgery, complications, and clinical outcomes in patients with traumatic spine |
publisher |
Guilan University of Medical Sciences |
series |
Iranian Journal of Neurosurgery |
issn |
2423-6497 2423-6497 |
publishDate |
2019-01-01 |
description |
Background and Aim: Spinal cord injury (SCI) is one of the main causes of severe disability and mortality following trauma. Complications and outcomes of patients with spine trauma, especially those who undergo surgery, are a less divulged topic in Iran. Therefore, we designed the present study to evaluate complications and outcomes of patients with traumatic spine in Poursina hospital of Rasht.
Methods and Materials/Patients: In the present cross-sectional study, we referred to registry of spinal cord injuries of Poursina Hospital, which is a referral center for trauma in Rasht in the north of Iran. We investigated records of all the patients with traumatic spine confirmed by Computed Tomography (CT) scan or Magnetic Resonance Imaging (MRI) during 2016-2018. Demographic data, types of SCI, types of surgical interventions, time from injury to surgery, number of fixed and fused vertebrae, complications, and outcome (based on Glasgow Outcome Scale (GOS) criteria) of the patients were evaluated upon discharge.
Results: In total, records of 274 patients with spine trauma were reviewed. The mean±SD of age of the patients was 42.27±16.83 years. There were 76 women (27.7%) and 198 males (72.3%). Surgical interventions were done for 148 patients (54%). The median of time of surgical interventions for displacement of the vertebrae and the median of time for removal of pressure from spinal cord in the patients were 5 hours (range =82 hours). Median of duration of hospital stay was 2 days (range =167 days). 2.2% of the patients experienced complications. 85% of the patients showed good recovery according to GOS.
Conclusion: The evidence from the present study indicates that approximately half of the patients with spine trauma underwent operation. Good recovery was seen in roughly four fifth of all of the patients with spine trauma. Most of the patients had no complications during their stay in the hospital. |
topic |
spine trauma spinal cord injury surgery complications glasgow outcome scale |
url |
http://irjns.org/article-1-169-en.html |
work_keys_str_mv |
AT sasanandalib assessmentofsurgerycomplicationsandclinicaloutcomesinpatientswithtraumaticspine AT zahramohtashamamiri assessmentofsurgerycomplicationsandclinicaloutcomesinpatientswithtraumaticspine AT shahrokhyousefzadehchabok assessmentofsurgerycomplicationsandclinicaloutcomesinpatientswithtraumaticspine AT aliasaberi assessmentofsurgerycomplicationsandclinicaloutcomesinpatientswithtraumaticspine AT hamidbehzadnia assessmentofsurgerycomplicationsandclinicaloutcomesinpatientswithtraumaticspine AT leilakouchakinejaderamsadat assessmentofsurgerycomplicationsandclinicaloutcomesinpatientswithtraumaticspine AT armaghansadeghi assessmentofsurgerycomplicationsandclinicaloutcomesinpatientswithtraumaticspine AT hadisehshokatjalil assessmentofsurgerycomplicationsandclinicaloutcomesinpatientswithtraumaticspine AT sarasayadfathi assessmentofsurgerycomplicationsandclinicaloutcomesinpatientswithtraumaticspine AT samanehghorbanishirkouhi assessmentofsurgerycomplicationsandclinicaloutcomesinpatientswithtraumaticspine |
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doaj-cea4f0f590344bfa8ae1578bd38dbbbd2021-04-02T14:18:11ZengGuilan University of Medical SciencesIranian Journal of Neurosurgery2423-64972423-64972019-01-01511520Assessment of Surgery, Complications, and Clinical Outcomes in Patients With Traumatic SpineSasan Andalib0Zahra Mohtasham-Amiri1Shahrokh Yousefzadeh-Chabok2Alia Saberi3Hamid Behzadnia4Leila Kouchakinejad-Eramsadat5Armaghan Sadeghi6Hadiseh shokatjalil7Sara Sayad-Fathi8Samaneh Ghorbani-Shirkouhi9 Guilan Road Trauma Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.; Neuroscience Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.; Department of Neurosurgery, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Guilan Road Trauma Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Guilan Road Trauma Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.; Neuroscience Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.; Department of Neurosurgery, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Neuroscience Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Department of Neurosurgery, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Guilan Road Trauma Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Guilan Road Trauma Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Guilan Road Trauma Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Neuroscience Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Neuroscience Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Background and Aim: Spinal cord injury (SCI) is one of the main causes of severe disability and mortality following trauma. Complications and outcomes of patients with spine trauma, especially those who undergo surgery, are a less divulged topic in Iran. Therefore, we designed the present study to evaluate complications and outcomes of patients with traumatic spine in Poursina hospital of Rasht. Methods and Materials/Patients: In the present cross-sectional study, we referred to registry of spinal cord injuries of Poursina Hospital, which is a referral center for trauma in Rasht in the north of Iran. We investigated records of all the patients with traumatic spine confirmed by Computed Tomography (CT) scan or Magnetic Resonance Imaging (MRI) during 2016-2018. Demographic data, types of SCI, types of surgical interventions, time from injury to surgery, number of fixed and fused vertebrae, complications, and outcome (based on Glasgow Outcome Scale (GOS) criteria) of the patients were evaluated upon discharge. Results: In total, records of 274 patients with spine trauma were reviewed. The mean±SD of age of the patients was 42.27±16.83 years. There were 76 women (27.7%) and 198 males (72.3%). Surgical interventions were done for 148 patients (54%). The median of time of surgical interventions for displacement of the vertebrae and the median of time for removal of pressure from spinal cord in the patients were 5 hours (range =82 hours). Median of duration of hospital stay was 2 days (range =167 days). 2.2% of the patients experienced complications. 85% of the patients showed good recovery according to GOS. Conclusion: The evidence from the present study indicates that approximately half of the patients with spine trauma underwent operation. Good recovery was seen in roughly four fifth of all of the patients with spine trauma. Most of the patients had no complications during their stay in the hospital.http://irjns.org/article-1-169-en.htmlspine traumaspinal cord injurysurgerycomplicationsglasgow outcome scale |