Palliative surgical approach to rehabilitate spinal injury patient in Indian rural setup

To evaluate the usefulness of conventional spinal surgery as palliative procedure to rehabilitate dorsolumbar injuries in a rural setup. Twenty-three patients with dorsolumbar spine injury with complete paraplegia were assessed on the clinical and social rehabilitation parameters after surgical stab...

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Bibliographic Details
Published in:Indian journal of palliative care 2010-09, Vol.16 (3), p.160-163
Main Authors: Singh, Pradeep K, Sakale, Harshal, Shrivastva, Sandeep, Dulani, Rajesh
Format: Article
Language:English
Subjects:
Injuries
Mortality
Original
Spinal cord injuries
Spine
Trauma
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Summary:To evaluate the usefulness of conventional spinal surgery as palliative procedure to rehabilitate dorsolumbar injuries in a rural setup. 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. Functional outcome showed statistically significant improvement. Social cognition was found intact in a significant number of patients. This study demonstrates the usefulness of conventional instrumentation as palliative surgical approach to stabilize and rehabilitate patients from deprived sector of rural India.
ISSN:0973-1075
1998-3735
DOI:10.4103/0973-1075.73646