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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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Published in: | Indian journal of palliative care 2010-09, Vol.16 (3), p.160-163 |
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creator | Singh, Pradeep K Sakale, Harshal Shrivastva, Sandeep Dulani, Rajesh |
description | 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. |
doi_str_mv | 10.4103/0973-1075.73646 |
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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.
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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.</description><subject>Injuries</subject><subject>Mortality</subject><subject>Original</subject><subject>Spinal cord injuries</subject><subject>Spine</subject><subject>Trauma</subject><issn>0973-1075</issn><issn>1998-3735</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNpdkdtLwzAYxYMobl6efZPii0_dvjSXNi-CDC-DgT4o-BbSNt0yuqYm7WD_vZmbQ4VACOf3nZzkIHSFYUQxkDGIlMQYUjZKCaf8CA2xEFlMUsKO0fCgDtCZ90sASgUXp2iQ4ARnAHyIPl5VXRvVmbWOfO_mplB1pNrWWVUsos5GTi9UbmrTqS4QrWmCbppl7zZRG8Z004VjNG1Ko5rI9S7IXnd9e4FOKlV7fbnfz9H748Pb5DmevTxNJ_ezuKBYdHGmGWisVCVIojHPckYTUlHQZSlKnqsUqkpTQfKsVJyzsDAv04xlTFCWl5qco7udb9vnK10WIVDIIFtnVsptpFVG_lUas5Bzu5YEcJIQEQxu9wbOfvbad3JlfKHrWjXa9l5mhGEcroNA3vwjl7Z34UMCxIBzgJQGaLyDCme9d7o6RMEgt53JbSty24r87ixMXP9-wYH_KYl8AeStkxI</recordid><startdate>20100901</startdate><enddate>20100901</enddate><creator>Singh, Pradeep K</creator><creator>Sakale, Harshal</creator><creator>Shrivastva, Sandeep</creator><creator>Dulani, Rajesh</creator><general>Scientific Scholar</general><general>Medknow Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20100901</creationdate><title>Palliative surgical approach to rehabilitate spinal injury patient in Indian rural setup</title><author>Singh, Pradeep K ; 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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.</abstract><cop>India</cop><pub>Scientific Scholar</pub><pmid>21218006</pmid><doi>10.4103/0973-1075.73646</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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issn | 0973-1075 1998-3735 |
language | eng |
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source | PubMed Central (Open Access); Publicly Available Content (ProQuest) |
subjects | Injuries Mortality Original Spinal cord injuries Spine Trauma |
title | Palliative surgical approach to rehabilitate spinal injury patient in Indian rural setup |
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