Hypothesis: Among patients undergoing urgent surgery for left-sided diverticulitis, those admitted on weekends vs weekdays have higher rates of Hartmann procedure and adverse outcomes.Design: Analysis of data from the Nationwide Inpatient Sample between January 2002 and December 2008.Unadjusted and risk-adjusted generalized linear regression models were used.
Background: The recent advances in management of Spinal Cord Injury (SCI) are born on evolving understanding of spinal mechanics, injury mechanics improved instrumentation, better imaging modalities and better rehabilitative care. However management of thoracolumbar fractures remains controversial for many reasons. The purpose of this study was to assess the neurological recovery of patients with traumatic incomplete dorsolumbar spinal cord injury, who were treated by reduction, posterior stabilization and decompression at our centre.
Material & Methods: 36 patients with incomplete spinal cord treated with posterior pedicle screw fixation and decompression were included in the study. These patients were evaluated with American Spinal Injury Association (ASIA) Impairment Scale before and after surgery and at 1, 2 and6 months follow up after surgery.
Results: Out of total 36 patients, 22 were male and 14 were female. The mean age was 33.7 years. Neurological improvement in our series was more than one ASIA Impairment Scale (AIS) grade in 24 cases with 3 cases showing improvement of two ASIA grades.
Conclusion: Posterior Decompression and Pedicle screw fixation is an effective procedure to achieve early mobilisation and rehabilitation and the evidence indicates that it leads to improvement in neurological recovery in cases of incomplete SCI.
Background: Despite recent advances in understanding spinal mechanics, injury mechanisms, improved instrumentation, better imaging techniques and improved rehabilitative care, the management of spinal cord injury patients remain controversial. In this study we try to analyse neurological outcomes in cases of incomplete spinal cord injuries (SCI) of dorsolumbar spine treated by decompression and posterior fixation at our centre. Methods: 36 patients with incomplete SCI due to dorsolumbar fractures which were operated in our centre between May 2017 and January 2019 were included in our study. The neurological status of these cases was assessed using American Spinal Injury Association (ASIA) Impairment Scale before and after surgery and at follow ups of 1 month, 2 month, 3 month and 6 months. Results: The mean age of patients in our study was 33.7 years with most patients in 26-40 years that is the young working age group. There were 22 males and 14 females. Most common cause leading to SCI was found to be fall from height. 24 cases out of 36 showed improvement of 1 or more grades in their ASIA Impairment Scale. Conclusion: Operative fixation of dorsolumbar fractures achieves early mobilisation and rehabilitation in cases of Incomplete SCI. Our study indicates that neurological status also improves in such patients after operative fixation.
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