AbstractAim: The aim of the present study was to assess the epidemiology, clinical features and early outcome in traumaticspine injuries at a tertiary hospital in Bihar region.Material & Methods: The current investigation was a single-center, prospective, observational researchundertaken at the Department of Orthopedics. The trial lasted from October 2019 through August 2022. Theresearch had a total of 200 participants.Results: Among the sample of 200 patients, a significant proportion of individuals were between the age rangeof 51-60 years (32%) and 41-50 years (30%). The average age of the participants was 53.57 years. The studypopulation consisted mostly of male patients, accounting for 75% of the total, with the remaining 25% beingfemale patients. In the current research, a significant proportion of traumatic spinal injuries were attributed to roadtraffic accidents (53%), with falls from heights (45%) and incidents of assault (2%) being other causes. Thepreponderance of spine fractures was seen at the cervical vertebral level (42%), with the lumbar vertebral levelaccounting for the second highest proportion (28%), and the thoracic vertebral level representing the third highestproportion (20%). The prevalence of injuries at various vertebral levels was as follows: 2% at both the thoracicand lumbar levels, 4% at both the cervical and thoracic levels, 3% at the lumbar and sacral levels, 0.50% at boththe cervical and lumbar levels, and 0.50% at both the cervical and sacral levels. Among the sample of 200 patients,it was observed that a majority of 116 patients, or 58% of the total, did not exhibit any concurrent injuries. Theprevalent injuries seen in conjunction with the condition were hemoperitoneum (10%), head injury (10%), fractureof the humerus (8%), and fracture of the clavicle (6%). Among a cohort of 200 patients, it was observed that 52%of the patients exhibited no signs of neurodeficit, whereas the remaining 48% of patients had neurodeficitsymptoms. During the pre-operative examination, it was seen that 50% of the patients had an ASIA score of E.Additionally, 12% had an ASIA score of D, while 16% had an ASIA score of C. Furthermore, 8% of the patientshad an ASIA score of B, and 14% had an ASIA score of A.Conclusion: Patients who had non-operative treatment experienced greater incidence of complications.Respiratory failure emerged as the primary cause of mortality at the cervical level, whereas secondary problemsarising from persistent bed sores were identified as the primary contributors to mortality at the thoracic and lumbarvertebral levels

AbstractAim: The aim of the present study was to assess the epidemiology, clinical features and early outcome in traumaticspine injuries at a tertiary hospital in Bihar region.Material & Methods: The current investigation was a single-center, prospective, observational researchundertaken at the Department of Orthopedics. The trial lasted from October 2019 through August 2022. Theresearch had a total of 200 participants.Results: Among the sample of 200 patients, a significant proportion of individuals were between the age rangeof 51-60 years (32%) and 41-50 years (30%). The average age of the participants was 53.57 years. The studypopulation consisted mostly of male patients, accounting for 75% of the total, with the remaining 25% beingfemale patients. In the current research, a significant proportion of traumatic spinal injuries were attributed to roadtraffic accidents (53%), with falls from heights (45%) and incidents of assault (2%) being other causes. Thepreponderance of spine fractures was seen at the cervical vertebral level (42%), with the lumbar vertebral levelaccounting for the second highest proportion (28%), and the thoracic vertebral level representing the third highestproportion (20%). The prevalence of injuries at various vertebral levels was as follows: 2% at both the thoracicand lumbar levels, 4% at both the cervical and thoracic levels, 3% at the lumbar and sacral levels, 0.50% at boththe cervical and lumbar levels, and 0.50% at both the cervical and sacral levels. Among the sample of 200 patients,it was observed that a majority of 116 patients, or 58% of the total, did not exhibit any concurrent injuries. Theprevalent injuries seen in conjunction with the condition were hemoperitoneum (10%), head injury (10%), fractureof the humerus (8%), and fracture of the clavicle (6%). Among a cohort of 200 patients, it was observed that 52%of the patients exhibited no signs of neurodeficit, whereas the remaining 48% of patients had neurodeficitsymptoms. During the pre-operative examination, it was seen that 50% of the patients had an ASIA score of E.Additionally, 12% had an ASIA score of D, while 16% had an ASIA score of C. Furthermore, 8% of the patientshad an ASIA score of B, and 14% had an ASIA score of A.Conclusion: Patients who had non-operative treatment experienced greater incidence of complications.Respiratory failure emerged as the primary cause of mortality at the cervical level, whereas secondary problemsarising from persistent bed sores were identified as the primary contributors to mortality at the thoracic and lumbarvertebral levels