Neuro surgery dept,(JPNATC)-Spine injuries Audit 2010

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Neuro surgery dept,(JPNATC)-Spine injuries Audit 2010

  1. 1. JPN APEX TRAUMA CENTRE,AIIMS DEPT OF NEUROSURGERY AUDIT 2010 (Spine Injuries) AUDIT JAN 2010- DECEMBER 2010
  2. 2. Cervical Spine Injury
  3. 3. Cervical Spine Injury (2010) Total Operated Death(%) Non-Operated Death(%) 195 91 61(67.03%) 104 36(34.6%)
  4. 4. Traumatic Quadriplegia Indian Experience at a Level-I Trauma Centre Deepak Agrawal , S Khan, S Ahmed, GD Satyarthee, D Gupta, S Sinha Department of Neurosurgery, JPN Apex Trauma Centre, AIIMS, New Delhi Epidemiological data on the incidence & Outcome of traumatic-quadriplegia in India is lacking. Also, there remains a sense of hopelessness in management of these patients Background To assess the incidence, acute management and outcome of patients with traumatic-quadriplegia at a level-1 trauma centre in India Aims &Objectives
  5. 5. Prospective study- Jan 2009 to December 2009( 1 year period ) Consecutive patients with cervical injury & traumatic quadriplegia Nuricks grading - for quantifying neurological deficits Materials & Methods
  6. 6. Observations Total 164 quadriplegic patients 33 had complete & 131 had incomplete quadriplegia. Age: 11-70 years (mean 28 years) Male: Female ratio of 18:1. Follow up- 1.2-18 months (mean 7.4 months).
  7. 7. RESULTS Complete Quadriplegia Group
  8. 8. RESULTS Incomplete Quadriplegia Group
  9. 9. Conclusion of the Study <ul><li>In complete quadriplegia group, there was significant improvement in surgical group as compared to those who were not operated ( p= 0.0466 ) </li></ul>
  10. 10. Dorsolumbar Spine Injuries
  11. 11. Dorsolumbar Spine Injuries Total Complete Incomplete Operated Death(%) 162 151 11 54 4(2.5%)
  12. 12. Brachial Plexus injuries
  13. 13. THANK YOU

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