PMID- 36817223
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230224
IS  - 1658-3612 (Electronic)
IS  - 1658-3612 (Linking)
VI  - 18
IP  - 2
DP  - 2023 Apr
TI  - Consequences of neglected traumatic spinal cord injuries.
PG  - 265-270
LID - 10.1016/j.jtumed.2022.09.017 [doi]
AB  - OBJECTIVES: Spinal cord injuries cause major disabilities and are devastating 
      events for both patients and healthcare providers. Most traumatic spinal cord 
      injuries (TSCIs) are due to motor vehicle accidents (MVAs). Neglected injuries 
      result in complications and poor outcomes. Here, we investigated the causes, 
      consequences, and outcomes of neglected TSCIs. METHODS: This case series study 
      was performed at King Abdulaziz Medical City, Riyadh, KSA. Of the 750 patients 
      treated between February 2016 and February 2021, 18 patients met our inclusion 
      criterion of neglected high-energy TSCI with neurological deficit, necessitating 
      surgical intervention more than 14 days after the index trauma. RESULTS: Of the 
      18 patients with neglected TSCIs, 72.2% were men. The patients' mean age at the 
      time of injury was 36.8 years, 77.8% were from outside Riyadh, and all patients 
      had MVA-induced TSCIs, 88.9% of which were attributable to delayed referral to a 
      tertiary center. The mean duration of neglect was 43 days, and the longest 
      duration was 125 days. The most common site of injury was the thoracolumbar 
      region (55.5%). The American Spinal Injury Association impairment scale score 
      improved in two patients. Bed sores occurred in 55.5%, and deep vein thrombosis 
      occurred in 27.8% of patients. Postoperatively, 77% of patients required 
      intensive care unit admission. Most patients (12) did not receive specialized 
      spinal cord injury rehabilitation postoperatively. CONCLUSION: Early referral of 
      patients with TSCIs is crucial to prevent short- and long-term complications.
CI  - (c) 2022 [The Author/The Authors].
FAU - Konbaz, Faisal M
AU  - Konbaz FM
AD  - Department of Orthopedic Surgery, King Faisal Specialist Hospital & Research 
      Centre, Riyadh, KSA.
FAU - AlEissa, Sami I
AU  - AlEissa SI
AD  - Department of Orthopedic Surgery, Ministry of the National Guard - Health 
      Affairs, Riyadh, KSA.
FAU - AlHabeeb, Abdulrahman Y
AU  - AlHabeeb AY
AD  - King Abdullah International Medical Research Center, Riyadh, KSA.
AD  - King Saud Bin Abdulaziz University for Health Sciences, Riyadh, KSA.
FAU - AlHowaish, Thamer S
AU  - AlHowaish TS
AD  - King Abdullah International Medical Research Center, Riyadh, KSA.
AD  - King Saud Bin Abdulaziz University for Health Sciences, Riyadh, KSA.
FAU - Alhamed, Ghada S
AU  - Alhamed GS
AD  - Department of Orthopedic Surgery, Ministry of the National Guard - Health 
      Affairs, Riyadh, KSA.
FAU - Masuadi, Emad M
AU  - Masuadi EM
AD  - King Abdullah International Medical Research Center, Riyadh, KSA.
AD  - Department of Medical Education, Collage of Medicine, King Saud Bin Abdulaziz 
      University for Health Science, Riyadh, KSA.
FAU - Abalkhail, Majed S
AU  - Abalkhail MS
AD  - Department of Orthopedic Surgery, Ministry of the National Guard - Health 
      Affairs, Riyadh, KSA.
FAU - AlHelal, Fahad H
AU  - AlHelal FH
AD  - Department of Orthopedic Surgery, Ministry of the National Guard - Health 
      Affairs, Riyadh, KSA.
LA  - eng
PT  - Journal Article
DEP - 20221010
PL  - Saudi Arabia
TA  - J Taibah Univ Med Sci
JT  - Journal of Taibah University Medical Sciences
JID - 101621911
PMC - PMC9926210
OTO - NOTNLM
OT  - Consequences
OT  - Fracture
OT  - MVA, Motor vehicle accidents
OT  - Neglect
OT  - Outcomes
OT  - SCI, Spinal cord injury
OT  - Spine
OT  - TSCI, Traumatic spinal cord injury
OT  - Traumatic
EDAT- 2023/02/24 06:00
MHDA- 2023/02/24 06:01
PMCR- 2022/10/10
CRDT- 2023/02/23 09:32
PHST- 2022/05/25 00:00 [received]
PHST- 2022/08/11 00:00 [revised]
PHST- 2022/09/06 00:00 [accepted]
PHST- 2023/02/23 09:32 [entrez]
PHST- 2023/02/24 06:00 [pubmed]
PHST- 2023/02/24 06:01 [medline]
PHST- 2022/10/10 00:00 [pmc-release]
AID - S1658-3612(22)00186-X [pii]
AID - 10.1016/j.jtumed.2022.09.017 [doi]
PST - epublish
SO  - J Taibah Univ Med Sci. 2022 Oct 10;18(2):265-270. doi: 
      10.1016/j.jtumed.2022.09.017. eCollection 2023 Apr.