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. 2017 May 11:3:17021.
doi: 10.1038/scsandc.2017.21. eCollection 2017.

The characteristics of traumatic spinal cord injuries at a referral hospital in Northern Tanzania

Sakina Mehboob Rashid  1 , Mubashir Alavi Jusabani  2 , Faiton Ndesanjo Mandari  3 , Marieke Cornelia Johanna Dekker  4   5
Affiliations

The characteristics of traumatic spinal cord injuries at a referral hospital in Northern Tanzania

Sakina Mehboob Rashid et al. Spinal Cord Ser Cases. .

Abstract

Study design: Retrospective study.

Objectives: To describe the epidemiology of traumatic spinal cord injury (TSCI) in Northern Tanzania.

Setting: Main referral hospital for Northern Tanzania.

Methods: A retrospective review of 125 TSCI cases admitted to Kilimanjaro Christian Medical Centre (KCMC) over a period of 5 years.

Results: We included 125 patients in the sample size, with a male majority of 107 (85.6%), giving a male-to-female ratio of 5.9:1. The mean age at injury was 39.9 (±16.0) years. Overall, 66 (52.8%) were farmers and an overwhelming majority (109 (87.2%)) were referrals from peripheral medical centres. Fall injuries accounted for 65 (52.0%) of the admissions and 49 (39.2%) were injured due to a Road Traffic Accident (RTA). Severity of injury was classified according to the American Spinal Injury Association Impairment Scale (AIS) and 57 (45.6%) injuries were categorised as AIS A and 68 (54.4%) as AIS BCD. Cervical level injuries (59 (47.2%)) were the most frequent among the cohort. The in-hospital mortality rate was 24.1%.

Conclusion: The majority of patients affected by TSCIs were young males and the most common cause was fall injuries. Cervical level injuries were the most common and in-hospital mortality was high.

Keywords: Prognosis.

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Conflict of interest statement

The authors declare no conflict of interest.

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