1
Physical medicine and rehabilitation, Armed Forces Institute of Rehabilitation Medicine (AFIRM), Rawalpindi, Abid Majeed Road, Pakistan
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Physical medicine and rehabilitation, CMH Okara, Pakistan
3
Physical Medicine and Rehabilitation, AFIRM Rwp, Pakistan; Hanif S., Physical Medicine and Rehabilitation, CMH BWP, Pakistan
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Physical Medicine and Rehabilitation, CMH Multan, Pakistan
Abstract
Objectives: To define the main features of spinal cord injuries in Pakistan Armed Forces. Study design: Descriptive study. Material and method: Two years study was conducted on 50 new patients of acute spinal cord injury from Armed Forces of Pakistan reporting to Armed Forces Institute of Rehabilitation Medicine (AFIRM) from 1 st Aug 2007 to 31 st Aug 2009. We considered the etiology, gender, vertebral injury, American spinal injury association (ASIA) neurological classification on admission, age at the time of injury, type of vertebral lesion and treatment. Data was analyzed using statistical package for Social Sciences Version 10. Results: All patients were male. Mean age at injury time was 33.82+ 11.16 years. Seventeen had neurologically complete injury ASIA A (34%), while 7(14%) were classified ASIA B, 19(38%) ASIA-C and 7(14%) ASIA D. Eighteen (36%) had tetraplegia and 32 (64%) were paraplegic. Most common vertebral level of injury was first lumbar vertebra among paraplegics and fifth cervical vertebra among tetraplegics. RTA was the most common cause of injury (40%) followed by fall (34%). Conclusion: Spinal cord injury primarily affects young population. In the absence of a cure primary prevention assumes even greater significance.
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