Podium (General) 09

Profile, Incidence and Outcome of Patients diagnosed with Cervical Spine Injury admitted at Southern Philippines Medical Center � Department of Orthopedics: A Retrospective Review

Ali Farhan D. Pendaliday, MD, SPMC

Background: Cervical spine injury, accounts for approximately 50% of all spinal cord injuries. It is one of the most overwhelming cause of morbidity and mortality in industrialized and developing countries.

The Southern Philippines Medical Center caters to different cases every day. All walks of life pass in and out of the hospital. The Department of Orthopedics since its beginning in 1989 has been catering different Orthopedics cases as such as Trauma, Adult, Hand, Pediatric and Spine cases.

Profiling and Determining the outcome the Traumatic and Degenerative Cervical Spine Injuries provides us a means to identify the different causes and probable morbidity and mortality that may befall them during their admission in Southern Philippines Medical Center. Since there is no nationwide database currently available in the Philippines. This study aims to create a database for Spinal Cord Injury patients to improve health care in the future.

Methods: A retrospective descriptive study was conducted on all traumatic cervical spinal cord injury patients admitted at Southern Philippines Medical Center from 2015 to 2017. Charts were obtained and reviewed to gather their demographic data such as age, sex, diagnosis, procedure done and the like.

Results: A total of sixty-one (61) patients were included in the study. Fifty-six were male and five were female. Fall was the leading cause of most spinal cord injuries with 60.65%, 51.35% of which were ASIA A on presentation. C4-C5 level was the most commonly involved cervical spine segment with 49.18%. Most of the patients with cervical spinal cord injury were ASIA A with 49.18% upon admission with Bilateral facet as the most common morphology with around 36.06%. The most common surgery performed on the patient was application of Gardner wells traction with 38 cases. Mean days before undergoing surgery was 10.07 days ± 19.83. Most common complications that developed on admitted patients was hospital acquired pneumonia. Disposition of patients were mostly discharged.

Conclusion: During the course of the study the lack of data on the charts were identified as one of the problems. Hence the need to create a standardized data form and eventually create an accurate registry data for patients with spinal cord injury.These data will help us in formulating protocol for the treatment and management of patients with traumatic cervical spinal cord injury.

Keywords: Cervical spinal cord injury, Profile, Incidence and Outcome, cervical spine