Gajbhare Sunil Venkati

Abstract

Background: The aim of this study is to compare between various treatment modalities available for treatment of subaxial cervical spine injuries due to trauma Materials and Methods: A total of 172 patients of subaxial cervical spine injuries were assessed retrospectively about their mode of injury, clinical course, definitive treatment given and its outcome. As the study was Descriptive and retrospective in nature involving only patient case files, statistical test is not applied to the study Result: In our study 44 patients suffered from vertebral body fracture while 108 patients had spinal canal compromise due to other injuries. 16 patients had quadriplegia, 24 patients had grade 4 power in upper and lower extremities, and roots were involved in 46 patients. In 44 patients complete corpectomy was performed with placement of tricorticate graft taken from fibula, this graft was fixed in place with titanium plate and four screws. Conclusion: From this study it can be concluded that Patients treated with anterior approach had better outcome in relation to the fixation and fusion of the spine, reconstruction is more better in anterior approach.   Keywords: Subaxial CSpine, Corpectomy, Tricorticate

View Article

Abstract

Aims: The aim of the study was to retrospectively analyse the patient data at our institute who underwent treatment for depressed skull fractures over a period of 3 years. Materials and Methods: 300 patients who had depressed skull fractures due to various modes of injury were studied. Patients with multiple injuries were not included in this study. Age was no bar for enrollment in our study Results: Factors which seemed to affect recovery of patients include Cause of injury, Duration of impact, gcs at admission and discharge, underlying brain contusions and brain edema affected recovery. Demographic factors did not seem to affect recovery Conclusions: Patients without compound fracture and better gcs during initial resuscitation without brain contusion and edema fared better in our study. Keywords: Retrospective, Depressed skull fractures.

View Article

Abstract

Introduction: Aim of the study was to assess the correlation between clinico -radiological features with outcome in traumatic extradural hematoma in paediatric age group at a tertiary care hospital in Kolkata. Materials and Methods: Total of 47 cases of traumatic paediatric extradural hematoma were analysed prospectively for the period of two years to find out the clinic-radiological pattern with outcome in study group patients. Results: Maximum number of patients were between 1-5 years (55.32%) and male patients slightly outnumbered female (55.32% male vs 44.68% female). Loss of consciousness was the most common clinical presentation. Pretreatment GCS score was found to be directly related to the speed of recovery and outcome. Those in whom there were other associated intracranial injuries showed relatively poor recovery. No sex difference was seen in outcome. Location and volume of EDH did not seem to influence the outcome. Conclusion: Traumatic extradural hematoma in children is an uncommon trauma sequel. Most commonly EDH in children is due to fall from height and Road traffic accident. Classical presentation with lucid interval is uncommon and has no direct effect on outcome. Associated intracranial injuries are common and affect outcome. EDH volume itself does not affect the outcome if timely intervention is done. GCS score at presentation is the most important factor determining the outcome. Keywords: Extradural Hematoma (EDH), Paediatric Age Group, Traumatic

View Article