PMC:7417187 / 16352-20012 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7417187","sourcedb":"PMC","sourceid":"7417187","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7417187","text":"Results\nThe present study included 13 patients (nine males and four females) with an average age of 35.4 years (range- 42-63 years).\nEight patients (61.5%) presented with SCI due to vertebral fracture with fall from height (87.5%) as the most common etiology. Road traffic accidents accounted for only one patient as the cause of SCI. Among the traumatic SCI patients, six (75%) were managed surgically with posterior decompression and instrumented fusion with pedicle screws while two patients (25%) were managed conservatively. There were four patients (30.8%) of tuberculosis of the spine of whom two (50%) were managed with posterior decompression, debridement, and stabilization with pedicle screws, samples for culture, biopsy, and CBNAAT were collected during the procedure; for the remaining two patients (50%), the trans-pedicular biopsy was performed to confirm the diagnosis for initiation of anti-tubercular therapy. Prolapsed intervertebral disc causing cauda equina syndrome was the reason for emergency surgery in one patient (7.7%). \nCOVID-19 (SARS-CoV-2 RT-PCR) test was done in four patients (30.8%), in whom the most common symptom was fever (two patients (50%)) and all these patients were residents of high prevalence area for COVID-19 infection. Sore throat (25%), fatigue (25%), and low oxygen saturation (25%) were present in one patient each patient which prompted us to get the COVID-19 test. All patients were reported negative for COVID-19. Among the traumatic SCI patients, four were operated within 48 hours of injury as they were referred from other centers after primary care. All patients were managed within 24 hours of admission. The average hospital stay was 2.7 days (range four to five days) (Table 4).\nTable 4 Patient demographics and results\nRTA: Road traffic accident; PF: Pedicular fixation\nSno. Age/sex Mode of trauma Diagnosis ASIA Score TLICS Score Surgery COVID testing Indication for COVID test Result Time interval Hospital Stay\n1 21/M RTA Burst # L1 A 7  Decompression and  PF  D12-L2 No NA NA 24 hrs 3 days\n2 40/M Fall #D8 E 2 Conservative No NA NA Na 1 days\n3 50/M Fall #D11 A 7 Decompression and PF D10 to D12 Yes 1)residence at High prevalence area 2)Spo2 – 88% on room air Negative 48 hrs 3 day\n4 30/M fall # L1 A 7 Decompression and PF D12to L2 Yes 1) Residence at High prevalence area Negative 48  hrs 3 days\n5 25/M Fall # L1 A 7 Decompression and PF D12to L2 NO NA NA 24 hrs 3 days\n6 22/F Fall # L2 E 2 Conservative No NA NA NA 1 day\n7 63/F Fall # L1 D 8 Decompression and PF D10 to L3 No NA NA 48hrs 3 days\n8 43/M Fall #Dislocation D6/D7 A 7 Decompression and PF D5to D8 No NA NA 48 hrs 3 days\n9 42/M Infective pathology Tuberculosis of spine from D8,D9,D12,L1,L2,L3 with paravertebral abscess E NA Transpedicular Biopsy from D12 vertebra No NA NA 24 hrs 1 day\n10 33/F Infective apthology Tuberculosis of spine L4-L5 with paravertbral abscess E NA Transpedicular Biopsy from L5  vertebra No NA NA 24 hrs 1 day\n11 25/M Infective apthology Tuberculosis of spine L2 to L3 with  paravertebral abscess C NA Decompression and PF D12to L5 Yes 1) Residence at High prevalence area 2)Fever 3) Fatigue Negative 24 hrs 5 days\n12 42/M Infective apthology Tuberculosis of spine L4-L5 vertebrae with paravertebral abscess D NA Decompression and PF from L3 to S1 Yes 1) Residence at High prevalence area 2)Fever 3)Sore throat Negative 24 days 5 days\n13 24/F Cauda Equina Syndrome Proloapsed intervertebral Disc L4-L5 B  NA Discectomy L4-L5 NO NA NA 24 hrs 3 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