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Cervical spinal cord injury due to fall while carrying heavy load on head: a problem in Bangladesh.
MedLine Citation:
PMID:  22143680     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Study design:Observational study.Setting:Centre for the Rehabilitation of the Paralysed (CRP), Dhaka, Bangladesh.Methods:This observational study was conducted on 84 patients of Cervical spinal cord injury (CSCI) due to fall while carrying heavy load on head. They were admitted at the CRP, Dhaka, Bangladesh between January1999 and December 2001. Relevant personal information, neurological status, types of bony injuries and x-ray findings were noted down in pre-structured questionnaire. In addition, each subject was interviewed to find out the cause of accidental fall while carrying heavy load on head.Results:Age of the studied subjects ranged between10 to 50 years. All were male of whom 79 (94%) subjects were farmers and/or low cost daily laborers. In all, 72% percent of the subjects were carrying 60-80 kg weight on their head when fall occurred. A total of 48 (57%) subjects had complete neurological lesion. The most common vertebral levels were C5 and C6. So far the mechanism of injury is concerned hyper flexion of the cervical spine predominated (61%) over hyperextension (36%).Conclusion:Fall while carrying heavy load on head is a common cause of CSCI in Bangladesh. The victims are mostly young farmers or unskilled day laborers who were not habituated to carry heavy load on head.Spinal Cord advance online publication, 6 December 2011; doi:10.1038/sc.2011.153.
Authors:
M F Hoque; Z Hasan; A T M A Razzak; S U Helal
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-06
Journal Detail:
Title:  Spinal cord     Volume:  -     ISSN:  1476-5624     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Orthopaedics and Spinal surgery, Square Hospital, Dhaka, Bangladesh.
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