The Prognosis of Thoracolumbar Spine Injury in Cameroon

Mathieu Motah, Paul Chinonso Shu,Daniel Gams Massi,Yannick Lechedem Ngunyi, Ngenge Michael Budzi, Tanyi John Tanyi, Alain Chichom Mefire

Research Square (Research Square)(2022)

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摘要
Abstract Background Thoracolumbar spine injury (TLSI) secondary to trauma usually occurs abruptly and leaves demeaning consequences, especially in our setting where the prognosis from several studies is poor. A look at the determinants of prognosis at the Douala General Hospital (DGH) would contribute data that could help in improving this prognosis. Method This was a hospital-based five-year retrospective study. The study population was patients treated for TLSI in the Douala General Hospital from January 2014 to December 2018. Patients’ medical records were used to retrieve data. Data analysis was done using SPSS Version 23. Logistic regression models were fitted to assess the association between dependent and independent variables. Statistical significance was set at 95% confidence interval (CI), with a P-value < 0.05. Results We studied a total of 70 patients’ files. These included 56 males for a M: F sex ratio of 4:1. Mortality rate was 5.7% (n = 4). Almost all (86.9%) of the patients developed complications and we had a 61.4% improvement in neurological status upon discharge. Being covered by health insurance was a predictor of improved neurological status (AOR = 15.04, 95%CI:2.90–78.20, P = 0.001) while being referred was a predictor of a stationary neurological status upon discharge (AOR = 0.12, 95%CI:0.03–0.52, P = 0.005). The average hospital stay was 20 days. We did not identify any predictors of lengthy hospital stay. Conclusion The prognosis of TLSI is comparable with those in other studies. The prognosis could be improved by reducing time spent at the periphery before referral, encouraging universal health insurance coverage, and improve on management to reduce complications
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thoracolumbar spine injury,cameroon,prognosis
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