Table 2

Table showing management of all patients with spinal injuries, length of stay in the hospital, neurological improvement, and present functional status.

No.Injury PatternAO ClassSpinal Injury ManagementTime to SurgeryLength of StayNeurology at AdmissionNeurology at Follow-upFunctional Status
1Burst fracture L3 with complete paraplegiaA4L2-L4 stabilization with intermediate screws, laminectomy, and wide decompressionDay 145ASIA grade BASIA grade DWalking with support, bowel/bladder intact
2Zone 2 sacral fracture bilateral with spinopelvic dissociation, fracture spinous process of T1, T2, T3 (Figure 3)CSpinopelvic fixation (L4-S2AI screws) and decompressionDay 310ASIA grade B with bowel and bladder involvementASIA grade EWalking without support, bowel/bladder intact
3L2 chance fracture with paraparesisB1L1-L3 short segment stabilization with intermediate screw fixationDay 111ASIA grade BASIA grade EWalks without support, able to bend, able to climb stairs
4L2 chance fracture with complete paraplegia, transverse process fracture L1, L2, L3, L4, L5B1T12-L3 instrumentation, stabilization, laminectomy, and wide decompressionDay 245ASIA grade AASIA grade DWalks with support, bowel/bladder intact, able to climb up, difficulty climbing down
5L3 burst fracture with paraparesis, fractures of left lamina and body of C7, left transverse process of L2 and L3 and spinous process and bilateral transverse process of T11 (Figure 4)A4L2-L4 stabilization and decompressionDay 231ASIA grade CASIA grade DWalks with support, not able to climb stairs, not able to do job
6L3 chance fracture with burn injury over the back, L1-L4 spinous process fractureB1L2-L4 stabilization and decompressionDay 375ASIA grade EASIA grade EMobilization out of bed starting with walker, functionally dependent
7T3 chance fractureB1Advised to have surgery but refused, managed conservatively-4ASIA grade EASIA grade EAble to do all activities, mild back pain on prolonged activities
8Fracture T3 vertebral body, fracture spinous process of T1, T2A3Conservative-6ASIA grade EASIA grade EAble to do all activities, back pain during prolonged standing
9Compression fracture T3, T4, T5, T6, and T7, spinous process fracture C7, T1, T2, T5, and T6 (Figure 5)B1Conservative-6ASIA grade EASIA grade EMild back pain while lifting weight
10T12 superior endplate impacted compression fractureA1Conservative-8ASIA grade EASIA grade EAble to do all activities, returned to work
11Fracture right transverse process of L5A1Conservative-5ASIA grade EASIA grade EAble to do all activities, returned to work
12Contusion cervical spine, traumatic upper trunk brachial plexopathy (C5, C6)-Conservative
physiotherapy
-18Left shoulder abduction grade 0/5, grip strength weakGood motor recoveryOn physiotherapy, difficulty in lifting object with left upper limb
13L5 vertebrae body burst fractureA3Conservative-21ASIA grade EASIA grade EStarted walking with support, not able to do job
  • Abbreviation: ASIA, American Spinal Injury Association.