Asian Spine J.  2016 Apr;10(2):321-326. 10.4184/asj.2016.10.2.321.

Demographic Trends of Patients with Compressive Myelopathy in a Developing Asian Country

Affiliations
  • 1Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, India. sarvdeepsinghdhatt@gmail.com

Abstract

STUDY DESIGN: Prospective case series. PURPOSE: To analyze the demographic picture of the patients suffering from compression myelopathy due to various spinal problems. Overview of Literature: There is a lack of literature depicting demographic picture of such patients with spinal injuries as most of the articles have shown the epidemiology of spinal cord injuries either managed conservatively or operatively. None have focused on the patients with compressive myelopathy requiring surgeries.
METHODS
Patients with spinal pathologies with a neurological deficit due to compressive myelopathy requiring surgical decompression of dorsal and thoracolumbar region were studied. The different kinds of etiologies, the demographic profiles involved, the involvement of various regions of spine in each of the etiologies, sex distribution of different etiologies, association of age and sex with the occurrence of paraplegia, and association of thoracolumbar junction (TLJ) involvement by age and sex were studied. This study addressed the dorsal and TLJ till L2 vertebrae surgically treated by anterior transthoracic transpleural approach.
RESULTS
With regard to gender, 75% of the females and 67.3% of the males were paraplegic but there was no relationship between gender and the occurrence of paraplegia (p >0.05). There was also no association between TLJ involvement and the age and sex of the patients (p >0.05). Seventy percent of the patients were paraplegic with a mean age of 38.90 years and 30% were paraparetic with a mean age of 43.43 years. Male to female ratio stood at 4.43:1.
CONCLUSIONS
Traumatic spine in females is increasing. The occurrence of paraplegia and involvement of TLJ is not affected by the age and the sex of the patients. Deep epidemiological understanding of spinal pathologies can lead to a better appreciation of the potential impact of health care management strategies and health policies to prevent and minimize their consequences considering limited worldwide reports on the same.

Keyword

Thoracolumbar spine; Compressive myelopathy; Demography; Paraplegia

MeSH Terms

Asian Continental Ancestry Group*
Decompression, Surgical
Delivery of Health Care
Demography
Epidemiology
Female
Health Policy
Humans
Male
Paraplegia
Pathology
Prospective Studies
Sex Distribution
Spinal Cord Compression*
Spinal Cord Diseases
Spinal Cord Injuries
Spinal Injuries
Spine
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