Indian Journal of Palliative Care
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 ORIGINAL ARTICLE
Year : 2010  |  Volume : 16  |  Issue : 3  |  Page : 160--163

Palliative surgical approach to rehabilitate spinal injury patient in Indian rural setup


Department of Orthopaedics and Trauma, Jawahar Lal Nehru Medical College & Acharya Vinoba Bhave Rural Hospital, Datta Meghe Institute of Medical Sciences, Wardha, India

Correspondence Address:
Pradeep K Singh
Department of Orthopaedics and Trauma, Jawahar Lal Nehru Medical College & Acharya Vinoba Bhave Rural Hospital, Datta Meghe Institute of Medical Sciences, Wardha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1075.73646

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Objective: To evaluate the usefulness of conventional spinal surgery as palliative procedure to rehabilitate dorsolumbar injuries in a rural setup. Materials and Methods: Twenty-three patients with dorsolumbar spine injury with complete paraplegia were assessed on the clinical and social rehabilitation parameters after surgical stabilization at Acharya Vinoba Bhave Rural Hospital Sawangi, Wardha, India. The study group comprised 21 male and 2 female patients. The dorsolumbar spine injury was fixed by conventional posterior instrumentation using short-segment pedicle screw system and Harrington rod system with or without fusion. Functional and neurologic outcome was recorded in the follow-up period by using Functional Independence Measure and Frankel grade, respectively. Correlation and analysis of results was established statistically. Results: Functional outcome showed statistically significant improvement. Social cognition was found intact in a significant number of patients. Conclusion: This study demonstrates the usefulness of conventional instrumentation as palliative surgical approach to stabilize and rehabilitate patients from deprived sector of rural India.






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