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Journal Article

Citation

Makhni MC, Vatan NM, Park PJ, Kabeer ZA, Cerpa M, Choi JH, Lombardi JM, Hong S, Kim Y, Lenke LG, Lehman R, Vycheth I, Park KB. J. Am. Acad. Orthop. Surg. Glob. Res. Rev. 2019; 3(10): ePub.

Affiliation

Columbia University (Vatan, P. J. Park, Kabeer, Cerpa, Lombardi, Kim, Lenke, and Lehman) and the Mount Sinai Health Systems (Choi), New York, NY; the Preah Kossamak Hospital (Hong and Vycheth), Phnom Penh, KH, Cambodia; the Harvard Medical School (K. B. Park and Makhni), Boston, MA; and the Brigham and Women's Hospital (Makhni), Boston, MA.

Copyright

(Copyright © 2019, Lippincott Williams and Wilkins)

DOI

10.5435/JAAOSGlobal-D-19-00080

PMID

31773077

PMCID

PMC6855502

Abstract

This study sought to characterize the epidemiology and outcomes of spinal trauma, with or without a neurologic deficit, at a major government hospital in Phnom Penh, Cambodia. Patient demographics, American Spinal Injury Association (ASIA) score on presentation, location of injury, and cause of injury from 316 patients from September 2013 through December 2016 were compiled. Outcome measures included length of hospitalization and surgical intervention. Falls were the leading cause of spinal injury (50.6%), followed by motor vehicle accidents (29.3%) and other accidents (20.1%). Patients who fell from height had higher surgery rates (P = 0.014), and men had worse ASIA scores (P = 0.0013). Patients with ASIA A-C had a mean age of 38.17 years, whereas the D-E group was on average 42.88 years. Motor vehicle accidents caused the most cervical spine injuries, whereas falls caused more thoracic and lumbar trauma (P = 0.0005). Younger, working men are experiencing more severe spinal injuries, undergoing more surgery, and staying hospitalized longer than other demographics in Phnom Penh. This study characterizes spinal trauma from falls as a public health issue in Cambodia, highlighting the importance of fall injury prevention. Protecting this cohort is an important investment for Cambodia and necessitates workplace reform and safety standard implementation.

Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.


Language: en

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