Vol 5 No 8 (2019): EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063)
Articles

Epidemio-clinical profile of cervical spine trauma at CHU-JRA Madagascar

BEMORA Joseph Synèse
University Hospital Center Joseph Ravoangy Andrianavalona (CHU-JRA) Madagascar
Bio
Tojo Hery Tsitovah Rakotondrainibe
University Hospital Center Joseph Ravoangy Andrianavalona (CHU-JRA) Madagascar
Bio
Patrick Rakotozanany
University Hospital Center of Soavinandriana Antananarivo Madagascar
Bio
Willy Francis Rakotondraibe
University Hospital Center Joseph Ravoangy Andrianavalona (CHU-JRA) Madagascar
Bio
Willy Ratovondrainy
University Hospital Center of Soavinandriana Antananarivo Madagascar
Bio
Mamiarisoa Rabarijaona
University Hospital Center of Fianarantsoa Madagascar
Bio
Clément Andriamamonjy
University Hospital Center Joseph Ravoangy Andrianavalona (CHU-JRA) Madagascar
Bio
Published August 25, 2019
Keywords
  • cervical spine trauma,
  • brain injury,
  • polytrauma,
  • tetraplegia
How to Cite
BEMORA Joseph Synèse, Tojo Hery Tsitovah Rakotondrainibe, Patrick Rakotozanany, Willy Francis Rakotondraibe, Willy Ratovondrainy, Mamiarisoa Rabarijaona, & Clément Andriamamonjy. (2019). Epidemio-clinical profile of cervical spine trauma at CHU-JRA Madagascar. EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063), 5(8), 01-11. Retrieved from https://ephjournal.com/index.php/mhs/article/view/1504

Abstract

The cervical spine trauma is a frequent and serious lesion involving not only the vital prognostic but also functional. The target of this work was to determinate the epidemiological clinical profile and the issue related to the management of cervical spine traumatism in Madagascar. It was the 3 years retrospective works with 41 cases of the cervical spine trauma hospitalized and supported in a department of neurosurgery and resuscitation at CHU-JRA Antananarivo Madagascar.  We included all patients records for traumatized cervical spine and incomplete files have been excluded. While the targeted period, 41 cases of the cervical spine trauma has been studied, 24,39% of traumatized  was between 21-30 years old with a clear male predominance of 80,48% (sex ratio 4,1).  The etiology is dominated by a fall and the majority was of domestic accident (46,34%). The cervical wounded was part of polytrauma, 58,53 %  of the case are  brain injury.  Clinically, 39,02% of the patients were tetraplegic and the standard radiograph represented the requested radiological tool in 82.92%. The mortality rate was 21,95%. The cervical spine trauma remains pathology difficult to manage because of the respiratory risk which requires a managing in reanimation and the prognostic vital is reserved for complete quadriplegics.

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