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Category: Volume 05 Issue 11 November 2017
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Title: Comparison of Rehablitative Outcome of Posttraumatic Paraplegic Patients with Posterior Stabiliation and Non Operative Methods

Authors: N.Gowthaman, R.Neelakrishnan, V.K.Mohandoss Kurup

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i11.142

Abstract

Introduction: Paraplegia is one of the most important morbidity faced by people in the age group of 25-50 years due to trauma to spine. To make them live a near normal life must be the aim of rehabilitation. Considering the nature of injury and its operative outcome and its rehabilitation, many factors plays role in rehabilitation .In that posterior stabilization is also one. But due to few factors like age, family background etc all paraplegia patients can’t go for posterior stabilization.

Aim: To compare the rehabilitative outcome of posttraumatic paraplegic patients with posterior stabilization and non operative methods

Materials and Methods: The study was retrospective study done at RMMC&H from June 2015 to September 2017. All cases of paraplegia due to spinal trauma presented to our hospital were considered. Their rehabilitative outcome was analysed and outcome was compared between posterior stabilization and non operative methods

Results: 20 Post traumatic paraplegia patients who were rehabilitated in our setup were studied .Out of which 15 were stabilized with posterior fixation 5 were treated with non operative methods. The average gain in FIM score of patients with posterior stabilization was 35.38, where as in non operative group was 23.50. Major complications faced by paraplegic patients are Pressure ulcers, UTI which contribute 50% and 40% respectively early ambulation of group with posterior stabilization was seen.

Conclusion: Patients for whom posterior stabilization was done for spinal injuries were rehabilitated comfortably when compared to non operative patients, their rehabilitative outcome was exceptionally good comparing to non operative patients.

Keywords: Paraplegia, Posterior stabilization, Rehabilitation.

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Corresponding Author

N.Gowthaman

Postgraduate in Orthopaedics, RMMC&H,

Annamalai University, Tamilnadu, India – 608002

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