{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:06:11Z","timestamp":1777907171800,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2018,11,18]],"date-time":"2018-11-18T00:00:00Z","timestamp":1542499200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>Spinal cord injury (SCI) is relatively rare and affects an estimated 15\u201340 per 1 million people globally. All patients admitted from October 2016 to June 2017 at Kamuzu Central Hospital, Malawi with a spinal column injury were retrospectively studied. Out of 1442 patients, 46 had vertebral column injury, and half of these had neurological deficit. The most common mechanism of injury was road traffic crash (45.7%), and cervical SCIs were the most common (41.3%). The overall mortality was 15.2%, thus demonstrating devastating morbidity and mortality. Owing to the latter, and the relative lack of operative facilities, primary prevention remains the most effective way to attenuate the tragedy of SCIs.<\/jats:p>","DOI":"10.1177\/0049475518808969","type":"journal-article","created":{"date-parts":[[2018,11,18]],"date-time":"2018-11-18T09:11:40Z","timestamp":1542532300000},"page":"62-64","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Characteristics and outcomes of traumatic spinal cord injury in a low-resource setting"],"prefix":"10.1177","volume":"49","author":[{"given":"Jessica","family":"Eaton","sequence":"first","affiliation":[{"name":"Neurosurgery Resident, UNC Project Malawi, Lilongwe, Malawi"},{"name":"Orthopedic Resident, University of Washington, School of Medicine, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cornelius","family":"Mukuzunga","sequence":"additional","affiliation":[{"name":"General Surgery Chief Resident, Department of Surgery, Kamuzu Central Hospitals, Lilongwe, Malawi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Grudziak","sequence":"additional","affiliation":[{"name":"Neurosurgery Resident, UNC Project Malawi, Lilongwe, Malawi"},{"name":"Professor of Surgery, Department of Surgery, University of North Carolina, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Charles","sequence":"additional","affiliation":[{"name":"Neurosurgery Resident, UNC Project Malawi, Lilongwe, Malawi"},{"name":"General Surgery Chief Resident, Department of Surgery, Kamuzu Central Hospitals, Lilongwe, Malawi"},{"name":"Professor of Surgery, Department of Surgery, University of North Carolina, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,11,18]]},"reference":[{"key":"bibr1-0049475518808969","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200112151-00002"},{"key":"bibr2-0049475518808969","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2004.21.1355"},{"key":"bibr3-0049475518808969","volume-title":"International Standards for Neurological Classification of Spinal Cord Injury","author":"American Spinal Injury Association","year":"2000"},{"key":"bibr4-0049475518808969","doi-asserted-by":"publisher","DOI":"10.1177\/1010539509355470"},{"key":"bibr5-0049475518808969","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2008.93"},{"key":"bibr6-0049475518808969","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2014.203"},{"key":"bibr7-0049475518808969","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2007.07.010"},{"key":"bibr8-0049475518808969","first-page":"94","volume":"16","author":"Scher AT","year":"1978","journal-title":"Paraplegia"},{"key":"bibr9-0049475518808969","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2009.1147"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475518808969","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475518808969","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475518808969","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:31:18Z","timestamp":1777642278000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475518808969"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,18]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1177\/0049475518808969"],"URL":"https:\/\/doi.org\/10.1177\/0049475518808969","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,18]]}}}